Application Forms

2016/06/26

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Class Survey

Application for Classification and Statutory Services during Construction (Form-1A) (ver: Jan 2016) PDF(238kb)
Word(134kb)
Application for Classification and Statutory Services during Construction(Japanese version) (Form-1A(J)) (ver: 2016.1) PDF(220kb)
Word(139kb)
Application for Classification and Statutory Services for an Existing Ship (Form-3A) (ver: Jan 2016) PDF(200kb)
Word(205kb)
Application for Classification and Statutory Services for an Existing Ship(Japanese version) (Form-3A(J)) (ver: 2016.1) PDF(234kb)
Word(209kb)
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: 2015.06) PDF(159kb)
Word(77kb)
CHANGE OF SHIP MANAGEMENT (Form-MNG) (ver: 1) PDF(36kb)
Word(51kb)
CHANGE OF SHIP MANAGEMENT (Form-MNG(J)) (ver: 1) PDF(63kb)
Word(90kb)
Application of Conversion Surveys (Conversion) (ver: 1) PDF(21kb)
Word(44kb)
Application for Surveys and Issue of Certificates (Form-2A) (ver: Jan 2016) PDF(76kb)
Word(63kb)
Application for Surveys and Issue of Certificates(Japanese version) (Form-2A(J)) (ver: 2016.1) PDF(169kb)
Word(72kb)
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 Class Maintenance Certificate and /or Certificate of Maintenance of Installations Registration (English version) (Form-CM-APP(E)) (ver: 2012.4) PDF(56kb)
Word(94kb)
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 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)
Application for issuance of a "Class Statement (Confirmation)" (Form-CS-APP(J)) (ver: 2012.4) PDF(86kb)
Word(66kb)
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: 2015.07) PDF(352kb)
Word(526kb)
Survey Programme for Single Hull Tankers (Survey Programme for OT(SH)) (ver: 2015.07) PDF(235kb)
Word(366kb)
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)
Survey Programme for Double Skin Bulk Carriers / Ore Carriers (Survey Programme for BC(DH)) (ver: 2014.05) PDF(446kb)
Word(827kb)
Survey Programme for Bulk Carriers other than Double Skin Bulk Carriers (Survey Programme for BC(SH)) (ver: 2014.05) PDF(430kb)
Word(822kb)
Application for Continuous Machinery Survey based on Planned Maintenance Scheme (Form-PMS-AP) (ver: 2014.05) PDF(66kb)
Word(29kb)
Application for Alternative Scheme of Propeller Shaft Survey (Form PSCM-1) (ver: 2) PDF(55kb)
Excel(23kb)
Application for Alternative Scheme of Propeller Shaft Survey (Form PSCM-A) (ver: 1) PDF(111kb)
Excel(31kb)
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 Firms engaged in Thickness Measurements on Ships(English) (AM-TM) (ver: 1601) PDF(19kb)
Word(59kb)
Application for Approval of the Firms Carrying out In-water Survey(English) (AM-IW) (ver: 1601) PDF(22kb)
Word(56kb)
Application for Approval of Firm engaged in Tightness Testing of Closing Appliances with Ultrasonic Equipment(English) (AM-TH) (ver: 1601) PDF(21kb)
Word(59kb)
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 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 Survey and Maintenance of Fire Fighting Equipment and Systems (English) (AM-FE) (ver: 1602) PDF(21kb)
Word(68kb)
Application for Approval of Firms Engaged in Servicing Life-Saving Appliances (AM-LR) (ver: 1601) PDF(62kb)
Word(52kb)
Application for Approval of Firms Engaged in Services of Lifeboats, Launching Appliances, On-load Release Gear, and Automatic release hooks (AM-LA) (ver: 1601) PDF(64kb)
Word(62kb)
Application for Approval of Firms Engaged in Examination of the Bow Doors, Stern Doors, Side Doors and Inner Doors of RO-RO Ships (AM-ED) (ver: 1601) PDF(61kb)
Word(63kb)
Application for Approval of Firm engaged in Luminance Measurements of Low Location Lighting Systems (AM-LM) (ver: 1601) PDF(21kb)
Word(77kb)

Class Survey (Manufacturers)

Application for Approval of Manufacturing Process of Rolled Steels (Form-1-1) (ver: 2015.10) PDF(137kb)
Word(32kb)
Application for Approval of Manufacturing Process of Corrosion Resistant Steel for Cargo Oil Tanks (Form-1-2) (ver: 2015.10) PDF(141kb)
Word(31kb)
Application for Weldability Confirmation of Rolled Steels for Hull (Form-1-3) (ver: 2015.10) PDF(93kb)
Word(26kb)
Application for Approval of Manufacturing Process of Semi-finished Products  (Form-1-4) (ver: 2015.10) PDF(94kb)
Word(26kb)
Application for Approval of Manufacturing Process of Steel Pipes (Form-1-5) (ver: 2015.10) PDF(144kb)
Word(31kb)
Application for Approval of Manufacturing Process of Castings and Steel Forgings (Form-1-6) (ver: 2015.10) PDF(99kb)
Word(30kb)
Application for Approval of Manufacturing Process of Aluminum Alloys (Form-1-7) (ver: 2015.10) PDF(99kb)
Word(28kb)
Application for Approval of Manufacturing Process of Propeller Castings (Form-1-8) (ver: 2015.10) PDF(88kb)
Word(27kb)
Application for Approval of Manufacturing Process of Anchors (Form-2-1) (ver: 2015.10) PDF(95kb)
Word(28kb)
Application for Approval of Manufacturing Process of Chains (Form-2-2A) (ver: 2015.10) PDF(98kb)
Word(31kb)
Application for Approval of Manufacturing Process of Chain Accessories (Form-2-2B) (ver: 2015.10) PDF(103kb)
Word(33kb)
Application for Approval of Manufacturing Process of Raw Textiles for Synthetic Fibre Rope (Form-2-3) (ver: 2015.10) PDF(96kb)
Word(28kb)
Application for Approval of Manufacturing Process of Synthetic Fibre Rope (Form-2-4) (ver: 2015.10) PDF(99kb)
Word(30kb)
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)
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 Type Approval of Sewage Treatment Plant/Sewage Comminuting and Disinfecting System (Form 2-9) (ver: 2016.01) PDF(66kb)
Word(40kb)
Application of Approval for The Use of Fiber Reinforced Plastic (FRP) (Form 2-10) (ver: 2016.01) PDF(66kb)
Word(40kb)
Application for Approval of Use of Shipboard Incinerator (Form 2-11) (ver: 2016.01) PDF(71kb)
Word(40kb)
Application for Type Approval of Welding Consumables (Form-3-1) (ver: 2016.04) PDF(133kb)
Word(37kb)
Application for Annual Inspection of Approved Welding Consumables (Form-3-2) (ver: 2015.10) PDF(71kb)
Word(25kb)
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) (ver: -) PDF(51kb)
Word(69kb)
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-4-6) PDF(32kb)
Word(32kb)
Application for Periodical Test of Raw Materials for Hull of Ships of Fiberglass Reinforced Plastics (Form-4-7) PDF(32kb)
Word(32kb)
APPLICATION FOR APPROVAL OF MANUFACTURING PROCESS OF NON-METALLICAL BEARING MATERIAL FOR RUDDERS (Form-4-9) (ver: 2012.07) PDF(46kb)
Word(31kb)
Application for Approval of Corrosion Resistant Paints for Corrosion Control (Form-4-10) PDF(21kb)
Word(31kb)
Application for Type Approval of Coating System (Form-4-14) (ver: 2015.10) PDF(96kb)
Word(28kb)
Application for Applying Machinery and Equipment Manufactured with Approved Standardized Design to an NK-Classed Ship (Form-6-1-2) (ver: 2016.06) PDF(55kb)
Word(34kb)
APPLICATION FOR APPROVAL OF STANDARDIZED DESIGN FOR MACHINERY AND EQUIPMENT (Form-6-1) (ver: 2016.06) PDF(58kb)
Word(36kb)
Application for Approval of Use of Machinery and Equipment (Form-6-2) (ver: 2016.06) PDF(55kb)
Word(30kb)
Application for Approval of Coefficient of Discharge of Safety Valves, etc. (Form-6-3) (ver: 2016.06) PDF(89kb)
Word(32kb)
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 Approval of Use of Mechanical Joints (Form-6-9) (ver: 2016.06) PDF(55kb)
Word(31kb)
APPLICATION FOR APPROVAL OF USE OF CRANKCASE EXPLOSION RELIEF VALVES (Form-6-10) (ver: 2016.06) PDF(27kb)
Word(33kb)
APPLICATION FOR APPROVAL OF MANUFACTURING BOILERS AND GROUP 1 PRESSURE VESSELS (Form-6-11) (ver: 2016.06) PDF(90kb)
Word(25kb)
Application for Environmental Test on Automation Equipment (Form-7-1) (ver: 2012.07) PDF(32kb)
Word(36kb)
Application for Approval of Loading Computer (Form-7-2) (ver: 1.0) PDF(47kb)
Word(36kb)
Application for Approval of Fire Stop Method for Bunched Cables / Fire Stop Paints / Non-metalic Cable Supports (Form-7-3) (ver: 2012.07) PDF(97kb)
Word(42kb)
Application for Approval of Use for Level Indicating System (Form-7-4) (ver: 2012.07) PDF(29kb)
Word(29kb)
APPLICATION OF RENEWAL INSPECTION FOR INDICATING SYSTEM (Form-7-4E) (ver: 2016.06) PDF(88kb)
Word(31kb)
APPLICATION FOR APPROVAL OF USE OF WATER LEVEL DETECTION AND ALARM SYSTEMS (Form-7-5) (ver: 2016.06) PDF(106kb)
Word(32kb)
APPLICATION OF RENEWAL INSPECTION FOR WATER LEVEL DETECTION AND ALARM SYSTEMS (Form-7-5E) (ver: 2016.06) PDF(78kb)
Word(30kb)
APPLICATION FOR APPROVAL OF USE OF CRANKCASE OIL MIST DETECTION ARRANGEMENTS (Form-7-6) (ver: 2016.06) PDF(12kb)
Word(33kb)
Application form for Type Test (Form-8-1) (ver: 12.07) PDF(34kb)
Word(40kb)
Application for Extension of Periodical Investigation (Form-8-1P) (ver: 2016.06) PDF(107kb)
Word(38kb)
Application for Machinery and Equipment Manufactured by Mass Production System (Form-5-1) (ver: 2012.07) PDF(33kb)
Word(37kb)
Application for Approval of Use of Gas Detection Equipment (Form 7-9) (ver: 2016.01) PDF(66kb)
Word(40kb)
APPLICATION FOR TYPE APPROVAL OF PMS SOFTWARE (Form-PMSsoftware) (ver: 2016.06) PDF(39kb)
Word(55kb)
Welders' Qualification Tests Application (Form-WE(E)-C) (ver: 2009.12) PDF(95kb)
Word(535kb)
Application for Approval of Anchors Intended for Use on Vessels or Floating Offshore Facilities Fixed or Positioned at Specific Sea Areas for Long Periods of Time (Form 2-1A) (ver: 2015.10) PDF(20kb)
Word(40kb)

Statutory Certificates, Certification

Application Form for Approval of Cargo Securing Manual(English) (APP-CSM(E)) PDF(61kb)
Word(27kb)
APPLICATION FOR ISSUANCE OF EIAPP CERTIFICATE OF MARPOL 73/78 ANNEX VI(2008) (APP-EIAPP(E)) (ver: 2008) PDF(50kb)
Word(74kb)
Application for Assignment of Load Line (APP-LL) PDF(164kb)
Word(44kb)
Application for Multiple Load Line Certificate (APP-MLL) PDF(80kb)
Word(34kb)
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 for Certificate of Fitness for Ships Carrying Dangerous Goods (DGI-APP) (ver: 2011.01.01) PDF(78kb)
Word(47kb)
Application for Issue of Certificate (Form-4A) (ver: 2013.04) PDF(108kb)
Word(78kb)
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 Exemption Certificate for Panamanian Vessels (PMA-ex-appl) (ver: Rev.Nov.2012) PDF(136kb)
Word(120kb)
CHECK LIST FOR INITIAL/PERIODICAL/RENEWAL SURVEY OF PASSENGER/CARGO SHIP SAFETY RADIO EQUIPMENT (GMDSS) (SR(GMDSS)check) (ver: 12.01) PDF(170kb)
Word(490kb)
APPLICATION FOR TONNAGE MEASUREMENT (TM-1) (ver: 201507) PDF(112kb)
Word(98kb)

ISM/ISPS Audit, MLC Inspection

ISM Application for Company Audit of SMS (APPLI-C) (ver: 2013.7) PDF(55kb)
Word(90kb)
Corrective Action Plan for NC* / DNC* (Form-CAP) (ver: 2014.10) PDF(22kb)
Word(50kb)
Application for Ship Security Plan (SSP) Approval in accordance with ISPS Code (MS-APPLI-SSP) (ver: 2015.3) PDF(147kb)
Word(75kb)
Checklist for survey of Ship Security Alert System (MS-CHK-SSAS) (ver: 2009.11) PDF(34kb)
Word(80kb)
Corrective Action Plan for NC* / DNC* (Form-MS-CAP) (ver: 2014.11) PDF(68kb)
Word(53kb)
Application for Shipboard Audit in accordance with ISM / ISPS Code (APPLI-CSA) (ver: 2014.12) PDF(192kb)
Word(96kb)
Application for Review of Relevant Documents(DMLC Part II and/or drawings) (MLC-APPLI-R) (ver: 2015.6) PDF(64kb)
Word(100kb)
Application for Inspection of Seafarers' Working and Living Conditions (MLC-APPLI-S) (ver: 2015.6) PDF(127kb)
Word(101kb)
Application for Inspection of Seafarers' Working and Living Conditions (in Japanese) (MLC-APPLI-S-J) (ver: 2015.6) PDF(226kb)
Word(101kb)
Corrective Action Plan (MLC-CAP) (ver: 2013.11) PDF(59kb)
Word(79kb)

ISO Audit

ISO APPLICATlON FOR QUALITY MANAGEMENT SYSTEM AUDIT (FORM QAQ-160-51E) (ver: 6) PDF(109kb)
Word(131kb)
ISO APPLICATION FOR ENVIRONMENTAL MANAGEMENT SYSTEM AUDIT (FORM QAE-160-51E) (ver: 5) PDF(108kb)
Word(123kb)
APPLICATION FOR ENERGY MANAGEMENT SYSTEM AUDIT (FORM QAEn-160-51E) (ver: 1) PDF(126kb)
Word(117kb)
APPLICATION FOR TRANSFER OF MANAGEMENT SYSTEM CERTIFICATION (FORM QA-160-51E) (ver: 1) PDF(66kb)
Word(76kb)
ISO APPLICATION FOR OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT SYSTEM AUDIT (FORM QAH-160-51E) (ver: 3) PDF(126kb)
Word(120kb)
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(35kb)
Word(63kb)
APPLICATION for Verification of Vessels under Clean Shipping Index (CSI) (FORM QAC-020-01) (ver: 0) PDF(44kb)
Word(73kb)

Appraisal

Application for Issuance of Deadweight Certificate (APP-DWT) (ver: 1.0) PDF(65kb)
Word(36kb)
Application for Technical Services (APP-Tech) (ver: 2012.11) PDF(53kb)
Word(38kb)
Application for Certification of Load Line (APP-LLappraisal) PDF(166kb)
Word(45kb)

Testing Machine

Application for Verification/Inspection of Foce-proving Instrument (Form-APL-FPI) (ver: 2006.3) PDF(67kb)
Word(54kb)
Application for Verification of Rockwell Hardness Testing Machine(JCSS) (Form-APL-HRC(JCSS)) (ver: 2016.05) PDF(120kb)
Word(53kb)
Application for Verification of Uniaxial Testing Machine(JCSS) (Form-APL-TM(JCSS)) (ver: 2006.3) PDF(78kb)
Word(80kb)
Application for Verification/Inspection of Uniaxial Testing Machine (Form-APL-TM) (ver: 2006.3) PDF(77kb)
Word(79kb)
Survey Slip for Use Calibration (Form-APL-TM-ATT) (ver: 2016.5) PDF(190kb)
Word(87kb)
Application for Inspection of Testing Machine (Form-TM1) (ver: 2006.3) PDF(74kb)
Word(51kb)

Other Services

Application for PrimeShip-HULL software for CSR-BC&OT Calculation (ECSR-BC&OT-SW-ORDER) (ver: 2015.07) PDF(89kb)
Word(42kb)
Application for PrimeShip-HULL software for CSR Calculation (ECSR-SW-ORDER) (ver: 2012.05) PDF(150kb)
Word(307kb)
Application for PrimeShip-HULL software for Container Carriers (ECC-SW-ORDER) (ver: 2016.01) PDF(87kb)
Word(40kb)
Application for Registration for Emergency Technical Assistance Service(ETAS) (ETAS-APP-E) (ver: ETAS-APP-E(2015.07)) PDF(101kb)
Word(59kb)
Application for NK-SHIPS Internet Service (NK-SHIPS AP-E) (ver: 14.06) PDF(40kb)
Word(76kb)
Application for NK-PASS (PASS-APP-E) (ver: 2010.04) PDF(60kb)
Word(74kb)
Application for issuance of a "Certificate of Survey" (COS-APP) (ver: 2016.2) PDF(89kb)
Word(38kb)

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