Application Forms
2012/05/23
Please click the icons below in order to get a form.
Class Survey
| Application for Classification and Statutory Services during Construction (Form-1A) | (ver: Rev. January 2011) | PDF(118kb)
Word(401kb) |
| Application for Classification and Statutory Services during Construction (Japanese version) (Form-1A(J)) | (ver: Rev. December 2011) | PDF(230kb)
Word(361kb) |
| Application for Classification and Statutory Services for an Existing Ship (Form-3A) | (ver: Rev. January 2011) | PDF(101kb)
Word(388kb) |
| Application for Classification and Statutory Services for an Existing Ship (Form-3A(J)) | (ver: Rev. December 2011) | PDF(224kb)
Word(375kb) |
| Application for pre-examination of drawings of an existing ship for classification (PlanPre-examExistingship) | (ver: 2004.01) | PDF(63kb)
Word(27kb) |
| Application for Cancellation of Installations Character "M0" (M0Cancel) | (ver: Rev. 2009.09) | PDF(44kb)
Word(31kb) |
| Application for Ship Laid-Up (FormB1-1) | (ver: 2009.11) | PDF(28kb)
Word(28kb) |
| Application for Ship Laid-Up (FormB1-1(J)) | (ver: 2009.02) | PDF(48kb)
Word(28kb) |
| Application for Rewrite of Classification Certificate and/or Installations Registration Certificate (CERT-APP) | (ver: 2011.03) | PDF(82kb)
Word(66kb) |
| CHANGE OF SHIP MANAGEMENT (Form-MNG(J)) | (ver: 1) | PDF(63kb)
Word(90kb) |
| CHANGE OF SHIP MANAGEMENT (Form-MNG) | (ver: 1) | PDF(36kb)
Word(51kb) |
| Application for Surveys and Issue of Certificates (Form-2A) | (ver: Rev. December 2009) | PDF(67kb)
Word(215kb) |
| Application for Surveys and Issue of Certificates (Form-2A(J)) | (ver: Rev. December 2011) | PDF(154kb)
Word(157kb) |
| Application of Conversion Surveys (Conversion) | (ver: 1) | PDF(21kb)
Word(44kb) |
| Application for postponement of class survey (Postponement) | (ver: 1) | PDF(128kb)
Word(27kb) |
| Application for issuance of a "Class Statement (Confirmation)" (Form-CS-APP(E)) | (ver: 2012.4) | PDF(24kb)
Word(61kb) |
| Survey Planning Questionnaire for Oil Tanker (Survey Planning Questionnaire(T)) | PDF(147kb)
Word(186kb) | |
| Survey Programme for Double Hull Tankers (Survey Programme for OT(DH)) | (ver: 2010.05) | PDF(138kb)
Word(470kb) |
| Survey Programme for Single Hull Tankers (Survey Programme for OT(SH)) | (ver: 2010.05) | PDF(138kb)
Word(480kb) |
| Survey Planning Questionnaire for Bulk Carrier (Survey Planning Questionnaire(BC)) | PDF(24kb)
Word(213kb) | |
| Survey Programme for Chemical Tanker (Survey-Programme) | (ver: 2005.04) | PDF(28kb)
Word(81kb) |
| Application for Continuous Machinery Survey based on Planned Maintenance Scheme (Form-PMS-AP) | (ver: 1) | PDF(48kb)
Word(23kb) |
| Application for Alternative Scheme of Propeller Shaft Survey (Form PSCM-1) | (ver: 2) | PDF(55kb)
Excel(23kb) |
| Survey Programme for Double Skin Bulk Carriers / Ore Carriers (Survey Programme for BC(DH)) | (ver: 2010.05) | PDF(139kb)
Word(512kb) |
| Application for Continuous Machinery Survey (CMS) (Form-CMS-1E) | (ver: 2012.4) | PDF(73kb)
Word(61kb) |
| Application for Continuous Machinery Survey (CMS) (Form-CMS-1J) | (ver: 2012.4) | PDF(74kb)
Word(66kb) |
| Application for issuance of a "Class Statement (Confirmation)" (Form-CS-APP(J)) | (ver: 2012.4) | PDF(86kb)
Word(66kb) |
| Application for issuance of Class Maintenance Certificate and /or Certificate of Maintenance of Installations Registration (Japanese version) (Form-CM-APP(J)) | (ver: 2012.4) | PDF(96kb)
Word(98kb) |
| Application for issuance of Class Maintenance Certificate and /or Certificate of Maintenance of Installations Registration (English version) (Form-CM-APP(E)) | (ver: 2012.4) | PDF(56kb)
Word(94kb) |
| Survey Programme for Bulk Carriers other than Double Skin Bulk Carriers (Survey Programme for BC(SH)) | (ver: 2010.05) | PDF(139kb)
Word(535kb) |
| Application for Initial Survey of Cargo Handling Appliances during Construction / not built under Survey (CG-APP) | (ver: 1) | PDF(39kb)
Word(26kb) |
| Data for Automatic and Remote Control of Machinery System (Diesel Ship) (DATA-DF) | (ver: 2004.06) | PDF(189kb)
Word(224kb) |
| Automatic and Remote Control (Data) (Steam Turbine Ship) (Form DATA-T) | (ver: 2009.7) | PDF(575kb)
Word(4474kb) |
| Record for Monitoring System of Sterntube Bearing and Oil Sealing Device (MT3) | (ver: 2011.01) | PDF(107kb)
Word(279kb) |
| Application for Approval of Manufacturing Procedure for Freight Container (CMNF-APP) | PDF(29kb)
Word(30kb) | |
| Application for Tests and Inspections during Production of Freight Containers (CTEST-APP) | PDF(31kb)
Word(35kb) | |
| Application for Design Type Approval for Freight Container (CTYP-APP) | PDF(29kb)
Word(32kb) |
Class Survey (Service Suppliers)
| Application for Approval of Manufacturers (English) (AM-1E-R1) | (ver: 2) | PDF(12kb)
Word(30kb) |
| Application for Approval of the Firm Engaged in Thickness Measurement(English) (AM-TM) | (ver: 1) | PDF(26kb)
Word(52kb) |
| Application for Approval of the Firm Carrying out In-water Survey(English) (AM-IW) | (ver: 2) | PDF(35kb)
Word(56kb) |
| Application for Assessment and Approval of Firms Engaged in Servicing and Testing of Radio Communication Equipment (English version) (Form-AM-RC-1) | (ver: 11.04) | PDF(46kb)
Word(88kb) |
| Application for Approval of Firm Engaged in Tightness Testing of Hatches with Ultrasonic Equipment(English) (AM-HT) | (ver: 2) | PDF(25kb)
Word(51kb) |
| Application for Approval of Firms engaged in Surveys and Maintenance of Fire Extinguishing Equipment and Systems and Self-contained Breathing Apparatus (English) (AM-FE) | (ver: 2) | PDF(26kb)
Word(54kb) |
| Application for Approval of Firms engaged in Service on Inflatable Liferafts / Inflatable Lifejackets / Hydrostatic Release Units and Inflated Rescue Boats (AM-LR) | (ver: 1) | PDF(37kb)
Word(61kb) |
| Application for Assessment/Approval of Firms Engaged in Performance Tests of Voyage Data Recorders(VDRs) (English version) (Form-AM-VT-1) | (ver: 11.04) | PDF(40kb)
Word(92kb) |
| Application for Approval of Firms Engaged in Services of Lifeboats, Launching Appliances and On-load Release Gear (AM-LA) | (ver: 1) | PDF(34kb)
Word(49kb) |
Class Survey (Manufacturers)
| Application for Approval of Manufacturing Process of Rolled Steels (Form-1-1) | PDF(33kb)
Word(31kb) | |
| Application for Renewal Approval of Manufacturing Process of Rolled Steels (Form-1-2) | PDF(32kb)
Word(28kb) | |
| Application for the Weldability Confirmation of Hull Structural Rolled Steels (Form-1-3) | PDF(38kb)
Word(28kb) | |
| Application for Approval of Manufacturing Process of Steel Pipes (Form-1-4) | PDF(19kb)
Word(30kb) | |
| Application for Renewal Approval of Manufacturing Process of Steel Pipes (Form-1-5) | PDF(31kb)
Word(31kb) | |
| Application for Approval of Manufacturing Process of Anchors (Form-2-1) | PDF(32kb)
Word(32kb) | |
| Application for Approval of Manufacturing Process of High Holding Power Anchors/Super High Holding Power Anchors (Form-2-2) | PDF(32kb)
Word(28kb) | |
| Application for Approval of Manufacturing Process of Chains (Form-2-3) | PDF(32kb)
Word(32kb) | |
| Application for Approval of Prototype of ETA (Form-2-5) | PDF(33kb)
Word(34kb) | |
| Application for Approval of Life-saving Appliances / Equipment (Form-2-6) | PDF(29kb)
Word(34kb) | |
| Checklist for Re-Type Approval for Lifeboats (Form-2-6-1-1) | (ver: 0.00) | Word(218kb) |
| Checklist for Re-Type Approval for Rescue boats (Form-2-6-1-2) | (ver: 0.00) | Word(175kb) |
| Checklist for Re-Type Approval for Launching Appliances (Form-2-6-1-3) | (ver: 0.00) | Word(59kb) |
| Checklist for Re-Type Approval for Liferafts (Form-2-6-1-4) | (ver: 0.00) | Word(101kb) |
| Application for Production Test of Life-saving Appliances / Equipment (Form-2-7) | PDF(30kb)
Word(34kb) | |
| Application for Omission of Drawings & Document of Life-saving Appliances / Equipment (Form-2-8) | PDF(10kb)
Word(32kb) | |
| Application for Approval of Welding Consumables (Form-3-1) | PDF(17kb)
Word(40kb) | |
| Application for Annual Inspection of Approved Welding Consumables (Form-3-2) | PDF(19kb)
Word(35kb) | |
| Application for Approval of Fire Protection Materials (Form-4-1) | PDF(81kb)
Word(51kb) | |
| Application for Approval of Fire Retardant Coatings (Form-4-2&-5) | PDF(51kb)
Word(77kb) | |
| Application for Periodical Test of Approved Fire Protection Materials (Form-4-3) | PDF(38kb)
Word(43kb) | |
| Application for Periodical Test of Approved Fire Retardant Coatings (Form-4-4) | PDF(36kb)
Word(37kb) | |
| Application for Approval of Raw Materials for Hull of Ships of Fiberglass Reinforced Plastics (Form-4-5) | PDF(7kb)
Word(20kb) | |
| Application for Periodical Test of Raw Materials for Hull of Ships of Fiberglass Reinforced Plastics (Form-4-6) | PDF(7kb)
Word(20kb) | |
| Application for Approval of Corrosion Resistant Paints for Corrosion Control (Form-4-10) | PDF(21kb)
Word(31kb) | |
| Application for Approval of Standardized Design for Machinery and Equipment (Form-6-1-1) | PDF(49kb)
Word(36kb) | |
| Application for Applying Machinery and Equipment Manufactured with Approved Standardized Design to an NK-Classed Ship (Form-6-1-2) | PDF(49kb)
Word(34kb) | |
| Application for Approval of Use of Machinery and Equipment (Form-6-2) | PDF(48kb)
Word(30kb) | |
| Application for Approval of Coefficient of Discharge of Safety Valves, etc. (Form-6-3) | PDF(27kb)
Word(33kb) | |
| Application for Approval of Non-Metal Pipes (Form-6-4) | (ver: ---) | PDF(26kb)
Word(29kb) |
| Application for Periodical Test of Approved Non-Metal Pipes (Form-6-5) | (ver: ---) | PDF(26kb)
Word(29kb) |
| Application for Approval of Venting Systems and Related Equipment for Tankers (Form-6-6) | PDF(17kb)
Word(28kb) | |
| Application for Continuation of Approval of Venting Systems and Related Equipment for Tankers (Form-6-7) | PDF(16kb)
Word(27kb) | |
| Application for Environmental Test on Automation Equipment (Form-7-1) | PDF(29kb)
Word(34kb) | |
| Application for Approval of Loading Computer (Form-7-2) | (ver: 1.0) | PDF(47kb)
Word(36kb) |
| Application for Approval of Fire Stop Method / Paints for Fire Stop / Non-metal Cable Bands (Form-7-3) | PDF(27kb)
Word(33kb) | |
| Application for Approval of Use for Level Indicating System (Form-7-4) | PDF(27kb)
Word(27kb) | |
| Application of Renewal Inspection for Level Indicating System (Form-7-5) | (ver: -) | PDF(27kb)
Word(27kb) |
| Application form for Type Test (Form-8-1) | (ver: 07.01) | PDF(73kb)
Word(38kb) |
| Application for Approval of Use of water Level Detection and Alarm Systems (Form-7-6) | PDF(49kb)
Word(28kb) | |
| Application for Machinery and Equipment Manufactured by Mass Production System (Form-5-1) | PDF(49kb)
Word(36kb) | |
| Application of Renewal Inspection for Water Level Dectection and Alarm Systems (Form-7-7) | PDF(8kb)
Word(27kb) | |
| Welders' Qualification Tests Application (Form-WE(E)-C) | (ver: 2009.12) | PDF(95kb)
Word(535kb) |
| Application for Approval of Use of Crankcase Oil Mist Detection Arrangements (Form-7-8) | PDF(19kb)
Word(32kb) | |
| Application for Renewal of Approval of Manufacturing Process of Castings / Forgings (Form-1-7) | PDF(34kb)
Word(29kb) | |
| Application for Approval of Manufacturing Process of Castings / Forgings (Form-1-6) | PDF(38kb)
Word(29kb) | |
| Application for Approval Continuation of Manufacturing Process of Synthetic Ropes (Form-2-4) | PDF(32kb)
Word(30kb) |
Statutory Certificates, Certification
| Application for Extension of Period of Service of Inflatable Liferafts (APP-XRAFT) | (ver: 2004.01) | PDF(133kb)
Word(29kb) |
| Application for Extension of Period of Statutory Certificate (APP-XSESR) | (ver: 1) | PDF(131kb)
Word(28kb) |
| Application Form for Approval of Cargo Securing Manual(English) (APP-CSM(E)) | PDF(61kb)
Word(27kb) | |
| Application for Assignment of Load Line (APP-LL) | PDF(164kb)
Word(44kb) | |
| Application for Multiple Load Line Certificate (APP-MLL) | PDF(80kb)
Word(34kb) | |
| Check List for Initial/Renewal Survey of Passenger/Cargo Ship Safety Radio Equipment (GMDSS) (SR(GMDSS)check) | (ver: 10.01) | PDF(119kb)
Word(507kb) |
| Application for Approval of The Grain Loading Plan (GRAIN-APP) | (ver: -) | PDF(20kb)
Word(22kb) |
| Application for Re-approval of The Grain Loading Plan (GRAIN-APP-R) | (ver: -) | PDF(20kb)
Word(22kb) |
| Application for Certificate of Fitness for Ships Carrying Dangerous Goods (DGI-APP) | (ver: 2011.01.01) | PDF(78kb)
Word(47kb) |
| APPLICATION FOR TONNAGE MEASUREMENT (TM-1) | (ver: 201112) | PDF(57kb)
Word(101kb) |
| APPLICATION FOR ISSUANCE OF EIAPP CERTIFICATE OF MARPOL 73/78 ANNEX VI(2008) (APP-EIAPP(E)) | (ver: 2008) | PDF(50kb)
Word(74kb) |
| Application for Issue of Certificate (Form-4A) | (ver: 2011.12) | PDF(105kb)
Word(71kb) |
| Application for Exemption Certificate for Panamanian Vessels (PMA-ex-appl) | (ver: 01) | PDF(70kb)
Word(108kb) |
PrimeManagement
| Application for Shipboard Audit in accordance with ISM / ISPS Code (APPLI-CSA) | (ver: 2012.3) | PDF(111kb)
Word(106kb) |
ISM Audit
| Application for Company Audit of SMS (APPLI-C) | (ver: 2010.4) | PDF(61kb)
Word(66kb) |
| Application for Shipboard Audit of SMS (APPLI-S) | (ver: 2010.4) | PDF(61kb)
Word(72kb) |
| Questionnaire for Shipboard Audit (Form-QSA) | (ver: 2010.4) | PDF(20kb)
Word(60kb) |
| Corrective Action Plan (Form-CAP) | (ver: 2012.5) | PDF(34kb)
Word(54kb) |
ISPS Audit
| Application for Ship Security Plan Approval and Shipboard Security Audit (MS-APPLI) | (ver: 2010.3) | PDF(38kb)
Word(83kb) |
| Checklist for survey of Ship Security Alert System (MS-CHK-SSAS) | (ver: 2009.11) | PDF(34kb)
Word(80kb) |
| Checklist for survey of Ship Security Alert System(Japanese) (MS-CHK-SSAS-j) | (ver: 2012.1) | PDF(140kb)
Word(119kb) |
| Attachment to Questionnaire for SSP Approval (MS-QPA-ATT-E) | (ver: 2005.4.1) | PDF(81kb)
Word(40kb) |
| Questionnaire for Shipboard Audit (MS-QSA) | (ver: 2009.11) | PDF(38kb)
Word(90kb) |
| Questionnaire for SSP Approval (MS-QPA) | (ver: 2005.4.1) | PDF(26kb)
Word(62kb) |
| Corrective Action Plan (Form-MS-CAP) | (ver: 2011.12) | PDF(57kb)
Word(55kb) |
| Application for Ship Security Plan (SSP) Approval in accordance with ISPS Code (MS-APPLI-SSP) | (ver: 2012.3) | PDF(84kb)
Word(75kb) |
MLC Inspection
| Application for Approval of Relevant Documents (DMLC Part II and/or drawings) and Inspection of Seafarers’ Working and Living Conditions (MLC-APPLI.-voluntary) | (ver: 2012-01) | PDF(31kb)
Word(79kb) |
ISO
| Application for Occupational Health and Safety Management System Audit (FORM QAH-160-51E) | (ver: 0) | PDF(70kb)
Word(98kb) |
| Application for Quality Management System Audit (FORM QAQ-160-51J) | (ver: 2) | PDF(116kb)
Word(101kb) |
| Application for Environmental Management System Audit (FORM QAE-160-51E) | (ver: 1) | PDF(43kb)
Word(100kb) |
| Application for Quality Management System Audit (FORM QAQ-160-51E) | (ver: 2) | PDF(52kb)
Word(101kb) |
| APPLICATION FOR OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT SYSTEM AUDIT (FORM QAH-160-51J) | (ver: 0) | PDF(98kb)
Word(102kb) |
Appraisal
| Application for Issuance of Deadweight Certificate (APP-DWT) | (ver: 1.0) | PDF(65kb)
Word(36kb) |
| Application for Technical Services (APP-Tech) | PDF(59kb)
Word(40kb) | |
| Application for Certification of Load Line (APP-LLappraisal) | PDF(166kb)
Word(45kb) |
Testing Machine
| Application for Verification/Inspection of Uniaxial Testing Machine (Form-APL-TM) | (ver: 2006.3) | PDF(90kb)
Word(79kb) |
| Application for Verification of Uniaxial Testing Machine(JCSS) (Form-APL-TM(JCSS)) | (ver: 2006.3) | PDF(91kb)
Word(80kb) |
| Application for Verification of Rockwell Hardness Testing Machine(JCSS) (Form-APL-HRC(JCSS)) | (ver: 2006.3) | PDF(63kb)
Word(62kb) |
| Application for Verification/Inspection of Foce-proving Instrument (Form-APL-FPI) | (ver: 2006.3) | PDF(63kb)
Word(54kb) |
| Survey Slip for Use Calibration (Form-APL-TM-ATT) | (ver: 2006.3) | PDF(98kb)
Word(78kb) |
| Application for Inspection of Testing Machine (Form-TM1) | (ver: 2006.3) | PDF(69kb)
Word(51kb) |
Other Services
| Application for NK-PASS (PASS-APP-E) | (ver: 2010.04) | PDF(60kb)
Word(74kb) |
| Application for NK-SHIPS Internet Service (NK-SHIPS AP-E) | (ver: 11.06) | PDF(31kb)
Word(77kb) |
| APPLICATION FOR CERTIFICATION OF SEAFARER RECRUITMENT & PLACEMENT SERVICE PROVIDERS (FORM MLC-SRPSP-160-51E) | (ver: 0) | PDF(17kb)
Word(68kb) |
| APPLICATION FOR CERTIFICATION OF MARITIME EDUCATION & TRAINING (FORM MET-160-51E) | (ver: 0) | PDF(53kb)
Word(58kb) |
| Application for PrimeShip-HULL software for CSR Calculation (ECSR-SW-ORDER) | (ver: 2012.05) | PDF(158kb)
Word(52kb) |
| Application for Registration for Emergency Technical Assistance Service(ETAS) (ETAS-APP-E) | PDF(50kb)
Word(54kb) |
Personal information obtained by the Society will be used for the following purpose(s):
- To receive and accomplish the Society's services and to communicate with clients
- To offer information related to the Society's activities
- To notify clients about research meetings and seminars hosted by the Society