Passenger Boat Licence P1 P2 P3 P4 P5 P6 - Department of Transport

APPLICATION FOR A PASSENGER BOAT LICENCEPassenger Boat Licence Initial: € 143 Renewal: €87NOTE: Please read notes overleaf carefully before completing this form.I wish to apply for an inspection of the boat described below for a passenger boat licence as required under Section 14 ofthe Merchant Shipping Act, 1992. I enclose the fee and agree to pay any further expenses that may be properly chargeablein connection with this application.Name of Owner(s): __________________________________________________________________________________(If the owner of the passenger boat is not an individual, it must be a legal entity i.e. a Company or Business name properlyregistered with the Registrar of Companies)Address of Owner(s): _____________________________________________________________________________________________________________________________________________________________________________________Name of Operator: (if different to that of Owner)____________________________________________________________Address of Operator: _____________________________________________________________________________________________________________________________________________________________________________________Signature of Applicant: ________________________________________________________________________________Telephone No of Applicant: ____________________________________________________________________________Mobile Phone Number:_____________________________ Email Address: _____________________________________Date of Application: _______________________________NAME OF PASSENGERBOATPORT OF REGISTRY ANDOFFICIAL NO. (if any)BOAT TYPE AND MATERIALOF WHICH CONSTRUCTEDLENGTH(in metres)Class of Passenger BoatLicence (Tick AppropriateBox)Name & Address of Builders(if known)P1 P2 P3 P4 P5 P6Preferred place of Inspection1. ______________________________________________________________________2. ______________________________________________________________________Area(s) in which you wouldpropose to operate the boat

NOTES:1. Application for inspection and for a Passenger Boat Licence must be made on this form.Before applying, please refer to the Guidelines for Licensing of Passenger Boats, or theMerchant Shipping (Passenger Boat) Regulations, 2002, S.I. 273 of 2002, as applicable.2. The name and address of the owner(s) of the passenger boat must be entered in the appropriatespaces on this application form, even in cases where the applicant is the intended operatorrather than the owner of the vessel.3. For fee for inspection and survey see front of form. No inspection or survey can beundertaken until the fee has been paid.4. The fee must be paid to the Superintendent of a Mercantile Marine Office (at either Cork orDublin) and cheques and postal orders should be crossed and made payable to theSuperintendent of the Mercantile Marine Office. This form should be forwarded, along withthe fee, to:The Superintendent or The SuperintendentMercantile Marine OfficeMercantile Marine OfficeDepartment of Transport,Department of Transport,Leeson Lane,Government Buildings,Dublin 2.Sullivan’s Quay,Cork.(F O R I N T E R N A L U S E O N L Y)This application has been noted ______________________________________________SurveyorThe sum of € ______ has been received this day.The Superintendent Mercantile Marine Office _________________________________________Port ________________Date ____________________________________