Support Request

1/7. Communications

Ship Name *

Is your vessel a sailing vessel or a yatch? *

IMO Number *

MMSI Number *

Ship Sat Phone *

Ship Email *

Master Voice *

Master Cellphone *

Inmarsat *

CSO Name *

CSO Phone *

CSO Email *

2/7. Vessel Movement Info

Do you need protection?

Voyage Protection Request (Monitoring or Close Protection) MN/PR

AIS to be left on through VRA? *

Do you intend to transit the IRTC? *

Direction

ETA at IRTC (UTC)

ETD at IRTC (UTC)

Do you intend to join a group in transit the IRTC? *

Entry Point to VRA

Entry Point to VRA ETA DTG (UTC)

Exit Point to VRA

Exit Point to VRA ETD DTG (UTC)

ETA LAT 17N southbound

ETA LON 47E northbound

Last Port (search)

Last Port

Next Port (search)

Next Port

Port of Unloading (search)

Port of Unloading

Max Speed (kn) *

Draft (m) *

3/7. Armed Issues

Armed security on board?

Embark Date (UTC)

Disembark Date (UTC)

Name of Company

Number of personnel

Nationalities *

5/7. Owner/Operator/Cargo Details

Group Owner Name

Group Owner Nationality (search)

Group Owner Nationality

Group Owner POC Details *

Link with EU?

Owner Name *

Owner Nationality (search)

Owner Nationality

Owner Phone *

Owner Email *

Cargo Owner Name

Cargo Owner Nationality (search)

Cargo Owner Nationality

Cargo Owner POC Details

Beneficial owner of the cargo

Type of cargo

Ship Operator/manager POC phone / email

Ship Operator/manager nationality (search)

Ship Operator/manager nationality

Ship Operator/manager HQ Address

Hull & Machinery insurance name

Hull & Machinery insurance nationality (search)

Hull & Machinery insurance nationality

Underwriter name

Underwriter Nationality / Address

6/7. Risk Details

Reflagging in the past 5 years?

Nationality of the previous flags

Direct or indirect connection to legal entities/companies/interests related to Israel/USA/UK ?

Hired by companies directly or indirectly related to Israel/USA/UK ?

Have you or the crew conducted, even in the past, any kind of activities on behalf of Israel/USA/UK?

Sailing to/from Israel/USA/UK ports in the last 12 months?

Specify from where

Have you on board any goods destinated to Israel/USA/UK and to be unloaded in a non-israelian/USA/UK port?

7/7. Other Information

Has your Company or ship/sister ship received threat message(s) (email, telephone, VHF, etc ...)?

By whom?

When did it happend? (UTC)

Has your ship or another company vessel been hit before?

By whom?

When did it happend? (UTC)

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