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Boat Insurance



Name & Surname*

ID card number*

Date of birth*


Phone number*

Mobile number*

Email Address*

Details of any incidents or claims you have had in the past 10 years*

Please provide us with the following details of your vessel



Max speed*

Material of hull*




When built*

When purchased (in euro)

Price paid*

Details of any tenders or dinghies to be covered (including serial numbers for any outboard motors)*

Vessel location and type of mooring when in commission*

Vessel location and type of mooring/storage when laid-up*

Period vessel laid up (if any)*

Cruising area to be covered

Engine model and make

Engine year of make

Fuel type

Is the engine inboard or outboard?

What kind of insurance do you require?

Type of cover

Total Sum to be insured (inclusive of Hull, Machinery, Equipment and Tender)

Details of your current insurance

Current Insurer

Insurance period



I have read and accept the Terms and Conditions

I understand that by completing this form my data will be processed by MIB Group in line with GDPR. I confirm having reviewed MIB’s Privacy Policy  and hereby consent that this data (including if needed sensitive data as defined in article 9 of GDPR) are used for the purpose of providing your insurance services.


I also understand that it is my responsibility to secure and hold the necessary consent from any employees, beneficiaries or other third parties directly or indirectly involved in the insurance proposal/arrangements and whose data will be processed by MIB Group and the providers of insurance and ancillary services.