APPLICATION FOR A CERTIFICATE ATTESTING INSURANCE OR OTHER FINANCIAL SECURITY IS IN FORCE IN ACCORDANCE WITH THE PROVISIONS OF THE CLC Protocol 92., Civil Liability Convention Contact details Name Email Mobile no Currier address Vessel details Vessel name IMO Vessel flag Call sign Vessel type Year built GRT NRT Registered owner details Owner name Owner address Required flag for registration Required flag Belize Bolivia Cameroon Comoros Eswatini Honduras Mongolia Palau Panama Sierra Leone Tanzania Togo Upload certificate of registry File upload Upload blue card (make sure it is address to the appropriate flag state) File upload Send PricingCertificate Price: $450Payment Method: Bank transfer