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APPLICATION FOR CHANGE OF NAME OF THE VESSEL

FORM 11
Register Number of Existing Vessel *
Carefully Enter Register Number of your vessel...Further processing of vessel based on this number.
 Registered Year of Existing Vessel *
Carefully Enter Registered year of your vessel...Further processing of vessel based on this year.
Date of Registration
(Date Should be graeter than current date.)		 Survey Number
Owner Name * Address of Owner *
E-mail Id *
Mobile no *
Desired Username *
Vessel Name *
Vesseltype * Sub Vessel Type
Payment Type *
DD DETAILS
DD Amount DD NO:
DD Date Payable At
Bank Details Payable at in favour of Port of Registry
Select District Favour who
CHALLAN DETAILS
Challan Amount Seq.No:
Seq Date Name of Treasury
    

       I of being the owner /master of Inland Vessel (name) bearing No. hereby request that the name of the vessel may be changed as * (here enter the new name). The certificate of survey No dated in original is enclosed herewith for making the change of name.

      
Copy of the certificate of survey (Try to upload files in jpeg,pdf,doc or docx format with file size less than 2 MB.)
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