Print This Page Please fill out forms online then print them and sign. The signed forms should then be scanned and emailed to our email address.

Vigilate

Government of The British Virgin Islands

MERCHANT SHIPPING ACT 2001
REGISTRY OF SHIPPING

Virgin Island

APPLICATION FOR PERMISSION TO CHANGE THE NAME OF A SHIP

NOTE:Please complete sections 1 & 2 only in BLOCK LETTERS

SECTION 1

1. VESSEL DETAILS

Present name of ship Present Registry Official No. Register length
Register tonnage Sail and/or motor Place where vessel is now lying
Proposed name of ship (and any alternative choices) New port of registry (if port is being changed) if name is being changed on transfer of ownership, state previous owners
 

I hereby declare that I make this application conscientiously believing that the foregoing particulars are true and complete, and that the proposed change of name will not be prejudicial to any person or persons interested in this ship

The current certificate of Registry is attached.

Name of Owner
Address

Name of Applicant
Title (owner/agent/A.O)
Address (if different from owner)

Signature (owner/agent/A.O)
Date

*Official use only***

Official Stamp Approved Name of vessel
Carving & Marking note issued
Signature .. Date

This form should be forwarded when completed to:-

Virgin Islands Shipping Registry
Sebastian's Building, Administration Drive
Road Town, Tortola
British Virgin Islands
Tel. (284) 468-2902/29 . (284) 468-291

FORMERLY ROS 10SR101-03 (03/10)