Application form

1The Ship

2The applicant

3kWh

4Sign and submit

A. The Ship
Name*
ENI number*
Home port / country*
Ship type*
- Tanker
- Dry cargo ship
- Container ship
- Vehicle carrier
- Barge
- Push barge
- Container with own propulsion
- Other
Fill in the type, if other than mentioned above
Name pushed barge if there is a connection with the main barge
Max. tons deadweight*
Delivery year*
Email address on board*
Contact person on board
Phone number on board*
Insurance company
VAT number*
Chamber of Commerce registration number
ENGINES
Main engines
Total number
Number of engines that meet CCR-II requirements (original or treated)
Number of engines with treated exhaust emissions
Thrusters
Total number
Number that meets CCR-II requirements (original or treated)
Number with treated exhaust emissions
Auxillary engines
Total number
Number that meets CCR-II requirements (original or treated)
Number with treated exhaust emissions
Special remarks
If not all main and auxillary engines meet the same emission requirements, please fill out the list of power and opering hours (step 3)

B. The Applicant
(the name of company printed on the certificate. It can also be a long-term freighter)
Company name*
Contact person for Green Award*
Postal address*
Street Address Address Line 2 City ZIP / Postal Code Country
Phone number*
Email address*
Date*
DD dash MM dash YYYY
Special remarks / Date and place of inspection preference
If you indicate your preference for the date and place of inspection, it will be taken into consideration for the planning. However, the inspection is always planned based on availability of inspectors. We will contact you to confirm the date and place of inspection.
Scans of CCR-2 certificates and/or reports of emission measurements, stern tube seals, list of engine power and operating hours (in case not all engines meet the same emission requirements)
Drop files here or
Max. file size: 16 MB, Max. files: 6.
C. The owner
(the name of a company that will be printed on the certificate, if different from the applicant)
Company name
Postal address
Street Address Address Line 2 City ZIP / Postal Code Country
D. Invoice address
The invoice address is*
- the same as in B (applicant)
- the same as in C (owner)
- Other (fill in below)
Company name
Postal address
Street Address Address Line 2 City ZIP / Postal Code Country
Email address

Green Award