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 181/04), as amended, Ordinance on boats and yachts (Off. Gazette 27/05), as amended, it is hereby requested to issue Attestation on 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 unrestricted navigation
Ia - International unrestricted navigation (maximum allowable distance from the nearest shore not more than 20 Nm)
II - International navigation in the Adriatic sea
IIa - International navigation in the Adriatic sea (navigation within territorial waters of Croatia, Montenegro, Slovenia and Italy - up to Venice with maximum allowable distance from the nearest shore not more than 12 Nm)
III - Navigation within territorial waters of Republic of Croatia
IV - Navigation in sheltered waters within territorial waters of Republic of Croatia

Requested purpose of the craft:
*

Charter
Craft for personal use

DATA ON INITIAL SURVEY

Craft will be ready for initial survey (place and date):
*

Name of the contact person:
*

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, the Ordinance on boats and yachts and the Rules for statutory certification of boats and yachts, 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:
*

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 Yacht or boat arrival notification fees payment receipt (payment of fees for the purpose of issuing of vignette) - only for second-hand crafts for personal use
Copy of the Certificate of class
Other relevant documents

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Ministarstvo pomorstva, prometa i infrastrukture, Republika Hrvatska