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  • Questionnaire For Admission To Class: (Dry Cargo Vessel)

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    This document is a questionnaire for admission to class for a dry cargo vessel. It requests information about the ship type, ship data including name, IMO number, and sister ships. It also requests information about the owner, ship manager, and invoicing addresses. Finally, it lists statutory certificates and manuals that may need to be reviewed or issued as part of the classification process, including load line, SOLAS, MARPOL, tonnage, and other certification services that could be provided for additional fees. Spaces are provided for signatures from the business development manager and customer representative.

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    This document is a questionnaire for admission to class for a dry cargo vessel. It requests information about the ship type, ship data including name, IMO number, and sister ships. It also requests information about the owner, ship manager, and invoicing addresses. Finally, it lists statutory certificates and manuals that may need to be reviewed or issued as part of the classification process, including load line, SOLAS, MARPOL, tonnage, and other certification services that could be provided for additional fees. Spaces are provided for signatures from the business development manager and customer representative.

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    36 views2 pages

    Questionnaire For Admission To Class: (Dry Cargo Vessel)

    Uploaded by

    a
    This document is a questionnaire for admission to class for a dry cargo vessel. It requests information about the ship type, ship data including name, IMO number, and sister ships. It also requests information about the owner, ship manager, and invoicing addresses. Finally, it lists statutory certificates and manuals that may need to be reviewed or issued as part of the classification process, including load line, SOLAS, MARPOL, tonnage, and other certification services that could be provided for additional fees. Spaces are provided for signatures from the business development manager and customer representative.

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    of 2

    Questionnaire for Admission to Class

    (Dry Cargo Vessel)


    Ship Type General cargo vessel Multi purpose vessel
    Bulk carrier Container vessel
    Ro-Ro vessel up to 12 passenger Cargo High Speed Craft

    Other Dry Cargo Shiptype

    Ship Data
    Name of Vessel IMO No. GL No.

    Sister ships

    Current flag Intended flag


    Block fee quotation not requested
    Date of keel laying Date of delivery
    Continuous survey system machinery requested
    No. of crew members or
    Planned maintenance system requested
    Current classification society

    Current character of class


    Owner's full style
    address (if prospective owner please attach copy of "bill of sale" or "memorandum of agreement")

    VAT Reg. No. PO Number Country

    Contact Person
    Ship manager’s
    address (if not identical with owner’s address)

    VAT Reg. No. Country


    Invoicing address
    (if not identical with owner's address)

    VAT Reg. No. Country


    Statutory certificates requested Presently issued by Only internal
    (if possible please attach a copy of present certificates) Present class Flagstate / use for DNV GL H.O.
    society Authority Scope of survey
    Load Line and SOLAS
    Load Line Certificate
    Cargo Ship Safety Construction Certificate
    Cargo Ship Safety Equipment Certificate
    Cargo Ship Safety Radio (Certificate only, expert excluded)
    DoA for the Carriage of Grain*
    DoC for the Carriage of Dangerous Goods
    DoC for the Carriage of Solid Bulk Cargoes*
    Exemption Certificate:

    * Vessels equipped with certificates marked “ * ” will be classed as Multi Purpose Dry Cargo Ships.

    www.dnvgl.com F015AE / 2014-05


    Page 2 of 2 Questionnaire for Admission to Class (Dry Cargo Vessel)

    Statutory certificates requested Presently issued by Only internal


    (if possible please attach a copy of present certificates) Present class Flagstate / use for DNV GL H.O.
    society Authority Scope of survey
    MARPOL
    Oil Pollution Prevention Certificate (Annex I)
    Sewage Pollution Prevention Certificate (Annex IV)
    Garbage Pollution Prevention Certificate (Annex V)
    Air Pollution Prevention Certificate (Annex VI)
    Tonnage
    ITC 69
    Others
    Compliance Antifouling Systems
    Compliance ILO 92 & 133
    Compliance USCG CFR Title 33
    Cargo Gear (ILO 152) / LA2
    other Lifting Appliances
    Lifts
    Cargo HSC Certificate
    Ballast Water Management
    Manuals to be reviewed
    Cargo Securing Manual
    SOPEP / SMPEP
    Other Certification / Services (separate quotation)
    ISO 9001 Certification (Shipboard Audit)
    ISO14001 Certification (Shipboard Audit)
    ERS
    ISM Safety Management Certificate (Shipboard Audit)
    MLC 2006
    ISPS Ship Security Certificate
    IHM Certification acc. to SR/CONF/45
    EEDI – Energy Efficiency Design Index (MARPOL VI)
    EP – Environmental Passport

    Further requirements

    Business Development Manager / DNV GL Representative Customer Representative

    Place / Date Place / Date

    Please return all pages to your contact.


    www.dnvgl.com F015AE / 2014-05

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