ORDER OUR SERVICES

GENERAL

Current / Proposed Name of Vessel*
Present Flag or Registry*
Which flag are you intending to use?*
What is the value?*
Is the vessel to be used privately?	Yes     No
Is the vessel to be financed?	Yes     No
Please state the amount required.	Yes     No
Month, year and place of proposed purchase or delivery.

PARTICULARS OF THE VESSEL

Type of Vessel*
Year Built*
Country where Built*
Yard Number
Name of Builder
Address of Builder
Length
Gross Tonnage
Method of Propulsion	Select an Option Steam Sail Motor

OPERATING AREA

Month, year and place of proposed purchase or delivery.

ABOUT YOU - MANDATORY*

Are you an existing client of OCRA Worldwide?*

Yes     No

If "Yes", of which office?

Select: Hong Kong London Singapore Mauritius Seychelles

Will you be an owner of the vessel?*

Yes     No

If you are an owner (if "yes" above), what percentage of shares will you own?*
Total number of owners:*

Title:*
Family Name::*
First & Other Names:*
Former Names:
Street Address:*
City:*
State / Region:
Post / Zip Code:
Country:*
Preferred Method of Contact:
Email Telephone Mobile Facsimile Mail
Please supply us with at least one relevant contact detail:*
Home Email:
Home Telephone:
Personal Mobile:
Home Fax:
Mail:

PLEASE INDICATE THE SERVICES YOU WOULD BE INTERESTED IN BY TICKING THE BOX

Yacht Registration	Yacht Management	Yacht Importation
Marine Finance	Crew Payment	Insurance
VAT Services	Corporate & Trust Services	ISM / ISPS
Please give details of any other services you require.
Date :
VERIFICATION
Please enter the 5 digit code shown here         RESET SUBMIT We will contact you shortly to clarify your instructions, finalise the application process, arrange payment, and collect certain mandatory information relating to the prevention of money laundering. In submitting this questionnaire, all persons mentioned on this form agree to be bound by OCRA Worldwide's Terms of Business or such other new Terms of Business as may from time to time be published on OCRA Marine's website (www.ocramarine.com) or about which they may otherwise be informed.