Application form Ship Sanitation Certificate

Complete the application form to request an inspection. A GGD Fryslân inspector will contact you as soon as possible to make an appointment.

Ship Details

Name of Ship *

Flag *

IMO no. *

GT

Year of Construction *

Type of Ship

No. of Crew Members *

Cargo Type *

Shipping Company / Agent Details

Shipping Company *

Address

Postcode

Town/City

Telephone No.

Email

Website

Contact Person *

Mobile Telephone No. *

Correspondence Address

Postcode

Town/City

Invoice Address

Name

Street / P.O. Box

Postcode

Town/City

Country

Inspection information

Name of Moorings *

Arrival date *

Departure Date *

Port No.

Berth No.

Ship accessible by car?

Yes
No

Special Details *

Yes
No

Previous Port

Next Port

Expiry Date

On board of the ship

Swimming pool / spa
Pets / animals
Other specialties

Other specialties

Contact

For questions or more information, contact GGD Fryslân.

088 22 99 222

thzbackoffice@ggdfryslan.nl

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Application form Ship Sanitation Certificate

Ship Details

Shipping Company / Agent Details

Invoice Address

Inspection information

Contact

Algemeen telefoonnummer

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