MOORING APPLICATION

Mar 15, 2018 ENG 2669

FULL NAME OF SHIPOWNER OR TRADE NAME OF SHIPOWNING COMPANY:
HOME OF OFFICES ADDRESS :
E-mail:
TAX REGISTRATION NUMBER :
TELEPHONE :
FAX :
TAX OFFICE :

ΣΤΟΙΧΕΙΑ ΕΚΠΡΟΣΩΠΟΥ

FULL NAME OF REPRESENTATIVE :
ADDRESS :
LEGITIMACY PAPERS :
TELEPHONE :
IDENTITY CARD NUMBER OR PASSPORT NUMBER :
TAX OFFICE:
TAX REGISTRATION NUMBER :
E-mail :
FAX :


PLEASE GRANT ME THE RIGHT OF MOORING IN THE MARINA, OF THE BELOW MENTIONED BOAT, FOR WHICH I DESIRE BERTHING STERN-TO / SIDE BERTHING / STAY AT THE MARINA FOR THE TIME PERIOD

FROM:
TO :

BOAT DATA

NAME :
CAPTAIN'S FULL NAME :
TELEPHONE :
FLAG :
TOTAL LENGTH – INCLUDING PROJECTING PARTS :
LENGTH BETWEEN PERPENDICULARS :
CATEGORY (CHOOSE THE SUITABLE FROM THE BELOW) :
WIDTH :
DRAFT :
YEAR OF SHIPBUILDING :
ENGINE HORSEPOWER :
TOTAL CAPACITY :
INSURANCE CONTRACT :
SHIP REGISTER NUMBER :
REGISTRATION PORT :
CAPACITY OF PROCESSED WASTES - INSTALLATION OF PROCESSING OF WASTES:
Word Verification:

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Last modified on Tuesday, 20 March 2018 18:58

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