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Insured
Name
E-Mail
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Contact
Telephone / Mobile
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Address
Aircraft
Registration
*
Type of aircraft
*
Type of aircraft
*
Year of manufacture
*
MTOM
*
PAX seats
*
Crew seats
*
Value
*
Uses
private pleasure and business
commercial passenger and cargo
banner and glider towing
parachute jumpings
type-rating
ab-inition instruction
acrobatics
club-uses
Other
Homebase
*
Annual utilisation
*
Is aircraft kept in a hangar?
Yes
No
Geographical situation
Europe
Worldwide
Pilot information
Option 1: named pilots
Name
Age
Licence
Total
Time
Hours on
turbine
Hours on
type
No known
losses since
Option 2: open pilot clause - Required minimum experience
Total Time
on turbine
on type
Claim history of Insured and aircraft in the last 5 years
Registration
Date of loss
Settled amount
Description
Additional information
Additional information
Additional information
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