A representative of a designated ship, seeking particulars (information request)

1. This application is being submitted by the ship's:

Owner

Operator

Manager

A legal representative of one of the above

Other representative of one of the above

2. Full name (First name, middle name, last name) (required)

3. Full address (Address, city, province, postal code, country)

4. Phone number

5. Email address (required)

6. Confirm email address (required)

7. Relation to designated ship

8. Attach Representation/Counsel authorization form (required if applicable).

9. Attach written request for particulars or information. Ensure requests are signed and dated.

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