(*) Company Name/Owners:
Company Registration Country:
P&I Club:
Company address:
(*) Phone No:
(*) Contact person:
(*) Contact Email:
Vessel DWT:
Vessel Build year:
(*) Vessel Flag:
(*) Vessel IMO number:
Vessel's (speed in Knots) /  Ballast speed :
Vessel's (size in meter)  LOA:
Total crew on board:
Last Port of Call / Country:
Next Port of Call / Country:
Estimated voyage days:
Embarkation location (OPL or Port):
Ship Masters Nationality(ies):
Is vessel loaded?:
Disembarkation location (OPL or Port):
CSO/DPA 24hr contact No:
Ship Master Name & Nationality:
Contact person mobile phone No:
Loaded speed:
Beam:
Contemplated route if known:
Crew Nationality(ies):
If YES specify quantity & Cargo nature:
FAX No:
Vessel's Call sign:
Freeboard Ballast / Laden:
Maximum speed:
Date (dd/mm/yyyy):
Date (dd/mm/yyyy):
Do you need single transit security or long term?:
Are there any protection means on vessel?:
If (YES) please describe:
Is there a satellite phone on vessel?:
Is there internet connection on vessel?:
Do you have previous experience in armed security?:
(*) Do you need ARMED or UNARMED Security Services?:
Your remarks / notices:
(*) Required fields
Vessel Name:
Vessel Type:
Application Date:
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MARITIME SECURITY SERVICES
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Maritime Security
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