Request for IMO Ship Identification Number

Atlantic Highly Migratory Species Permit Family of Forms

Request for IMO Ship Identification Number

OMB: 0648-0327

Document [pdf]
Download: pdf | pdf
IHS Maritime & Trade
Sentinel House, 163 Brighton Road
Coulsdon, Surrey CR5 2YH
United Kingdom
Tel: +44 01334 328300
Email: [email protected]

REQUEST FOR IMO SHIP
IDENTIFICATION NUMBER

TO ENABLE UNIQUE IDENTIFICATION OF SHIPS FOR ASSIGNMENT OF AN IMO NUMBER IN ACCORDANCE WITH
IMO RESOLUTION A.1078 (28), SOLAS XI I/3 and I/5, PLEASE COMPLETE THE FOLLOWING DETAILS IN CAPITALS:-

Note: Shipbuilding details are essential to issue an IMO Ship Number for Newbuildings prior to completion
Current Ship Name / Shipyard ID*

Former Name(s)
Original Name*
Flag*

Port of Registry†

MMSI†

Official Number†

Tonnage (69
C
i )
Gross*

Yes

No

Call Sign†
Flag Registration Date‡

Fishing No.+

Net*

Deadweight

Length Overall*

Length B.P.

Beam*

Moulded Depth*

Draught

Launch Date‡

Keel Laying Date‡
Shipbuilder*

Completion Date*‡
Shipbuilder Hull Number*
Sub-Contractor Hull Number

Sub-Contractor Hull

Hull Material*

Place of Build*
Ship Type

Fishing Vessel Gear-type^

MARPOL requirements
for Oil Tankers

The ship complies with regulation 13F(3) (double-hull)
The ship complies with regulations 13 and 13E (SBT/PL)

Yes
Yes

No
No

Other (please specify)
The ship is subject to CAS requirements of regulation

Yes

No

Registered Owner† & Address†

Manager† & Address†

(Including Fax, Telephone & Email)

(Including Fax, Telephone, Email & Website)

Number of Main Engines*

Engine Model*

Manufacturer*

kW of Each Engine

Current Class Society*

Number of Propellers

COMPANY REQUESTING IMO NUMBER
Company Name*
Sender's Email*

Contact Name*
[* Required Fields – all ships]
[+ Distinctive Number / Letters for Fishing Vessels]

[† Required Fields – Ships in service only]
[‡ Date format is YYYY-MM-DD]

[^ Required Fields – Fishing Vessels only]

Note: We cannot issue an IMO Ship No. without the above required fields


File Typeapplication/pdf
AuthorByron, Simon
File Modified2021-09-09
File Created2018-01-15

© 2024 OMB.report | Privacy Policy