VTS-Scheldt -

Contact information applicant

Name and surname :

* Name is required

Address :

* Address is required

Telephone :

* Phone number is required

E-mail :

* Email is required

Company and position :

* Company is required

Location :

Location is required

Location details :

* Location details are required

Remarks / specifications :

Type :

Type is required

Date from :

* Date is required

Date to :

* Date is required

Remarks / specifications :

Short description :

Particulars of the object
Name object :	* Name object is required
G.T. :	* GT is required mt.	Height :	* Height is required m
Length :	* Length is required m	Anchor possibilities :	Anchor possibilities is required
Width :	* Width is required m	Cargo :	* Cargo is required
Draught F/A :	* Draft is required dm	Number of persons on board :	* Persons on board is required

Information about the transport
* Transport information is required

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

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 :