MARINE CLAIM FORM
                        Click to view procedures of lodging claim
   SUBMISSION OF THIS FORM DOES NOT BIND COMPANY FOR LIABILITY
1. Name of the Claimant/ Consignee
2. Name of the vessel or mode of conveyance
3. Name and address of Carrier
4. Date of arrival of goods at destination
5. External condition of goods on arrival
6. Date when delivery from carriers applied for
7. Date when delivery of goods taken
8. Reasons for delay in taking delivery, if any
9. Date when and place where loss/damages observed
10. Whether examined delivery form carriers taken? If not reasons
11. Whether claim on the carriers lodged?
If not reasons
12.
Date when claim lodged on the carriers (Please send copies of correspondence exchanged with the carriers and acknowledgement thereof)
13. Description and cause of loss/damage
14. Estimate of loss
15. Probable value of salvage , if any
16. CIF value of the goods
 

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