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Get Uk Concept Special Risks Application Form Csr/app 2013-2024

Ost Code where available). IF COMPANY PROVIDE REGISTERED ADDRESS BENEFICIAL OWNER (this should be completed if vessel is insured in a company name or if the beneficial owner of the vessel is someone other than the Named Assured): EFFECTIVE DATE FROM: ( mm/dd/yy) TO: (mm/dd/yy) 0.01hrs LST VESSEL NAME: HULL ID: LENGTH OVERALL: MANUFACTURER/MODEL: YEAR BUILT: MODEL YEAR: PURCHASE PRICE: DATE OF PURCHASE: PRESENT VALUE: MAXIMUM SPEED: VESSEL REGISTERED: VESSEL FLAG: COVERAGES WILL.

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