FORM OF REQUEST FOR IMO COMPANY IDENTIFICATION NUMBER

REQUEST FOR IMO COMPANY IDENTIFICATION NUMBER
LLOYD’S REGISTER – FAIRPLAY Lombard House 3 Princess Way Redhill SURREY RH1 1UP
Telephone +44 1737 379060 International Fax +44 1737 379040 Email owners-data-feedback@lrfairplay.com
TO ENABLE ASSIGNMENT OF A COMPANY IDENTIFICATION NUMBER, PLEASE PROVIDE THE FOLLOWING DETAILS:
CURRENT COMPANY NAME*
FORMER NAME(S) (if known)
Please indicate if: This is a newly established Company This is a Change of Company Name (please give former names above) There is a company merger (please give former names of all companies above)
DATE OF INCORPORATION
COUNTRY OF INCORPORATION
(REGISTRATION)
FULL STREET ADDRESS*
TOWN*
COUNTRY*
.
TELEPHONE
FAX
E-MAIL
WEBSITE
IF KNOWN PARENT COMPANY
IMO ship identification number(s) *
if not available other ship details (please supply at least one IMO ship identification number in the current fleet. This helps in the identification of company records)
SENDER NAME*
SENDER FAX NUMBER*
SENDER EMAIL*
For office use only.:
IMO Company No.
Items indicated with an asterisk (*) are required and must be filled in before a number can be provided.