Presentation
Policyholder
Aircraft to be insured
Uses and pilots
Desired Coverage
Validation
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PPL/IR-EU Quote Request
Welcome!
To receive a personalised quote, kindly complete the form below.
However, if you would prefer not to fill out the questionnaire, we would be more than happy to assist you over the phone.
Simply call us at 03306845108
Or send us an email at
pplireurope@air-assurances.com
Policyholder
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*
The policyholder will be ?
A private individual
A legal entity
*Title
Mr
Mrs
Ms
Country
United Kingdom
Austria
Belgium
Bulgaria
Croatia
Republic of Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Ireland
Italy
Latvia
Lithuania
Luxembourg
Malta
Netherlands
Poland
Portugal
Romania
Slovakia
Slovenia
Spain
Sweden
Switzerland
@
*
PPL/IR Europe Membership Number
Aircraft to be insured
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Aircraft Type
Single Engine Piston
Single Engine Turbine
Multi Engine Piston
Multi Engine Turbine
Jet-Engine
Type of certificate
EASA Certificate Of Airworthiness
FAA Certificate Of Airworthiness
Permit to fly
UK Certificate Of Airworthiness
Other
Aircraft Make
Aircraft Model
*
Aircraft Registration
*
Value of the aircraft
*
MTOW(Kgs)
*
Year of Built
*
Number of pilot seat
*
Number of Pax seat
Estimated annual flying hours
*
Where is the aircraft based ?
Is the aircraft hangared ?
Choose
Yes
No
Uses and pilots
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PILOTS :
*
Pilot clause type
Choose
Named pilots (up to 4)
All Pilots
For each pilot please provide the following informations :
PILOT 1 : Name and Surname : Highest qualification held : Total time as pilot in command : Total time on aircraft type/class to be insured : Total time on aircraft model to be insured : PILOT 2 : Name and Surname : Highest qualification held : Total time as pilot in command : Total time on aircraft type/class to be insured : Total time on aircraft model to be insured : PILOT 3 : Name and Surname : Highest qualification held : Total time as pilot in command : Total time on aircraft type/class to be insured : Total time on aircraft model to be insured : PILOT 4 : Name and Surname : Highest qualification held : Total time as pilot in command : Total time on aircraft type/class to be insured : Total time on aircraft model to be insured :
Please provide the minimum hours required
On Type : On make and model :
USES :
Please indicate the specific purposes for which your aircraft will be utilised.
Private business and pleasure
Advanced/continuous flight training of the covered pilots (excluding ab-initio training)
Operations to/from airstrips/altiports
Aerobatics
Flight-sharing trought sharing platforms (e.g Wingly)
Other purposes (Please specify)
Claims during the last 5 years :
*
Any claim in the last 5 years ?
Yes
No
Please provide brief details, including the date and the settlement amount
Desired Coverage
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Please specify below the coverage you would like
*
Liability Coverage
Yes
No
*
Hull Coverage (Ground Taxiing and Flight)
Yes
No
*
Pilot Personal Accident
Yes
No
Coverage amount :
*
Assistance/Trip Interruption
Yes
No
*
Cover Start Date :
*
Premium Payment Option
Choose
Annual
Quarterly
Monthly Instalments
Calcul clause usage
Submit
Cancel
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