|Authorising Flag State
If your Flag is not listed above, please contact us and we will request testing authorisation from your Flag.
|Person to contact for testing
|VAT Number (if registered)
|Billing Company Name
|Vessel & Equipment Details
| Inmarsat C Skywave
Equipment Manufacturer : Model
Inmarsat Mobile Number (IMN)
Equipment Serial Number
|Vessel IMO Number
|Port of Registry
|Distinctive Numbers or Letters
|Sea Area Operation
|A1 A2 A3 A4
|Vessel Certificate Type
|Vessel Certificate Reference Number
|This equipment is additionally used for GMDSS
|This equipment is additionally used for SSAS
|This equipment is compliant with provisions of resolution A.694(17) and the equipment has been tested for electromagnetic compatibility (refer to resolution A.813(19))
|This equipment is supplied with energy from the main and an emergency source of electrical power.
|This equipment has an internal GPS or connected external GPS.
|This equipment is type approved under the provisions of V/19-1.
|This is a GMDSS terminal and therefore it is type approved under the provisions of IV/14.
|This equipment is compliant with the requirements of IEC 60945 (2002-8) and IEC 60945 (2008-04).
|This is the Ship Security Alert System (SSAS) and therefore complies with provisions of regulation XI-2/6 and resolution MSC.147 (77).
To the best of my knowledge the information I have given is accurate. This information will be used to create the Conformance Test Report. Any mistakes that later invalidate the Conformance Test Report may incur additional charges to reissue the Conformance Test Report.
Requested Testing Date
Do you wish to include payment for courier delivery of your CTR ? No
Yes enabled only if FMS provides the CTR