To Be Sent to BRS-HO 17Th Panagyurishte Str., 5Th Fl.Varna 9000, BULGARIA, Fax:+359 52

To be sent to BRS-HO 17th Panagyurishte Str., 5th fl.Varna 9000, BULGARIA, Fax:+359 52 602864, e-mail:

/ bulgarian register of shipping

APPLICATION FOR CLASSIFICATION

We request the vessel specified below to be classed by BULGARIAN REGISTER OF SHIPPING (BRS) in accordance with the requirements of the BRS Rules for the classification of ships.
We also request that the following ships to be surveyed for classification and statutory certification.
We agree to give the Surveyors necessary facility and access to carry out their duties and to pay all surveys fees and expenses include as a result of the above-mentioned survey and issuance of relevant certificate(s), regardless of whether class and installations are registered or not.

NEWBUILDING CONVERSION EXISTING SHIP

SHIP INFORMATION
Current name of the vessel: / Proposed new name:
Current flag / Official Number: / Proposed new flag:
Type of vessel: / IMO number: / Yard/Hull No.:
Port of registry: / Builder (name and place):
Date of Contract: / Date of Launch:
Date of Keel Laying: / Date of Completion:
Propulsion: / Navigation Area:
Current classification society:
Character of Class:
Tonnage Type:
Deadweight: / Length overall (m): / Depth (m):
GT: / Length conventional (m): / Draught (m):
NT: / Breadth (m): / Summer freeboard (mm):
Hull Material: / Hull Structure:
Number and capacity of holds: / Number and Dimension of Cargo Hatches:
Number of decks: / Propellers (number/type):
Cargo Cranes (number/SWL): / Cargo Derricks (number/SWL):
Anchor Equipment - / Weight/ Anchor Chain Length/Diameter/Grade/
1.
2.
3.
Spare anchor:
Main Engine number/ Type/ Power :
Main Engine Manufacturer/ built year:
Main Engine Power (kW (HP), RPM, Diameter of cylinders, stroke):
Reduction Gear:
Aux. Diesel Engine (s) (numbers/Manufacturer/type/power/rpm):
Generator (s) (numbers/type/power(kVA, voltage)) :
Aux. Boiler (s) ( number/type/heating surface in m2/ working pressure/year of build):
Compressed Air Receiver (s) (number/ capacity/ max and working pressure):
Refrigerating plant (type and refrigerant):
In addition to classification we also request BRS to issue following statutory certificates as marked in boxes:
Safety Construction / MARPOL Annex I / IBC Code (bulk cargoes) / Anti-fouling System
Safety Equipment / MARPOL Annex IV / IMDG Code / Safety Cert non-SOLAS Ship
Safety Radio / MARPOL Annex V / Exemptions (SOLAS) / ISM Code
Load Line / MARPOL Annex VI / Exemptions (Load Line) / ISPS Code
Other, Specify:
ISM MANAGERS/ OWNERS
Current SMC (ISM Code) issued by: , with validity until:
Current company (ISM) (name and address):
IMO Company ID number:
Current owner (name and address):
APPLICANT
Owner (name and address):
Phone/ Fax No.: / e-mail address:
Company (ISM), if different than Owner (name and address):
Phone/ Fax No.: / e-mail address:
IMO Company ID number:
Company DOC (ISM Code) issued by: , with validity until:
for the following types of ships:
The undersigned completely agree to comply with the BRS’ Rules and with General Conditions as given above

Place and date:Representative’s name and title:

Stamp Signature:

F7-01.2012