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Policy detail
Policy Holder Details
Enter Policy Holder Details
Policy Holder Type
Select a Policy Holder Type
Individual
Corporate
Government
Please enter your policy holder type.
First Name
Please enter your First name.
Last Name
Please enter your Last name.
Company Name
Please enter your company name.
Email
Please enter your Email.
Phone
Please enter a valid Phone Number. (e.g +2348000000000)
TIN (Tax Identification Number)
Please enter tin.
Contact Address
Please enter your Address.
Means of Identification
Select an option
Certificate of Incorporation (CAC)
Driver's License
Voter's card
Nigerian Passport
National ID Card
Please select an option.
Upload Means of Identification
Attach file
some_image_file_name.jpg
(
340kb
)
Max file size is 1MB and max number of files is 5.
Policy Type
Select a condition
Single Transit Type
Open Cover Type
Please select a condition.
Cover Type
Select a condition
ICC'A' (SEA)
ICC'C' (SEA)
ICC'A' (AIR)
ICC'C' (AIR)
IBOC (Institute Bulk Oil Clauses)
Please select a mode of transport.
Port of Departure
Please enter the port of departure.
Port of Destination
Please enter your destination port.
Vessel Name
This field is optional
Cargo Description
Packing Type
Select a condition
Containerized
Non Containerized
Please select a packing type.
Cargo Currency
Select currency
NAIRA
DOLLAR
POUND
EURO
YEN
RAND
YUAN
Invoice value
Please enter your Invoice value.
Exchange Rate to Naira
Exchange rate to naira at time of purchase.
Nature of Cargo
Select nature
General Merchandize
Machinery
OTHER GOOD EXCLUDING STOCK FISH
Enter nature of cargo.
Bank Name
Enter your bank name
Proforma Invoice Number
Enter the invoice number
Upload Proforma Invoice
Attach file
some_image_file_name.jpg
(
340kb
)
Max file size is 1MB and max number of files is 5.
Submit