Posted 18/10/16 | Noltime.com
Ship’s Particulars Form (Supply vessel)

1. Name of vessel:
2. IMO number:
3. Type of vessel:
   – (include detail of any special features)
   – Previous name(s)

4. Vessel owner:
   – Address:
   – Tel:
   – Fax :
   – E-mail:

5. Vessel operator (if not owner):
   – Address:
   – Tel:
   – Fax :
   – E-mail:

6. Ship or Vessel Technical Manager
   – Name:
   – Address:
   – Tel:
   – Fax:
   – E-mail:

7. Manning agent:
   – Address:
   – Tel:
   – Fax :
   – E-mail:

8. Flag:

9. Port of registry:

10. Classification society:
   (if vessel has changed class within the past six months, report date of change and previous classification society, in ‘Additional comments’)

11. Class ID number:
    – Additional comments (include any additional specialised equipment vessel has onboard):
    – Hull type (e.g. double hull, semi-submersible, catamaran):

12. LOA:
13. Beam:
14. Maximum draught:
15. Deadweight tonnage:
16. Gross tonnage:
17. Main engine horsepower and manufacturer:
18. Number of engines:
19. Number and type of main propellers:
20. Number of rudders:
21. Number of generators:
22. Kort nozzles fitted?:
23. Bow thruster fitted (number and type)?:
24. Stern thrusters fitted (number and type)?:
25. Other propulsors fitted (number and type)?:
26. Rated bollard pull (as applicable):
27. Type of bunkers:
28. Bunker capacity:
29. Daily fuel consumption:
30. Can vessel make potable water?:
31. Potable water capacity:
32. Inmarsat number:
33. V-Sat number:
34. Vessel mobile phone number:
35. Vessel email address:
36. Call sign:
37. Date of last owner’s/operator’s superintendent’s visit to vessel:
38. Name of the vessel’s P&I club:
39. Date of last port state inspection:
40. Name and contact details for designated person ashore (DPA):
41. Date of last dry docking or in water survey:
42. Location of last dry docking or in water survey:
43. Date next dry docking due: