Just

Information

1

Name of Vessel

2

Classification of Society

3

Your Full Style
(Including Telephone & Fax. Number)

4

E-mail of your Company

5

Vessel's Schedule(A place & day)

case 1

Liferafts Service

1

Capacity & Quantity of Each Liferaft

2

Maker & Type(Model)of Each Liferaft

3

Manufacturing Date of Each Liferaft

case 2

Fire-Fighting Apparatus Service

1

Portable(Non-Portable)Fire Extinguishers

Type, Capacity(Weight)of Fire Extinguishers & Quantity

2

Fixed Fire Extinguishing System

Gaseous Fire Ext. System

Type of Gas : CO ₂ , HALON

Quantity of Gas Cylinder

Foam Fire Ext. System

Type of Fam Liguid

Capacity & Quantity of Foam Storage Tank

Dry Powder Fire Ext. System

Capacity & Quantity of D/P Storage Tank

Type & Quantity of Gas(CO2 or N2) Cylinder

case 3

Breathing Apparatus Service

1

Maker & Quantity of Breathing Apparatus

2

Capacity(Ltr) & quantity of Air Bottle