Schedule – 6
(Related to Rule 14)
Application for Provisional Certificate
Sir/Madam,
Nepalese Embassy / Consulate
………………………………….
I/we request to issue the provisional certificate of Nepalese Nationality
to the ship having the following details, which ownership has been received by
me/us and the ship has to be registered in Nepalese ship office.
1. Name of the ship :–
2. Date and place of purchasing of the ship :–
3. Name and Address of the person purchasing the ship :–
4. Name of the Master (Chief officer) :–
5. Types and kinds of the ship :–
6. Gross and Net tonnage of the ship :–
7. Major Dimensions of the ship :–
Full Length :
Width of Sattari :
Height :
8. Dimension of Free Board :–
9. Manufacturer of the Ship and Place of manufacture :–
10. Previous Nationality :–
11. Name and Address of the selling person or body :–
12. Date and number of received recommendation to purchase :–
13. The countries to be travelled by the ship :–
Date : Name of the Applicant
Signature ………………….