Tanker - GL Group
Tanker - GL Group Tanker - GL Group
Questionnaire for Admission to Class (Tanker) Ship Type Ship Data Owner's full style address Oil Tanker Other Tanker Product Tanker Gas Carrier Chemical Tanker Page 1 of 2 NLS Tanker Name of vessel IMO No. GL No. Sister ships Current Flag Intended flag Block fee quotation not equested Date of keel laying Date of delivery Continuous survey system machinery requested No. of crew members or Planned maintenance system requested Current classifcation society Current character of class (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) Invoicing address VAT Reg. No. Country (if not identical with owner's address) VAT Reg. No. Country Statutory certificates requested Presently issued by (if possible please attach a copy of present certificates) Present Class Flagstate / Load Line and SOLAS Society Authority Load LineCertificate Cargo Ship Safety Construction Certificate Cargo Ship Safety Equipment Certificate Cargo Ship Safety Radio (Certificate only, expert excluded) Certificate of Fitness Carriage Dangerous Chemicals incl. List of Products (Chemikal Tankers) Certificate of Fitness Carriage Liquified Gases in Bulk (Gas Tanker) INERT Gas Plant Exemption Certificate: MARPOL Oil Pollution Prevention Certificate (Annex I) Condition Assessment Scheme (CAS) NLS incl. List of Products (Annex II) Only internal use for GL H.O. Scope of survey Place of performance and jurisdication is Hamburg. The latest edition of the General Terms and Conditions of Germanischer Lloyd is applicable. German law applies. Germanischer Lloyd F015BE / 2012-08
Questionnaire for Admission to Class<br />
(<strong>Tanker</strong>)<br />
Ship Type<br />
Ship Data<br />
Owner's full style<br />
address<br />
Oil <strong>Tanker</strong><br />
Other <strong>Tanker</strong><br />
Product <strong>Tanker</strong> Gas Carrier Chemical <strong>Tanker</strong><br />
Page 1 of 2<br />
NLS <strong>Tanker</strong><br />
Name of vessel IMO No. <strong>GL</strong> No.<br />
Sister ships<br />
Current Flag Intended flag<br />
Block fee quotation not equested<br />
Date of keel laying Date of delivery<br />
Continuous survey system machinery requested<br />
No. of crew members or<br />
Planned maintenance system requested<br />
Current classifcation society<br />
Current character of class<br />
(if prospective owner please attach copy of "bill of sale" or "memorandum of agreement")<br />
VAT Reg. No. PO Number Country<br />
Contact Person<br />
Ship manager’s<br />
address (if not identical with owner’s address)<br />
Invoicing address<br />
VAT Reg. No. Country<br />
(if not identical with owner's address)<br />
VAT Reg. No. Country<br />
Statutory certificates requested<br />
Presently issued by<br />
(if possible please attach a copy of present certificates) Present Class Flagstate /<br />
Load Line and SOLAS<br />
Society Authority<br />
Load LineCertificate<br />
Cargo Ship Safety Construction Certificate<br />
Cargo Ship Safety Equipment Certificate<br />
Cargo Ship Safety Radio (Certificate only, expert excluded)<br />
Certificate of Fitness Carriage Dangerous Chemicals incl. List of<br />
Products (Chemikal <strong>Tanker</strong>s)<br />
Certificate of Fitness Carriage Liquified Gases in Bulk (Gas <strong>Tanker</strong>)<br />
INERT Gas Plant<br />
Exemption Certificate:<br />
MARPOL<br />
Oil Pollution Prevention Certificate (Annex I)<br />
Condition Assessment Scheme (CAS)<br />
NLS incl. List of Products (Annex II)<br />
Only internal<br />
use for <strong>GL</strong> H.O.<br />
Scope of survey<br />
Place of performance and jurisdication is Hamburg.<br />
The latest edition of the General Terms and Conditions of Germanischer Lloyd is applicable. German law applies.<br />
Germanischer Lloyd F015BE / 2012-08
Questionnaire for Admission to Class (<strong>Tanker</strong>)<br />
Statutory certificates requested<br />
Presently issued by<br />
(if possible please attach a copy of present certificates) Present Class Flagstate /<br />
Sewage Pollution Prevention Certificate (Annex IV)<br />
Society Authority<br />
Garbage Pollution Prevention Certificate (Annex V)<br />
Air Pollution Prevention Certificate (Annex VI)<br />
Tonnage<br />
ITC 69<br />
Others<br />
Compliance Antifouling Systems<br />
Compliance ILO 92 & 133<br />
Compliance USCG CFR Title 33<br />
Cargo Gear (ILO 152) / LA2<br />
other Lifting Appliances<br />
Lifts<br />
Manuals to be reviewed<br />
SOPEP / SMPEP<br />
Other Certification / Services (separate quotation)<br />
ISO 9001 Certification (Shipboard Audit)<br />
ISO14001 Certification (Shipboard Audit)<br />
ERS<br />
ISM Safety Management Certificate (Shipboard Audit)<br />
MLC 2006<br />
ISPS Ship Security Certificate<br />
IHM Certification acc. to SR/CONF/45<br />
EEDI Certificate – Energy Efficiency Design Index<br />
EP – Environmental Passport<br />
Further requirements<br />
Business Development Manager / <strong>GL</strong> Representative Customer-Representative<br />
Place / Date Place / Date<br />
Please return all pages to your contact.<br />
Page 2 of 2<br />
Only internal<br />
use for <strong>GL</strong> H.O.<br />
Scope of survey<br />
Place of performance and jurisdication is Hamburg.<br />
The latest edition of the General Terms and Conditions of Germanischer Lloyd is applicable. German law applies.<br />
Germanischer Lloyd F015BE / 2012-08
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