SURVEY REPORT FOR INITIAL/PERIODICAL RENEWAL CHANGE OF FLAG* OF PASSENGER SHIP CARGO SHIP SAFETY RADIO EQUIPMENT* UNDER GMDSS
(Under the provisions of the SOLAS 1974 as amended, for passenger ships irrespective of size, and cargo ships of 300 tons gross tonnage and over)
| Name of ship | IMO Number | |||
| Port of Registry | Gross Tonnage | |||
| Flag | Date Keel Laid | |||
| First date of survey: | Last date of survey: | |||
Signal letters and identification codes:
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