Get Application Form For The Issuance Of ... - Mpa

The application form for the issuance of a Continuous Synopsis Record is an essential document for maritime operations. This guide will provide you with clear, step-by-step instructions to successfully complete the form online.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the form and open it in your browser.
2. Begin by entering the name of the ship in the designated field.
3. Provide the International Maritime Organization (IMO) number, which is a unique identifier for your ship.
4. Enter the official registration number of the ship in the appropriate box.
5. Fill in the date of registration of the ship.
6. Provide the owner's name and address, ensuring all details are accurate.
7. If applicable, enter the bareboat charterer's name and address.
8. Indicate the name and address of the company responsible for the ship’s International Safety Management System.
9. If the company operates safety management activities from a different address, provide that information as well.
10. State the classification society that oversees the ship.
11. List the administration, government, or recognized organization that issued the Document of Compliance (DOC).
12. Mention the organization that conducted the audit if it is different from the one that issued the DOC.
13. Provide information about the administration, government, or recognized organization that issued the Safety Management Certificate (SMC).
14. Identify the organization that conducted the audit for the SMC, if applicable.
15. State the administration, government, or recognized organization that issued the International Ship Security Certificate (ISSC).
16. Mention the organization that conducted the audit for the ISSC if it is different from the one that issued the certificate.
17. Ensure to attach copies of the Document of Compliance (DOC), Safety Management Certificate (SMC), and International Ship Security Certificate (ISSC) as instructed.
18. At the end of the form, certify that all provided information is true by entering your name and signature.
19. Lastly, provide your telephone number, mobile number, and fax number.
20. Indicate the date of completion.
21. Review your entries for accuracy before saving, downloading, printing, or sharing the completed form.

Complete your application form online today to ensure prompt processing.