CHRYSANTHOU MARITIME SERVICES LTD
Naval Architects · Marine Consultants · Surveyors
APPLICATION FOR INSPECTION APPLICANT’S DETAILS Name: ID No.: Surname: Tel: Rank: Mob: Address in Cy: Post Code Email: Fax: HULL PARTICULARS Boat Maker: Year of Manuf.: Model: CE Mark: HIN: Material: Category: A / B / C / D * Night Cruising YES / NO* YES / NO* Length: Breadth: Depth: Draft: MAIN ENGINE(S) PARTICULARS Inboard / Outboard: Year of Manuf. Engine Maker: CE mark: Model: Power in kW Serial No.: Declared HP: Number of Engines: Aux. Engine AUXILIARY ENGINE(S) PARTICULARS Inboard / Outboard: Year of Manuf. Engine Maker: CE mark: Model: Power in kW Serial No.: Declared HP: Number of Engines: Aux. Engine Hereby apply for an inspection according to the provisions of the Powerboats Ordinance 2001 for the scope of: an initial inspection before the boat is put into service for the first time (initial registration of the boat) an annual inspection (category B boat) a 5‐yearly inspection (category A boat) an extraordinary inspection (where boat has suffered damage or has undergone an alteration in its construction, or whenever the competent authority deems appropriate) Preferable Location of the inspection: Akrotiri / Dekhelia* Applicant’s signature: ____________________ Date: / / dd mm yy THIS FORM IS TO BE COMPLETED / SIGNED AND SENT BY FAX AT +357 25870339 AND/OR BY EMAIL AT inspections@chrysanthou‐maritime.com A CONFIRMATION WILL BE SENT WITHIN 24HRS. IF CONFIRMATION HAS NOT BEEN RECEIVED PLEASE CALL: +357 25870448 / +357 99222368 *Delete as appropriate Form MC-PB-001-2012