Application

Applicant and Contact information

IMO No.

Organization Name

Address


City
State/Province/Region
Postcode/ZIP
Country

PIC

First Name
Surname
Position
Department
Tel
Fax
E-Mail
E-Mail Re-enter
	Please fill in an appropriate organization or departmental e-mail address.

Login ID for NK-SHIPS

Have Login ID for NK-SHIPS	Login ID：
		Please log in from NK-SHIPS.
No Login ID for NK-SHIPS

Applicant & Billing Address *

Same as applicant

Registered Owner C/O applicant

C/O

Others

Organization Name

Dept. / Section

Address

Contact

Tel
Fax
E-mail

*In case the billing address is diffeｒent for each ship, please register the relevant information on the following page after completion of application.
User information - Ship list - "Edit" button - "Billing To" tab.

Apply use of ClassNK MRV Portal on the consent to the Terms of ClassNK MRV Portal.

Confirm