AVN 30A 1.10.96 LONDON HELICOPTER INSURANCE POLICY

 

AVN 30A  1.10.96 LONDON HELICOPTER INSURANCE POLICY

(For all types of rotorcraft, herein referred to as ‘‘helicopter’’)

 

PROPOSAL FORM

 

 

Proposer’s Name (in full)..........................................................................

Any other name under which Proposer has operated or been associated with the operation of Helicopters

 

................................................................................................................

 

Address....................................................................................................

 

Business or Occupation............................................................................

 

DETAILS OF HELICOPTER(S) TO BE INSURED

 

AIRFRAME							ENGINE(S)
Make, Type & Series Number	Year of Con-struction	Date & No. of Current Licence or Airworthiness Certificate	Licensed Passenger Seating Capacity	Declared Passenger Seating Capacity for the Purpose of Insurance	Identification Marks	1. Number and Type 2. Make of Rotor   Blades

 

 

Price of Helicopter & Date of Purchase	Present Value of Helicopter	Details of Extra Equipment and Accessories, if any		Total Declared Value for the purpose of Insurance
(including Standard  Instruments and Equipment)		Details	Value

 

AVN 30A  1.10.96