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Annual Marine and Transit Insurance - Renewal Declaration Form

Please complete the following information and submit this form to assist us in arranging and providing your insurance renewal.

All information you provide must be correct, true, and accurate as incorrect or misleading information may alter our quote and jeopardise cover if you proceed with a policy.

Please refer to the CGIB Financial Services Guide, Privacy Statement, General Advice Warning and Duty of Disclosure before completing this form.

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INSURED'S Details

 

Details

Worldwide Marine

$
$
$
$
$
$

Transit within Australia

$
$
$

PREVIOUS INSURANCE

Yes    No  
Yes    No  
Yes    No  
Yes    No  

CONTACT Details

Important Information

By proceeding you agree to the Terms of Use of this site and that you have read and understood this Important Information about answering questions that we ask of you.
We will handle your personal information in accordance with our Privacy Policy.

Completion of this form does not put an insurance policy/cover in place - you will need to contact us to arrange insurance cover.

Other Insurance Needs

Office Insurance
Management Liability
Landlords Commercial
Landlords Residential
Public Liability
Cyber
Motor Vehicle
Home & Contents
Machinery
Travel

* Mandatory Fields

Thank you for completing our online form.
We will endevour to contact you with your insurance details soon.

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