Bareboat Charter Duplicate Certificate of Registry

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Vessel Name
Vessel Use / Endorsement*
- Pleasure
- Commercial
Official Number*
Confirm Official Number*
Declaration (all owner(s) must complete and sign this section)
- Has been lost, despite all efforts to find it. I/we undertake that should the old Certificate ever be recorded, it will be returned to the Registry for cancellation.
- Has been destroyed.
- Has been defaced, or made illegible, and is hereby enclosed.
I/we declare the above to be true. All owners must sign below:
Details of the Applicant
Title (not compulsory)
Name
First Last
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone*
Application Fee
Price:
Total
£ 0.00
Consent*
I agree
I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.
NAME:*

Type your full name to sign this secure webform
Signature*
CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)
Date
MM slash DD slash YYYY
Authorization*
I agree
I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected documents. I understand that my application will be processed in the order in which it is received by UK Vessel Registrar, a private fee for service documentation company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per UK Vessel Registrar's no refund policy.
Payment Information*

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Card Number Expiration Date Security Code Cardholder Name
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Details of the Applicant