Vessel Registration Form

1. GENERAL VESSEL INFORMATION

Previous Name

Last Owner

Address

New Name

New Owner

Address

Former Nationality

Activity

Legal Representative
GERLI & CO. LAW FIRM

 

 

 

 

2. DETAILES OF VESSEL

No. of Bridges

No. of Decks

No. of Masts

No. of Funel

Lenght

Breath

Depth

Gross Tonnage

Net Tonnage

Type of Vessel

Place of Built

Builders

Date of Built

No. of Engine

Type of Engine

No. of cilinders

Makers of Engine

Speed

Horse Power

Type of Hull

Classification Society

Radio Accounting Authorityv

No. IMO

Legal Representative
GERLI & CO. LAW FIRM

3. GENERAL INFORMATION

Your Name and Surname

Company which you represent

Passport

Address

Country

Zip Code

City

State

Building

Floor

Office

Phones

Fax

Email

P. O. Box

Please Forward Documents
to the Following Address

 

 

4. PREFERRED COURIER SERVICE

TNT
DHL
FEDEX
Other

 

 

5. STATEMENTS

Let this statement serve as a true and lawful declaration that all the information herein contained is true and correct and that the company that I wish incorporate will only be used for lawful purposes. U also certify that I have received legal counsel from an Attorney at Law from the jurisdiction of said company and, in the case of juridical persons, that the client was advised to obtain legal counsel.

6. FAX REQUIRED INFORMATION

Provided it is first time you contact our organization, then you are kindly requested to submit within the next 24 hours (by fax or e-mail), the following documents. Si ha contactado por vez primera a nuestra oficina, dentro de las 24 horas siguiente al envi? de su solicitud de incorporaci?n deber? hacernos llegar v?a fax o por email los siguientes documentos:
Passport copy of interested person / Copia de Pasaporte del requirente
Passport copies of Directors (if applicable) / Copia de Pasaporte de los Directores
Copy of document in the form of utility bill, credit card statement, etc., confirming your address domicile / Copia de cualquier documento que confirme su direccion f?sica
Cliente identification form (Gerli & Co.Due diligence form) / Formulario de Identificaci?n del Cliente.

I AGREE WITH THE ABOVE