IMRMA
Request & Feedback
Company
Ship Inspection Request
Vessel information
Vessel Name
IMO Number
Requestor of Inspection Contact Details
Requestor's Contact Name:
Technical Management Company
E-mail Address
Report will be sent to this address
Port & Agent Details
Port(s)
Estimated Arrival Date
Length of Time at Berth
Cargo Operation
Type of cargo to be handled
Means of Access
Agents Name
Agents Office Telephone Number(s)
Agents Mobile
Agents Facsimile Number
Agents E-mail Address
Invoice Transmission Details
Please supply the following details for the processing of the Invoice.
Company name
Company VAT
if applicable
Contact Name
Address One
Address Two
City
State/Province
Postal Code
Country
Telephone Number
Facsimile Number to Receive Invoices
E-mail Address
to Receive Invoices
Comment
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