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Please show how each Aircraft will be used during the period of insurance by estimating the number of flying hours for each of the activities that the Aircraft will be engaged in. If uses other than those below are undertaken, please fully detail.

Note: Should the aircraft be used for any commercial purpose other than passenger carriage, they should be detailed in full. For example aerial photography, air ambulance, relief work, etc. See attached appendix (A).

Required for all pilots who will operate the aircraft. A separate Pilot Declaration may also be required.

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This questionnaire will form the basis for obtaining terms from Underwriters. The answer to some sections may involve further details being requested.

This proposal is to be completed by a Director, Partner, Principal or Authorised Officer of the Proposer. The information provided to the Insurer(s) in this proposal will be the basis of any contract of insurance entered into. Attention is drawn to the Proposer’s obligations in law to disclose all Material Facts that would affect the issuance of the proposed insurance.

If there is insufficient space to complete the proposal, please attach additional sheets.




Please note that under English law it is your duty to disclose all material facts to Insurers/Reinsurers prior to inception of the policy, and to keep them advised of any such facts or changes to such facts throughout the currency of the policy, and upon renewal of the policy. A material fact is a fact which may influence an Insurer’s/Reinsurer’s judgement in their assessment of a risk. If you are in any doubt as to whether a fact is material, we recommend that it be disclosed. Failure to disclose material facts may entitle Insurers/Reinsurers to avoid the policy from inception.

Appendix A

Private Pleasure Means use for private and pleasure purposes but NOT use for any business or profession nor for hire or reward.

Business Means the uses stated in Private Pleasure and use for the purpose of the Insured’s business or profession but NOT use for hire or reward

Commercial Means the uses stated in private pleasure and Business and use for the carriage by the insured of passengers, baggage accompanying passengers and cargo for hire or reward

Rental Means rental, lease, charter or hire by the Insured to any person, company or organization for Private Pleasure and Business uses only, where the operation of the Aircraft is not under the control of the Insured. Rental for any other purpose is NOT insured under this Policy unless specifically declared to Underwriters under SPECIAL RENTAL USES in the schedule.

Industrial Aid shall mean the uses stated in Private Pleasure, the transportation of executives, employees, guests of the Insured, goods and merchandise, but excluding any operation for hire and reward and instruction other than continuation training of the company pilot but including cost sharing.

The above definitions constitute Standard Uses and do not include instruction, Aerobatics, hunting, Patrol, Fire-Fighting, the intentional dropping, spraying or release of anything, any form of experimental or competitive flying, and any other use involving abnormal hazard, but when cover is provided details of such use(s) are stated in the Schedule under SPECIAL USES.


1. Notwithstanding any provisions to the contrary and subject to clauses 2 and 3 below, this Policy excludes any loss, damage or expense howsoever occurring within the geographical limits of any of the following countries and regions:

(a) Algeria, Burundi, Far North Region of Cameroon, Central African Republic, Democratic Republic of Congo, Ethiopia, Kenya, Mali, Mauritania, Nigeria, Somalia, The Republic of Sudan, South Sudan.
(b) Colombia, Peru.
(c) Afghanistan, Jammu & Kashmir, North Korea, Pakistan.
(d) Abkhazia, Donetsk & Lugansk regions of Ukraine, Nagorno-Karabakh, North Caucasian Federal District, South Ossetia.
(e) Iran, Iraq, Lebanon, Libya, North Sinai Province of Egypt (including Taba International Airport), Syria, Yemen.
(f) Any country where the operation of the insured Aircraft is in breach of United Nations sanctions.

2. However coverage pursuant to this Policy is granted:

(a) for the overflight of any excluded country where the flight is within an internationally recognised air corridor and is performed in accordance with I.C.A.O. recommendations; or
(b) in circumstances where an insured Aircraft has landed in an excluded country as a direct consequence and exclusively as a result of force majeure.

3. Any excluded country may be covered by underwriters at terms to be agreed by the Slip Leader only prior to flight.