This form contains 52 fields organized into 21 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Alternative Names / Miscellaneous
Alternative Name(s) – Option 1 Text
Enter the first preferred alternative name(s) for the vessel in order of preference to be used if the primary name cannot be authorised.
Name and Description (Owner or Authorised Agent) Text
Provide the full name and a brief description of the person signing (owner or duly authorised agent) who is making the declaration on behalf of the vessel.
Builders Name and Address
Builder Name and Address Text
Enter the builder's full name followed by the complete postal address (street, city, state/province, country and postal code) as it should appear on the form.
Classification Society / Issuing Authority
Classification Society / Issuing Authority (Class Society) Text
Enter the name of the classification society or issuing authority responsible for the ship (the Class Society under which the vessel is classed).
Crew Accommodation Count
Number of Seamen and Apprentices (certified) Text
Enter the total number of seamen and apprentices for whom the ship's accommodation has been certified.
Declaration, Signature, Date and Agent Details
Declaration confirmation (Item 39) Text
Enter the text, letter or short note that indicates which declaration clause is applicable to item 39 (e.g., the letter or brief confirmation of the statement).
Name and Description (Owner/Agent) Text
Enter the full name and brief description or job title of the owner or duly authorised agent completing the declaration.
Date (Declaration) Date
Enter the date on which the owner or authorised agent signed the declaration.
Signature (Owner or Agent) Text
Provide the signature or printed name of the owner or duly authorised agent who is signing the form.
Hull Description
Hull Description Text
Enter a concise textual description of the vessel's hull, including main characteristics such as construction material (e.g., steel, GRP), hull form, notable features and overall condition or distinguishing details.
Hull Description - Decks/Masts/Stem/Stern/Rigged/Build/Framework/Bulkheads
Framework (material) Text
Enter the primary framework material of the hull (for example 'steel', 'GRP', 'wood' or other).
Number of Bulkheads Text
Enter the total number of bulkheads fitted in the vessel.
Build (Carvel/Clencher) Text
Specify the hull construction method such as 'Carvel', 'Clencher/Clinker' or other construction type.
Number of Masts Text
Enter the total number of masts on the vessel.
Number of Decks Text
Enter the total number of decks on the vessel.
Rigged (rig type) Text
Enter the vessel's rigging type or configuration (for example 'sloop', 'ketch', 'schooner').
Stem (type/material) Text
Describe the stem of the vessel by type or material (for example 'steel', 'timber', 'raked').
Stern (type) Text
Describe the stern type or construction (for example 'transom', 'counter', 'canoe').
Owner Address and Contact
Owner Telephone Number Text
Enter the owner's primary telephone number (including country and area code if applicable) as a single text string.
Residence / Registered Office Address Text
Enter the full residence or registered office address of the owner, including street, city, postal code and country as appropriate.
Owner Name and Identification
Passport / Partnership Number Text
Enter the passport number for an individual owner or the partnership/corporate registration number for a body corporate associated with this owner.
Owner Name Text
Enter the full name of the owner (individual or company name) as it should appear on the vessel documentation.
Owner(s) Name (Item 31)
Item 31 — Owner(s) Name Text
Enter the full name(s) of the owner(s) for Item 31 exactly as they should appear on the record; if there are multiple owners, list each name separated by commas.
Page 1
A. General — IMO Number (if applicable) Number
Enter the ship's IMO number if it has one; leave blank if not applicable.
A. General — Proposed Ship Name Text
Enter the proposed name of the ship exactly as you wish it to appear on the registry.
Propelling Engines — Engine Details and Makers (Items 25-30)
29. Horsepower (kW) Number
Enter the engine's rated power expressed in kilowatts (kW).
28. Number of Cylinders Text
Enter the total number of cylinders fitted to the engine (e.g., 4, 6).
27. Year of Make Text
Enter the year the engine was manufactured using a four-digit year (e.g., 2005).
25. Number of Propelling Engines Text
Enter the total number of propelling engines installed on the vessel.
26. Description of Engines Text
Provide a brief description of the engine(s), including make/model, fuel type and any distinguishing features.
30. Maker's Name and Address Text
Enter the engine maker's full name and postal address as it should appear in records.
Propelling Engines Section (general field/header)
Propelling Engines — General Notes Text
Enter any general information, title or summary that applies to the propelling engines section (for example overall engine type, brief remarks or a section header).
Propulsion and Service
Service Type Text
Specify the ship's intended service or trade (for example: B/Carrier, Cargo, Tanker, Pleasure Yacht, etc.).
Propulsion Text
Enter the vessel's primary means of propulsion (for example: Sailing, Steam, Motor) or a short description of the propulsion system.
Registry Details (IN No, Proposed Date, Port at Registry)
Proposed Date of Registry Date
Enter the proposed date on which the ship is to be registered with the registry.
Port at Time of Registry Text
Enter the name of the port where the ship will be located at the time of registration.
IM No (if applicable) Checkbox
Check this box if the ship has an IM/IMO number and you will provide that number in the adjacent field.
Ship Identity and Previous Registration
Country of last documentation and present name of vessel Text
Enter the country under whose laws the ship was last documented and the vessel's current name as shown on that documentation.
Proposed name of ship Text
Enter the proposed name for the ship exactly as you want it to appear on the registry.
Previous Malta register name and official number Text
If the ship has previously been on the Malta Register, enter the name under which it was registered and the official number used there.
Ship's Manager Agents Details and Contact
38. Ship's Manager Agents — Contact Information Text
Provide the ship manager agents' contact information including telephone number, fax number, telex (if any), email, AOH number and the name of the contact person.
37. Ship's Manager Agents — Details Text
Enter the ship manager agents' identifying details such as company or individual name, registered office/address and any relevant identifiers or notes describing the agent(s).
Ship's Manager Details and Contact
Ship's Manager — Contact Details Text
Enter the ship manager's contact information including telephone, fax, telex, email, after‑hours (AOH) number and contact person name in a single free-text block.
Ship's Manager Details (ISM Code) Text
Provide the ship manager's full details and ISM Code information, such as company name, address and any registration or ISM identification information.
Ship's Manager — Telephone Number (short) Text
Enter the ship manager's primary telephone number or short phone/extension as requested in the adjacent telephone field.
Tonnage and Register Dimensions
Depth (metres) (14) Number
Enter the vessel's depth in metres as defined by Regulation 2(2).
Breadth (metres) (13) Number
Enter the vessel's breadth (beam) in metres as defined by Regulation 2(3).
Length (metres) (12) Number
Enter the vessel's registered length in metres as defined by Article 2(8).
Net Tonnage (11) Number
Enter the ship's net tonnage (NT) as certified under ITC 1969.
Gross Tonnage (10) Number
Enter the ship's gross tonnage (GT) as certified under ITC 1969.
Tonnage and Register Dimensions (Section B)
Section B — ITC 1969 Applicability Text
Enter a short text indicating whether the tonnage and register dimensions in Section B are calculated according to the International Tonnage Convention 1969 (for example 'Yes', 'No', or a brief note); leave blank only if not applicable.
When Built
When Built Number
Enter the year the vessel was built.