1. If you wish to apply for marine cargo insurance with Marinelife Singapore Pte Ltd - Please Complete This Proposal Form.
    We shall revert with our quotation for your consideration. The insurance will be effected once we receive your confirmation of acceptance.
  2. Under Section 25(5) of the Insurance Act, Cap 142 (Revised Edn 2000), you have a duty to disclose in this Proposal Form, fully and faithfully, all the facts which you know or ought to know, otherwise, the policy issued hereunder may be void.
  3. No insurance is in force until this application is accepted in accordance with our policy terms, conditions and exclusions.

Insured Interest:

 Crates Domestic Cartons Export Cartons Wooden Cases Others (please specify):


 ICC ‘A’ ICC ‘B’ ICC ‘C’ ICC (Air) War & Strike Risks Goods Inland Transit (All Risks) Others (please specify):

 Airfreight Courier Service Conventional Ship Container Vessel Bulk Carrier Land Conveyance Others (please specify):

Additional Information

+ Invoice Value

If yes, please furnish summary of claims as shown below:

Declaration: Please read carefully before sending
I/We confirm that the foregoing statements and answers are true and complete and that I/we have not withheld any material information likely to affect the acceptance of this proposal. I/We agree that this proposal and declaration shall form the basis of the contract between Marinelife Singapore Pte Ltd and ourselves and I/we will accept a policy subject to the Company’s Standard Terms and Conditions of the Policy.