YACHT INSURANCE | Howden Hong Kong

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YACHT INSURANCE INFORMATION SHEET

This information sheet and any research, information, cover details and insurance quotation (s) arising from it is provided for the sole use of Howden Insurance Brokers (HK) Ltd. and their chosen insurers, the assured. In completing and returning this form you agree not to distribute any subsequent offer of insurance to any third party whatsoever, except where express written consent has been granted by Howden Insurance Brokers (HK) Ltd.

If you have any queries or concerns regarding the form or the information required please contact Colin Dawson at [email protected] or on +852 2530 2331.

ASSURED

If a company is this yacht the sole asset?

OWNER'S OCCUPATION

OWNER'S TELEPHONE NO.

OWNER'S EMAIL ADDRESS

OWNERS ADDRESS

OWNER’S / CAPTAIN’S EXPERIENCE (years)

NUMBER OF YEARS OWNER HAS OWNED YACHTS

OWNER’S NATIONALITY

OWNER’S DOMICILE COUNTRY

ULTIMATE BENIFICIAL OWNER (UBO)

UBO RESIDENCE COUNTRY

MANAGEMENT COMPANY (if applicable)

CLAIMS / ACCIDENT DETAILS (5 years)

PORT OF REGISTRY

LICENCE NUMBER

CLASSIFICATION SOCIETY

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YACHT INSURANCE INFORMATION SHEET