PLA Certificate of Survey PLA Certificate of Compliance Reference number Reference number Area of Operation Please select areas Category waters: (Above Denton Wharf) “C” the vessel will be Category waters: (Below Denton Wharf) “D” operating in Has this vessel been licensed previously by the PLA? Yes No If yes, please give the following details: Previous licence expiry Declaration The vessel is insured with a minimum third party Confirmed: liability cover of £5m The of this vessel confirms that the vessel is operated in accordance with the PLA’s Code of Confirmed: Practice for the Management and Operation of Inland Waterways Commercial Vessels on the Thames Application fee The fee for processing a Vessel Licence Application is £72 plus VAT and must be paid online before the application will be processed (www.pla.co.uk/safety/vessel-licensing) The fee for this licence application has been paid Confirmed: Payment Reference provided on completed payment I consent or am authorised to consent to such personal details as are supplied above being recorded for use solely in connection with the PLA’s licensing function. Signed Name Position in Company Date REMINDERS Navigating, working or mooring an unlicensed vessel within the PLA Licensing Limits is an offence under Section 124 of the Port of London Act 1968 and may leave you liable to prosecution.
PLA Certificate of Survey Reference number PLA Certificate of Compliance Reference number Area of Operation Please select areas the vessel will be operating in Category “C” waters: (Above Denton Wharf) Category “D” waters: (Below Denton Wharf) Has this vessel been licensed previously by the PLA? Yes No If yes, please give the following details: Previous licence expiry Declaration The vessel is insured with a minimum third party liability cover of £5m Confirmed: The of this vessel confirms that the vessel is operated in accordance with the PLA’s Code of Practice for the Management and Operation of Inland Waterways Commercial Vessels on the Thames Confirmed: Application fee The fee for processing a Vessel Licence Application is £72 plus VAT and must be paid online before the application will be processed (www.pla.co.uk/safety/vessel-licensing) The fee for this licence application has been paid Confirmed: Payment Reference provided on completed payment I consent or am authorised to consent to such personal details as are supplied above being recorded for use solely in connection with the PLA’s licensing function. Signed Name Position in Company Date REMINDERS Navigating, working or mooring an unlicensed vessel within the PLA Licensing Limits is an offence under Section 124 of the Port of London Act 1968 and may leave you liable to prosecution.
vessellicenceapplicationform.docx