Contact Information
Name:
Owner
Skipper
Passport/NRIC no:
Nationality:
Address:
Postal Code/Zip Cpde:
Email:
Tel No:
(H)
(O)
(H/P)
Craft Information
Name of Craft:
Craft Licence No:
Port of Registry:
Type of Craft:
Boat Make & Model:
Vessel Used For:
Commercial
Leisure
Presently Berthed At:
Gross Tonnage:
Engine Power(kw):
Specifications:
LOA
meter
feet
Beam
meter
feet
Draft
meter
feet
Engine Mounting:
Inboard
Outbound
Shaft driven
Jet
Engine Make & Model:
Type of Fuel:
Petrol
Diesel
Booking Information
Expected Arrival Date: (DD/MM/YYYY)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Expected Time Of Arrival: (HH/MM)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
/
00
05
10
15
20
25
30
35
40
45
50
55
Request For:
Water
Yes
No
Electricity
Yes
No
15A
32A
63A
125A
NA
Water Disposal
Yes
No
Others(Please Specify)
Length of Stay:
Day/s
Month/s
Year/s
Others:
Other Information (If any):
NOTE:
All fields are compulsory except others information fields.
For enquiries, please contact:
Marina at Keppel Bay’s Concierge Services at
6303 8448 / 6303 8449
or email
enquiry@marinakeppelbay.com
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