Registration Form

Applicant Details

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Name of Applicant

Address

Telephone

Fax

Mobile

E-mail

Passport/ID

Copies of passports and/or ID Cards are a pre-requisite for individual owners or vendors

Proposed Name of Yacht

(Please state at least three choices)

Proposed Name of Yacht 1

Proposed Name of Yacht 2

Proposed Name of Yacht 3

Proposed Port of Registry

Proposed Port of Registry

If Yacht is Currently Registered

Current name of Yacht

Nationality of Yacht

Official Number

Port of Registry

Name and address of registered owners

Tonnage Measurement Survey

(a) Dates of availability

(b) Address where Yacht is lying

Type of Yacht

Type of Yacht

Builders Name and Address

Builders Name and Address

Description of Yacht

Model Number or name

Yard/HIN Number

Material of Construction

Tonnage

Length

Depth

Breadth

Estimated date of completion/delivery

Year of Build

Engine Specifications

Name and Address of Manufacturer

Year of Build

Number of engines

Number of Cylinders each engine

Diameter of each cylinder

Length of stroke

Two or Four stroke

Estimated speeds of Yacht

Serial Number of each engine

Name, address and Nationality of Vendor

Name, address and Nationality of Vendor

Insurance

Do you require an insurance quote for the yacht

We can obtain a competitive quote from our Brokers

Yes No

Radio licence

All receiving and transmitting equipment onboard requires to be licenced

Do you require a Radio Licence

Yes No