LRIT Application Form
LRIT Application Form
| Contact Details | |
| Authorising Flag State |
If your Flag is not listed above, please contact us and we will request testing authorisation from your Flag.
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| Person to contact for testing | |
| Contact Number | |
| Contact Email | |
Billing Details |
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| VAT Number (if registered) | |
| Billing Company Name | |
| Billing Address | |
| Billing Country | |
| Billing Email | |
| Vessel & Equipment Details | |
| Equipment Type | Inmarsat C Skywave Satamatics Iridium |
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Equipment Manufacturer : Model
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Inmarsat Mobile Number (IMN)
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Equipment Serial Number
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| Vessel Name | |
| Vessel IMO Number | |
| Port of Registry | |
| Distinctive Numbers or Letters (call sign) |
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| MMSI Number | |
| Gross Tonnage | |
| Sea Area Operation | A1 A2 A3 A4 |
| Vessel Certificate Type | |
| Vessel Certificate Reference Number | |
| New Build | Yes No |
| Compliance Details | |
| This equipment is additionally used for GMDSS | YES NO |
| This equipment is additionally used for SSAS | YES NO |
| 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)) | YES NO |
| This equipment is supplied with energy from the main and an emergency source of electrical power. | YES NO |
| This equipment has an internal GPS or connected external GPS. | YES NO |
| This equipment is type approved under the provisions of V/19-1. | YES NO |
| This is a GMDSS terminal and therefore it is type approved under the provisions of IV/14. | YES NO |
| This equipment is compliant with the requirements of IEC 60945 (2002-8) and IEC 60945 (2008-04). | YES NO |
| This is the Ship Security Alert System (SSAS) and therefore complies with provisions of regulation XI-2/6 and resolution MSC.147 (77). | YES NO |
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. |
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Requested Testing Date
Do you wish to include payment for courier delivery of your CTR ? No
Yes enabled only if FMS provides the CTR 