REQUEST FOR NOTICE TO MARINERS

INFORMATION FOR NOTICE TO MARINERS REQUEST FORM
(BAZ AANVRAAG FORMULIER)

Information required for Notice to Mariners

Company name

Company Contact

Address

Telefoon

Purchase Order

Agent name

Contact Info Agent

Company Information (applicant)

What kind of research/work

Coordinates of research area and survey lines

Constrains for the traffic in research area

Type of equipment that will be used. Tow/ Fixed/ Moved within certain radius

Restrictions of vessels conducting research/ activities (maneuverability, safety area round the vessel) or equipment during activities

Time / Work schedule ( when where)

Name of vessels conducting operations

Point of contact on vessel Naam, title , telephone and email.

Communication channel and frequencies

Remark: An application must be submitted at least seven working days before the start of the work.