Procédure de demande d`immatriculation

Procédure de demande d`immatriculation

DUTCH FLAG / New flag certificate request (only in case of lost/stolen certificate)
Please send your documents to
VGD - Département immatriculations – 636 avenue de l’Océan – 17400 Ternant - France
Phone +33 (0) 535 540 086 - fax +33 (0) 5 46 90 86 33 email : [email protected]
1. Copy of the lost/stolen Dutch flag certificate
2. Application form here bellow, signed by each owner
3. Declaration of lost or stolen certificate, stamped by the police department
4. Proof of payment of the fees
MANDATE
PROCURATION
I undersigned,
First Name :
Last Name :
Address
Give mandate to
The company VGD, 636 avenue de l’Océan, 17400 Ternant, France
Represented by Mrs Elisabeth CADOR,
In order to get a new certificate of registration of my boat
Name of the boat :
Former Certificate of registration number:
My percentage of shares of the boat is
%
To
The Dutch concerned authorities
Place :
Date :
Signature :