APPLICATION FOR SAFE MANNING CERTIFICATE Applicant’s Details Name Address Mobile Phone Telephone Fax Email Ship’s Details Name Type Call Sign IMO Number ITC 69 Gross Tonnage Net Tonnage General Information Trading Area of Vessel Type of Voyage (If it is Special Registration): UNLIMITED Specify the DELIVERY VOYAGE LIMITED (Other than unlimited) Specify the Specify the Areas: Specify the COASTAL<200 N.M Specify the Areas Specify the Ports Is the Vessel specified for Unmanned Operating Company Name Machinery Operations YES NO (copy of the safety management certificate, shall be submitted if applicable) Proposed Number of Crew Deck According to GT
APPLICATION FOR SAFE MANNING CERTIFICATE Applicant’s Details Name Address Mobile Phone Telephone Fax Email Ship’s Details Name Type Call Sign IMO Number ITC 69 Gross Tonnage Net Tonnage General Information Trading Area of Vessel UNLIMITED Specify the LIMITED (Other than unlimited) Specify the Areas: Specify the COASTAL<200 N.M Specify the Areas Specify the Ports Type of Voyage (If it is Special Registration): DELIVERY VOYAGE Specify the Is the Vessel specified for Unmanned Machinery Operations YES NO Operating Company Name (copy of the safety management certificate, shall be submitted if applicable) Proposed Number of Crew Deck According to GT
RE-DOC-13_-_Application_for_Safe_Manning_Certificate_Issue_02.docx