Qatar Islamic Insurance Company

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Basic

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Additional Details

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Insured Info

Branch

Insured Type

Source Type

Partner Code

Customer Code

Payment Category

Vessel Details

Vessel Usage

Vessel Type

Insured value of Vessel(QAR)

Model Year

Passenger Capacity

Qatar/Company ID

Promo Code

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Information

Fields in red color are mandatory

Reference No :

Select Your Plan

Information

Fields in red color are mandatory

Reference No :

Product :

Insured value of Vessel(QAR) :

Commission(QAR) :

Deductible (QAR) :

Insured Info

Insured Name

Mobile Number

Email Address

Policy Start Date

Policy End Date

Insured Name Arabic

Address

Nationality

Occupation

Qatar/Company ID Expiry Date

Date of birth

Vessel Info

Vessel Name

Registration Number

Material of Hull

Vessel Length(In Meters)

Vessel Breadth(In Meters)

Chassis Number

Engine Type

Engine Horse Power

Document Upload

Boat Registration Card Front Side

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Boat Registration Card Back Side

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Qatar Id

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Information

Fields in red color are mandatory

Reference No :

Premium (QAR) :

Product :

Value(QAR) :

Insured Age :

Code	Name

Code	Name