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SN Date Policy Insured Cur Sum Insured Premium
685 31/05/2004 MAC/01/3/01632/Z BATAK INVESTMENTS LTD NGN 1,197,000.00 3,591.00
686 28/05/2004 MAC/01/3/01630/Z GOODWAY PHARMACY NIG. LTD NGN 19,510,970.69 68,288.40
687 27/05/2004 MAC/06/3/00141/Z CROWNMEN LTD./INTERCONTINENTAL BANK PLC NGN 0.00 0.00
688 27/05/2004 MAC/01/3/01629/Z ZENON PETROLEUM & GAS LIMITED NGN 0.00 0.00
689 26/05/2004 MAC/01/3/01628/Z TRUSTA NIGERIA LTD NGN 3,296,935.30 5,769.64
690 25/05/2004 MAC/06/3/00140/Z DONGFENG INVESTMENT NIG. LTD. NGN 0.00 0.00
691 25/05/2004 MAC/01/3/01627/Z KRISBOSE NIGERIA LIMITED NGN 0.00 0.00
692 25/05/2004 MAC/01/3/01626/Z O.MO. SIMONS NIGERIA LIMITED NGN 0.00 0.00
693 25/05/2004 MAC/01/3/01625/Z PLANET PRESS LIMITED NGN 0.00 0.00
694 20/05/2004 MAC/04/3/00146/Z NIGERPET COMPANY LTD. NGN 0.00 0.00
695 20/05/2004 MAC/04/3/00145/Z MARCA INTERNATIONAL LTD. NGN 0.00 0.00
696 20/05/2004 MAC/01/3/01624/Z DUNLOP NIGERIA PLC NGN 0.00 0.00
  57  

Policy No. Transaction date Start Date Ref. Code (Agent / Broker)

FullName   Contact Name (If different from above)
Email   Tel. 1 (23480312345678) Tel.2
Address   Occupation TIN Verify tin
State LGA Identification Number

Certificate (Serial) No Type of Cover Mode of Conveyance
Origin Destination Arival Date Nature of Cargo
Proforma Invoice No. Issuer of P.I. Proforma Invoice Date Client Type
Proforma Invoice Value Loading (%) Proforma Currency/Rate Packing Type

Conveyance   Interest insured  
Marks & No.   Conditions (Clause)  
Exclusion   Loss Payee  
Excess   Valuation Basis % Cost & freight Value / MPL (%)

Sum Insured Premium Rate % Gross Premium Curr. Rate
Marine Policy Type Coinsurance Profoma Document Profoma Doc Number

Additional Information

THIS ONLINE MARINE INSURANCE DOES NOT COVER SUGAR, SALT, RICE, FISH, FROZEN FOODS AND CEMENT UNLESS
WITH PRIOR AGREEMENT WITH THE COMPANY
Preview Debit Note Open Cover policy  
SN Date Doc. No Cert. No Cert. Type Matters Cur Value Premium
1 25/12/2020 75535OL2MBA SINGLE TRANSIT 320 WATT 24V MONOCRYSTALLINE S NGN 12,573,000.00 18,859.50