VTS-Scheldt -

Contact information applicant

Name and surname :

Address :

Telephone :

E-mail :

Company and position :

Location :

Location details :

Remarks / specifications :

Type :

Date from :

Date to :

Remarks / specifications :

Short description :

Information about the transport
*

ETA/ETD notification
Date :	*	Port of departure :	*
ETA/ETD :	*	Port of destination :	*

Information regarding tugboats
	1	2	3	4
Name :
G.T. :	mt.	mt.	mt.	mt.
Length :	m	m	m	m
Width :	m	m	m	m
Nationality :
Callsign :
Draught F/A :	dm	dm	dm	dm
Bollard pull :	ton	ton	ton	ton
Type :

Attachments (safety report, certificates, permissions of other authorities,…) (max 5MB) :

Selected attachments :