Insurance Application

Marine Cargo Insurance

Name:

Address:

Contact # Fax:

If cargo insurance is required, please fill out the following, otherwise, cargo carried by NTCL is at OWNER’S RISK OF DAMAGE OR LOSS.

Purchase/Insured Price:

Commodity:
(Description/Quantity of each item)

Port of Loading:

Port of Discharge:

Note: Insurance begins at the time cargo is received by NTCL and ceases at the time cargo leave NTCL’s care/premises.