Recreational Ship Registration Application

T ransport Operations (Marine Safety) Act 1994 Office Registration effective from Registration number Use ___ /___ / ___ Only Please note
A fee is payable with this application. It is in your interest to ensure ship identifiers are taken from the ship (not paperwork or previous registration).

4 Registered operator's details

Details must be those of the individual or company that is the proprietor/trustee of the business/trust Full name & residential address (please PRINT)

You will also need ...

Personal Identification e.g. Queensland Driver Licence or Business/Company/Organisation identification. Refer to the separate Evidence of Idenitity Information Sheet (F4362) or www.transport.qld.gov.au for requirements. Proof of origin of the ship (this may be a Bill of Sale; Certificate of Registration; receipt from an auction; beneficiary of estate; etc.) if Queensland Transport has no record of previous registration. Gas Certificate - if applicable

Postcode Postal address (if same as residential write AS ABOVE) Postcode Does the proprietor/trustee have a Customer Reference Number (CRN)?
No Yes

1 Registered number (if reserved) 2 Registered operator's details

Full name & residential address (please PRINT clearly)

Complete a New Customer Application - form F3503 Customer Reference No. Go to 6 What type of concession will you be applying for? Concession types and additional documentation required: Concession types: Pensioner Concession, Seniors Card Concession, Ex-Service Person Concession Documents required: You must complete a Concessional Registration Application (F3937). Note: If you have concessional qualification already recorded against your Customer Reference Number do not complete form F3937.

5 Are you applying for concessional registration fees?

No Yes

Postcode Postal address (if same as residential write AS ABOVE) Postcode Does the above individual or organisation have a Customer Reference Number (CRN)? The Customer Reference number is your Queensland Driver Licence number or Queensland 18+ Card number.
No Yes

6 Is someone lodging this application on your behalf?

No Yes Go to 7 Representative's details
Name (in full)
Representatives signature

Complete a New Customer Application - form F3503 Customer Reference No.

Your representative will need to bring proof of their identification as well as proof of your identity.

The registered operator above is (tick one box) Registered Go to 3 Go to 6 Individual/s Company Business/ Other/ Go to 4 Go to 6 Trust legal entities Identification sighted (Office Use Only) 3 Joint registered operator's details (if applicable) Full name & residential address (please PRINT)

7 8

Is the ship a speed boat or motor boat?

Speed boat
Postcode Postal address (if same as residential write AS ABOVE) Postcode Does the joint registered operator have a Customer Reference Number (CRN)?
No Yes

SBOT

Motor boat

MBOT

Ship's storage details What is the ship's method of storage?

On registered trailer Unregistered trailer/trolley Beached on foreshore Storage rack or similar Moored in marina berth At or near private residence At club marina or premises At commercial marina or storage area RT UT
BF

Moored to jetty/pontoon Moored to piles Moored to an approved bouy mooring Anchored

MJ
MP

SR MM PR CM CS

MB AN

Complete a New Customer Application - form F3503 Customer Reference No.

Where is the ship's place of storage?

Other place at which regular mooring/storage fees are charged Other place at which regular mooring/storage fees are NOT charged RF

Go to 5
Privacy Disclaimer Queensland Transport collects information on this form under the Transport Operations (Marine Safety) Act 1994 to manage the Queensland recreational ship register. This information may be released by the department or its agents to vessel insurers, statutory entities, lawyers, insolvency entities, persons involved in vessel accidents/incidents or vessel manufacturers and to or through interstate registering authorities. This information is also accessible by authorised departmental officers. Queensland Transport will not disclose your personal details to any other third parties without your consent or unless required by law.

NF

Postcode of place of storage

Continued next page . . .

Corporate Forms Management Page 1 of 2 Form F3525 ES Nov 2006

Recreational Ship Registration Application continued ... (page 2 of 2)

9 Ship details

Hull Identification Number (HIN) or Serial Identification Number (SIN) Year of Build

11 Was the ship previously registered?

No Yes go to 12 Previous registration number State or Territory

Make Model Ship Builder Ship seller

Is an Australian Builders Plate (ABP) affixed to the ship? If a ship does not have an ABP then No the ship may not be registered. Mandatory for ships built after Yes 28 September 2006.

12 Proof of origin - you must present proof of origin of the ship

to register it (e.g. Bill of Sale, Certificate of Registration, auction receipt). Do you have proof? Registration may be delayed until the ship's origin No has been verified. Yes Please present proof of origin
No Y es

13 Is the ship fitted with gas fuel systems or other gas systems?
You must present the relevant Gas Certificate with this application unless exempt. For used ships the issue date of the Certificate must not be more than 3 months before the lodgement date of this registration.
Gas fuel systems Certificate no.

Centre console Bowrider Cuddy cabin (Quarter cabin) Full cabin Aluminium Composite Ferro cement Fibreglass (Gpr)

Ship design

CENT
BOWR CUDD

FULL
ALUM COMP

Hull construction material

Half cabin Open/Runabout/ Dinghy (tinny) Sports boat/ Ski boat Personal watercraft (Jetski) Plastic Rubber (Inflatable) Steel Wood

HALF OPEN SPOR PWC PLAS RUBB STEE

WOOD

Gas fuel systems Certificate issue date

FERO FIBR

Exemptions: 1. A new ship, never registered anywhere and fitted with a Gas Compliance Plate. 2. Registering an unregistered ship in the same name that it was previously registered. 3. Remote areas (contact Queensland Transport Customer Service Centre). 4. Dealer demonstration ship.
Other gas systems Other gas systems Certificate no. Certificate issue date

Ship name (if applicable)

Length (Note: one (1) foot = 0.3048m)

If your ship is over 15 metres in length, you m need to complete form F4367, (effective from 1 July 2006).

14 Applicant/s Certification

What is the maximum beam? What is the maximum height? What is the maximum draught?
(distance from the waterline to the deepest underwater point of the hull)

. .

I/We certify the information provided in this application is true and correct. Date Signature

m m m

/
Both signatures are needed if the ship is to be registered in two names. Date Signature
Y es

.
No

Does the ship normally carry sails?

/
Pur Red Sil Tan Tur Whi Yel

Ship colour
Beige Black Blue Brown Bronze Cream Fawn Bei Bla Blu Bro Brz Cre Faw

Gold Green Grey Khaki Maroon Mauve Orange Pink

Gol Gre Gry Kha Mar Mau Ora Pin

Purple Red Silver Tan Turquoise White Yello

Please return completed application to: - Your nearest Queensland Transport Customer Service Centre (refer to your local Telephone Directory) or - Clerk of the Court or Queensland Government Agency authorised to transact ship registration business.
Office use only Date ____ /____ /____

Fee Calculation
Registration Fee Boating Facility Fee

10 Engine details (Note: KwBP = HP 1.34)

Number of engines Engine 1 Manufacturer Kilowatt Brake Power KwBP Engine 2 (if applicable) Manufacturer Serial number

Total
Concession code

ial Offic

p Stam

Inboard Outboard

I O

Concession no.
Identification sighted by

Serial number Inboard Outboard I O

Kilowatt Brake Power

Receipt no.

Date ____ /____ /____

Corporate Forms Management Page 2 of 2 Form F3525 ES Nov 2006