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Form: Urgent application nationality certificate and Certificate of Registry merchant shipping

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Motivation

Details applicant

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n Yes

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You can skip paragraph 3 n No

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Enter the details of the owner in paragraph 3

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1.1 What is your motive for the urgent application procedure?

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2.1 (Company) name

2.2 Chamber of Commerce number 2.3 Business address

2.4 Postcode and place 2.5 Name contact person 2.6 Telephone number(s) 2.7 E-mail address 2.8 Correspondence address 2.9 Postcode and place

2.10 Are you the owner of the ship?

Urgent application

Nationality certificate and certificate of registration merchant shipping

With this form you can urgently apply for a nationality certificate and/

or (provisional) certificate of registration for a seagoing vessel that is used on a commercial basis. No adjustments allowed once submitted.

This process takes 3 days.

If the owner is not registered in The Netherlands he may transfer management to a Dutch company registered in the Chamber of Commerce. This information is required in section 7 and the appendices from section 10 must be added.

When applying for a full term Certificate of Registry, a Dutch Tonnage Certificate and the correct full registration in the Land Registry is required. Incorrect or incomplete applications will not be processed.

Send the form to the following mail address: registratie@ilent.nl or Postbus 16191, 2500 BD Den Haag

More information

+31 (0)88 489 00 00 | www.ilent.nl

ILT.308E.01 | 1 of 4

(2)

Details debtor

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Only complete when the invoice is not paid by the applicant.

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Details owner

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Complete question 3.5 up to and incl. 3.7 only when there is no ship manager.

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Reason application

n First application n Change n Renewal

Required documents

n Nationality certificate

n Provisional certificate of registration (no registration yet in the ships registry, ship meets nationality requirements art. 311, Commercial Code

n Definitive certificate of registration (only for registered vessels)

Details ship manager (if applicable)

n New n Change n Cancel

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3.1 (Company) name

3.2 Chamber of Commerce number 3.3 Address

3.4 Postcode and place

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4.1 (Company) name

4.2 Chamber of Commerce number 4.3 Address

4.4 Postcode and place

4.5 Name contact person and replacement contact person 4.6 Telephone number(s) 4.7 E-mail address

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5.1 What is the reason of the application?

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6.1 Which document do you request?

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7.1 Status ship manager 7.2 (Company) name

7.3 Chamber of Commerce number 7.4 Address

7.5 Postcode and place 7.6 Name contact person at

registered office of ship manager 7.7 Deputy contact person at

registered office of ship manager 7.8 Telephone number(s)

7.9 E-mail address

Urgent application

Nationality certificate and certificate of registration merchant shipping

Human Environment and Transport Inspectorate Ministry of Infrastructure and the Environment

ILT.308E.01 | 2 of 4

(3)

Details ship

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n Merchant shipping

n Bulk carrier n Oil/Chemical tanker n Chemical tanker n Commercial cruise ship n Container ship n Gas carrier n Reefer ship n Oil tanker n Passenger ship n Product tanker n RORO passenger ship n RORO cargo ship n Sports fishing vessel n Livestock ship n Cargo ship n Sailing passenger ship n Sailing training ship n Heavy cargo ship n Submarine

n Offshore

n Supply vessel n Mobile drilling unit n Offshore support vessel n Oil recovery vessel n Survey/patrol vessel n Personnel transfer vessel n Tug

n Dredgers and contractor equipment

n Suction dredger n Backhoe/dipper dredger n Trailing suction hopper dredger n Cutter suction dredger n Split hopper barge n Split hopper dredger

n Stone dumping vessel n Dredger (other) n Salvage vessel n Floating dock n Floating crane n Pontoon n Workboat

n With propulsion (standard) n Without propulsion

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8.1 Ship name

8.2 Call sign and registration mark 8.3 IMO number and home port 8.4 Type of ship

8.5 Is the ship equipped with or without propulsion?

8.6 Hull material

8.7 Date of build and building no.

8.8 Built in (place and country) 8.9 Built by (shipyard name) 8.10 Ship arrangement

Urgent application

Nationality certificate and certificate of registration merchant shipping

Human Environment and Transport Inspectorate Ministry of Infrastructure and the Environment

ILT.308E.01 | 3 of 4

(4)

Appendices of the owner

- Recent extract Chamber of Commerce (unless owner does not have a registered office in the Netherlands;

in that case there must be a ship manager)

- A copy of the applicable articles of association of the company and a statement from a civil-law notary that lists the names and addresses of the directors

- A copy of the act of forming a firm or a shipping company and a statement from a civil-law notary that lists the names and addresses of the partners personally liable or members of the shipping company

- A copy of the passport or a statement from a civil-law notary that lists the name, address and nationality of the owner

Appendices of the ship manager (if applicable)

- Recent extract Chamber of Commerce

- A copy of the act of formation of the company and a statement from a civil-law notary that lists the names and addresses of the directors

- A copy of the act of forming a firm or a shipping company and a statement from a civil-law notary regarding the names and addresses of the partners personally liable or members of the shipping company

Appendices concerning the ship

- A copy of the (provisional) international tonnage certificate

- A copy of the builder's certificate, the certificate of ownership or any other evidence of ownership, or evidence of transfer of ownership by particular or general title

- A copy of the certificate of a classification society regarding the engine details; it should as a minimum include the rotational speed, power and engine number

Signature applicant

I declare that all details on this form have been completed fully and truthfully.

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Signature owner

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When the applicant includes a power of attorney of the owner, the signature of the owner is not necessary.

I declare that all details on this form have been completed fully and truthfully.

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Signature ship manager (if applicable)

I declare that all details on this form have been completed fully and truthfully.

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9.1 - Always include

- If the owner is a legal body

- If the owner is a firmor shipping company without legal entity

- If the owner is a natural person

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10.1 - Always include

- If the ship manager is a legal entity

- If the ship manager is a firm or shipping company without legal entity

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11.1 Enclose the following appendices

(if you only request a definitive certificate of registration, you only have to send (relevant) appendices of the ship)

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12.1 Place and date

12.2 Signature applicant

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13.1 Place and date

13.2 Signature owner

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14.1 Place and date

14.2 Signature ship manager

Urgent application

Nationality certificate and certificate of registration merchant shipping

Human Environment and Transport Inspectorate Ministry of Infrastructure and the Environment

ILT.308E.01 | 4 of 4

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