INTERCARGO Full Membership Application
(Shipowning, Ship Operating or Ship Management Company)

Please complete the form below and submit by pressing the "Submit Application" button at the end. Alternatively, print off the form and fax back to INTERCARGO on +44 (0)20 7977-7031 or post to the address at the bottom of the form.

1. Applicant Details
Name of Applicant:
Address:
Telephone No.:
Fax No.:
Email Address:
 

2. Owner / Shipowning company details
Name of Owner or Shipowning Company (if different to above)
Telephone No.:
Fax No.:
Email Address:
Website:
 

3. Contact name and address:

 

4. Relevant Details
Name of P & I Club(s):
Dates of Compliance with ISM for both ships and shore management and issuing authority:
Do you accept the terms of the Members Charter?

YES NO
Name of Proposer (Preferably Executive Committee Member)
Name of Seconder (an INTERCARGO Member)

5. Fleet Details

Please give details of all you Dry Bulk, or Combination Carrier fleet, viz: Name, Type, Year Built, dwt, grt, IMO no., Class and Flag of all eligible (above 3,000grt) ships owned, managed, operated or bare boat chartered by you.

(In the future, please advise immediately of any changes)

SHIP'S NAME TYPE (BULK CARRIER, GENERAL CARGO, OBO, OO ETC) DWT GRT YEAR BUILT FLAG CLASSED BY
Please continue on another sheet as necessary.
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INTERNATIONAL ASSOCIATION OF DRY CARGO SHIPOWNERS
9th Floor, St Clare House, 30-33 Minories, London EC3N 1DD
Telephone : +44 20 7977-7030, Fax : +44 20 7977-7031