Transcription of Application for Radio License - St. Vincent & the …
1 ST. Vincent AND THE grenadines MARITIME ADMINISTRATION Application FOR THE ISSUE, CHANGE OR RENEWAL OF A FULL TERM SHIP STATION License ALL ITEMS SHOULD BE COMPLETED SHIP S DETAILS Name of Vessel Official No. IMO No. Call Sign MMSI No. AAIC GMDSS Operating Area (for ships over 300GT) A1 A2 A3 A4 Gross Tonnage PSA for INMARSAT Service For Non-GMDSS installations, please indicate exact navigation area: REGISTERED OWNER S DETAILS Name Address IMO Owner ID Telephone Fax Email I hereby declare that the information provided in this Application is accurate and complete in all respects.
2 Furthermore I also declare that I have due authority to make this declaration and to sign this Application for the Company I represent. PLEASE COMPLETE THE RECORD OF INSTALLED EQUIPMENT TABLE ON PAGE TWO (2) IF IT IS AN Application FOR THE ISSUE OF A FIRST SHIP STATION LICENCE OR IF THE EQUIPMENT ON BOARD HAS CHANGED. Full name of applicant: Date: Title: Signature: ../.. Description Manufacturer Type Serial N 1. VHF Transceiver 2. 1. VHF/ DSC Encoder 2. 1. VHF/DSC watch receiver 2. MF Transceiver MF/DSC Encoder MF/DSC watch receiver 1.
3 MF/HF Radiotelephony 2. 1. MF/HF DSC Encoder 2. 1. MF/HF/DSC watch receiver 2. 1. Direct printing Radio telegraphy 2. NAVTEX Receiver AIS 1. GPS 2. 1. Radar Transponder (SART) 2. 1. 2. Two-way VHF Radiotelephone Apparatus 3. 1. INMARSAT C 2. Radar 1 X-Band S-Band Radar 2 X-Band S-Band ARPA SSAS LRIT Satellite EPIRB (auto & manual) Other (Inmarsats, Fleet, )
