Proposer Details
The below form is for vessels registered in the UK, Channel Islands, Isle of Man and Gibraltar only. For vessels registered elsewhere please re-visit our Home Page and select “Get a Quote” and follow the prompts.
Nationality of the beneficial owner:
Proposer's (or beneficial owner's if the vessel is in the name of a company) experience in this type of craft (years):
Proposer's experience (or beneficial owner's if the vessel is in the name of a company) in craft generally (years):
Qualifications
The 'Qualifications' section is to be completed for the main policy holder only. If additional policy holders have qualifications, please email these to
insurance@velosgroup.co.uk
Please tick all that apply:
Nationality of the additional insured:
Occupation of the additional insured:
Address of the additional insured:
The additional insured's experience in this type of craft (years):
The additional insured's experience in craft generally (years):
Nationality of the second additional insured:
Occupation of the second additional insured:
Address of the second additional insured:
The second additional insured's experience in this type of craft (years):
The second additional insured's experience in craft generally (years):
Nationality of the third additional insured:
Occupation of the third additional insured:
Address of the third additional insured:
The third additional insured's experience in this type of craft (years):
The additional insured's experience in craft generally (years):