Service Request Form for Plan Approval / Other Services

 (Excluding New construction, Class Entry & Modification of Major Nature)



Service Request Form for Plan Approval / Other Services
SRF No:
 

Note: ( * ) Indicate as mandatory.

We request that the following plan(s) approval/service(s) as detailed below be undertaken as per relevent        requirements.

We agree to provide all the required information/documents/plans to IRS in soft copy format through the Eplan system to undertake the plan approval/service(s) and also agree to pay
applicable plan approval/service(s) fees as per IRS fee Scale.


Name of The Vessel/Project: *    
Purchase Order No. : Purchase Date:*
Address of Owner: *
Contact Person: *
Phone / Mobile No.: *
Email ID: *
Same As Owner Address:

Address of Manager: *
Contact Person: *
Phone / Mobile No.: *
Email ID: *
Sr. NoDetail(s)/List of Plan/Service(s) 
  
Reason(s) for submission of the plan(s)/service(s):  
Address of Invoicing: *
(For New Customers only)
PAN No.:
TAN No.:
GST No.: *
     
Name: * Designation: *
( View Terms & Conditions ) Date: *