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Boat Insurance Quotation
 
Title
 
Name *
 
Surname *
 
ID Number *
Occupation *
Postal Address *
 
E-Mail Address *
Tel No. - Home *
Mobile
Tel No. - Office *

Details of the Vessel

Speed Boat
Open Boat
Cabin Cruiser
Yacht
Sailing Boat
Other                   

Particulars of Hull
Name of Craft Reg No Year of Build
Overall Length Hull material Type/Class of Model
Was the vessel Professionally built or amateur built
If amateur built or 15 years old or over, a Full Condition Survey report will be required.
Conversions and vessels over 25 years old are not acceptable.
 

Make of outboard engine *
Engine HP *
What is the maximum speed of the vessel?

During which period will you be using the boat?
from to


Sums to be Insured:

Hull (Including inboard engines)
Outboard Motor/s
Trailer
Special Equipment
Personal Effects

Do you have a vehicle insured with us?
Yes   No

Are you presently insured?
Yes   No

Are you entitled to No Claims Bonus?
Yes   No
If yes state percentage:

Have you had any claims in the past five years?
Yes   No

If yes, please give details

How would you like to recieve your quotation?

Post
Fax       E-Mail

Data Protection Notice

To the extent that the information supplied by you, whether orally or in writing, constitutes personal data, including sensitive data within the provisions of the Data Protection Act, you consent to the processing of such data for purposes of administering your proposal for insurance, your Policy, underwriting, handling of claims and also for the purposes of detecting, preventing and suppressing fraud and of keeping statistics. We maybe required to collect further information from our sub-agents, other insurance companies, insurance intermediaries or insurance associations.

In addition, we may pass some or all of the information to other insurance companies, or insurance associations for underwriting and claims handling purposes and also for the purposes of detecting, preventing and suppressing fraud and of keeping statistics. This also helps us to check the information provided. When we deal with your request for insurance, we may search this information. When you tell us about an incident which may or may not give rise to a claim, we will pass information relating to it to the Malta Insurance Association.

We and other companies within our group would like, on occasion, to keep you informed of our products and services, by mail, fax, e-mail or other electronic means. Please inform us in writing if you do not wish to receive this information or if you wish to receive such information solely from GasanMamo Insurance Ltd. Moreover, were hereby ask you whether you wish to receive direct marketing information from us by e-mail to your e-mail address provided below.

You have the right to request access to, and rectification of, your personal data held by us by directing your request in writing signed by yourself to the Data Protection Officer, GasanMamo Insurance Ltd, Msida Road, Gzira GZR 1405

 

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GasanMamo Insurance Limited is authorised to carry on business of insurance in Malta in terms of the Insurance Business Act 1998, regulated by the Malta Financial Services Authority. Company Registration Number: C3143