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TECHNICAL SURVEY BOOKING FORM

TYPE OF SURVEY (mandatory) Radio SurveyRadio Inspection for the Issue of a Report of InspectionPart Survey required for continuance of present certification due to a change of equipmentAPT VDRSatellite TLCOther

Name (mandatory)

Position

Owner/Agent (mandatory)

Address

Email (mandatory)

VAT Number

VAT Exemption (mandatory) YESNO

Vessel Name (mandatory)

Classification Society (mandatory)

Official or Fishing Number (mandatory)

Port of Registry (mandatory)

PLACE REQUESTED FOR SURVEY (mandatory)

DATE OF SURVEY YYYY-MM-DD (mandatory)

TIME OF SURVEY (mandatory)

Message

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