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CONTACT US
DOCUMENTS
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Pilot Excess Cover Application
Step
1
of
4
25%
Pilot Excess cover for Student Pilots and/or Hire and Fly Clients
Wing type
(Required)
Fixed wing
Rotor wing
Select Fixed Wing Pilot Excess Limit Required
Select Fixed Wing Value
R 10 000,00
R 15 000,00
R 20 000,00
R 25 000,00
R 30 000,00
R 35 000,00
R 40 000,00
R 45 000,00
R 50 000,00
R 55 000,00
R 60 000,00
R 65 000,00
R 70 000,00
R 75 000,00
R 80 000,00
R 100 000,00
Select Rotor Wing Pilot Excess Limit Required
Select Rotor Wing Value
R 10 000,00
R 20 000,00
R 30 000,00
R 40 000,00
R 50 000,00
R 60 000,00
R 70 000,00
R 80 000,00
R 90 000,00
R 100 000,00
R 120 000,00
R 150 000,00
R 170 000,00
R 200 000,00
R 220 000,00
R 250 000,00
R 225 000,00
Payment Options
(Required)
Annual Policy -Payable in full - via secure Payfast options
One Month Policy - Payable in full - via secure Payfast options
Annual Policy - Payable monthly via Debit Order.
Start Date
(Required)
End Date
(Required)
Pilot Excess Cover
Pilot Excess Cover
Premium:
R 0,00
incl VAT
Please complete and check that all details below are entered accurately as incorrect details could prejudice your claim.
Name
(Required)
First Name
Last Name
ID Number / Passport
(Required)
Email address
(Required)
Cell number
(Required)
Full residential address ( Only South African Address Will Be Accepted)
(Required)
Aircraft Type:
Fixed Wing
Aircraft Type:
Rotor Wing
Pilot Excess Cover
Price:
R0.00
Terms & Conditions
(Required)
- Pilot Excess Insurance cover pays the amount of the Deductible that is payable in terms of the Hull All Risks Policy or the Sum Insured stated, whichever is the lesser, subject that a valid and collectible claim can be made on the Hull All Risks Policy save for the application of the Deductible.
- Cover excludes losses not covered by the Hull All Risks Policy covering the aircraft.
- Cover applies only to standard-type, fixed wing piston engine aircraft whilst acting as pilotin command or whilst receiving instruction. It does not apply to turbine/jet engine powered aircraft, rotor wing aircraft, crop spraying aircraft, balloons, gliders, and home built aircraft.
- Cover does not apply whilst the aircraft is being used for parachute dropping, any form of aerial applications, firefighting, all forms of game work, aerobatics and banner towing and whilst giving instruction.
- Cover is subject to reinstatement following a claim under this policy.
- Cover excludes losses not covered by the Hull All Risk policy covering the aircraft and losses arising as a result of breach of the Air Navigation Regulations or other applicable rules and/or regulations.
- Cover does not apply to aircraft owned in whole or in part by the proposer.
- Notice of any event likely to give rise to a claim to be given to Natsure Aviation within seven days of the occurrence.
I have read and accept the
Terms and Conditions
POPIA Consent
(Required)
I consent to the processing of my personal info per the
POPI Act
.
This signed mandate and authority relates to the insurance contract (referred to as "the Agreement") signed between myself and Natsure Underwriting Managers (Pty) Ltd. The mandate shall remain in force until cancelled by giving 30 (thirty) days notice in writing to Natsure Underwriting Managers and/or its authorised agents. Cancellation of this mandate does not cancel the Agreement and there is no refund due iro amounts which were withdrawn while this Authority was in force, if such amounts were legally owed to the insurer.
Name of account holder:
(Required)
Address of account holder:
(Required)
Account Number:
(Required)
Name of bank:
(Required)
Branch Code
(Required)
Type of account
(Required)
Frequency of debit order:
(Required)
Monthly, annual, quarterly, once off
First payment date:
(Required)
Current amount:
(Required)
The amount my vary each month due to changes that you make to the Agreement. This amount can fluctuate from month to month in accordance with the obligations detailed in the Agreement
Bank reference:
(Required)
The bank reference will reflect on your monthly bank statement to enable you to identify the Debit order. "Natsure" + policy number
Authority
(Required)
I hereby authorise Natsure Underwriting Managers and/or its authorised agents to draw against my account, detailed in this document or any other Bank to which I may transfer my account, the amount necessary for payment of the amount due by myself in terms of the Agreement.
I acknowledge that a third party may facilitate the payment process and debit my account on behalf of Natsure Underwriting Managers.
I confirm that the amount debited from my account is to be paid to an insurer for insurance cover.
I acknowledge that all payment instructions issued by Natsure Underwriting Managers and/or its authorised agents, shall be treated by my Bank as if the instruction has been issued by me.
I agree that in the event that the payment date falls on a weekend or recongnised South African public holiday, that the payment day will automatically be the next ordinary business day. I also consent to the debiting of my account on any day within 10 (ten) days of the selected payment date in this mandate.
I consent to the use for the tracking facility as provided for in the Electronic Debit Order system, where this is used, at no additional cost to myself.
I acknowledge and consent that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party and I am notified accordingly.
Signature
(Required)
Name (Print)
(Required)
First Name
Last Name
Designation (Corporate clients)
(Required)
Preferred Deduction Date
(Required)
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