Croatian register of shipping > Zahtjev za osnovnim pregledom jahte

Request for Initial Survey of the Pleasure Craft

In accordance with the Maritime Code (Off. Gazette 181/2004, 76/2007, 146//2008, 61/2011, 56/2013, 26/2015, 17/2019), it is hereby requested to verify technical acceptability and to perform the initial survey of the following pleasure craft

DATA ON PREVIOUS REGISTRATION

data from documents issued by the Administration where the craft has been previously registered with (to be filled-in for second-hand crafts only)

Flag State and port of registry:

Name and/or register No.:

Allowable navigation area:

Total allowable number of persons:

TECHNICAL DATA

Manufacturer, place and year of built:
*

Brand name of the craft:
*

Craft or hull identification number (CIN or HIN):
*

Type of main propulsion - tick-off in appopriate box:
*

Total allowable number of persons according to builders declaration:

Construction material - tick-off in appopriate box:
*

Main particulars

- hull length, Lh (m):
*

- breadth, Bh (m):
*

- height, D (m):
*

Propulsion engine

Manufacturer:
*

Year of manufacture:
*

Model (type):
*

Power (kW):
*

DATA ON REQUESTED REGISTRATION IN YACHT REGISTER OF REPUBLIC OF CROATIA

Proposed name:
*

Proposed port of registry:

Requested navigation area:
*

I – international navigation in all seas and waters accessible from the sea
II - international navigation in all seas and waters accessible from the sea (maximum allowable distance from the nearest coast not more than 20 Nm)
III - navigation on the territorial sea and inland sea waters of the Republic of Croatia and international navigation in all seas and waters accessible from the sea (maximum allowable distance from the nearest coast and islands not more than 12 Nm),(Within the area of navigation III can exist the following restrictions:IIIa - within 6 Nm from the nearest coast or islands ,IIIb - within 3 Nm from the nearest coast or islands,IIIc - within 1 Nm from the nearest coast)
IV - navigation in ports, bays, river mouths and rivers to the limits to which they are navigable from the sea side

Requested purpose of the craft:
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Charter
Craft for personal use

DATA ON INITIAL SURVEY

Craft will be ready for initial survey (place and date):
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Name of the contact person:
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Phone and fax number of the contact person:
*

APPLICANT

The applicant declares that data submitted are accurate and that he or she accepts to comply with the requirements deriving from the Maritime Code and that the request is considered to be valid without the signature if submitted by e-mail

Owner (full style, address and OIB):
*

Phone number of the Owner:
*

Applicant's interest in respect to the craft:
*

Owner
Person authorized by the owner to act on his / her behalf

Name and position of the applicant:
*

Phone number of the applicant:
*

Fax. number of the applicant:
*

E-mail of the applicant:
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Place and date:
*

ATTACHMENTS

Documents to be submitted

Copy of the Certificate of registry and/or Navigational licence as issued by the Administration where the craft has been previously registered with (for second-hand crafts only)
Copy of the Declaration of Conformity to 94/25/EC Directive
Copy of the Certificate of class
Other relevant documents

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Ministarstvo mora, prometa i infrastrukture, Republika Hrvatska