Fillable Queensland Regulated Ship Registration Transfer Application (Department of the Environment and Energy)

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Queensland Regulated Ship Registration Transfer Application (Department of the Environment and Energy)

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Queensland Regulated Ship Registration
Transfer Application
Under the Transport Operations (Marine Safety) Act 1994
The form is in two parts, A and B. The acquirer and disposer must sign both parts.
• Part A. Transfer Application must be completed in full and signed by both the acquirer and disposer, and submitted to the Department of
Transport and Main Roads (TMR) by the acquirer.
• Part B. Proof of Transfer/Notice of Disposal must be completed in full and signed by both the acquirer and disposer, and kept by the
disposer until the registration has been transferred.
Acquirer must complete and submit Part A within 14 days of acquiring the ship, together with:
• Evidence of Identity (EOI) is required at the time of making this application. Personal identication for example, Queensland Driver
Licence or business/company/organisational identication. Refer to the separate Evidence of Identity Information Sheet (F4362) or
www.tmr.qld.gov.au for requirements. Note: If the ship is to be registered in joint names both parties must provide suitable personal identication.
• A transfer fee will apply.
• Recreational ships that are 15 metres or more in length will require an endorsement from Maritime Standards
(Maritime_Standards@tmr.qld.gov.au) prior to transfer.
• Prescribed Other Queensland Regulated Ships, will require an endorsement from Maritime Standards
(Maritime_Standards@tmr.qld.gov.au) prior to transfer.
Disposer must:
• Complete and keep Part B as proof of Transfer/Notice of Disposal until registration is transferred from their name.
Please note
Did you know?
• The owner/master of a ship must not operate a ship unless the ship is safe. A ship is safe if it is seaworthy and is appropriately equipped
and crewed, to meet the ordinary perils of the voyage on which the ship is proceeding or about to proceed.
• Obligations under the Petroleum and Gas (Production and Safety) Regulation 2004 and the Electrical Safety Act 2002 must be met.
• TMR may refuse the application for transfer if it is reasonably satised the ship is unseaworthy.
• An Australian Builders Plate is required on ships built and oered for sale after 28 September 2006.
• If this ship is enrolled for Direct Debit it is the disposer’s responsibility to ensure the ship is removed from the scheme prior to the
transfer of registration.
Warning: It may be an oence if the acquirer does not lodge a Queensland Regulated Ship Registration Transfer
Application within 14 days of acquiring the ship. Penalties may apply.
Part A. Transfer application: Acquirer to complete and submit to TMR.
1. Registration details
2. Ship details - please print
Is the ship’s registration current?
Existing Registration category
Existing purpose of use
Any outstanding fees must be paid with this
application.
Yes
No
Registration number
Identication Number
Manufacturer
Model
You may be eligible to transfer your registration online. For more information about transferring online including eligibility requirements visit
www.qld.gov.au/onlineregotransfer.
Recreational motor/speed boat
Private
Other Queensland Regulated Ship
School activities
Surf Life Saving
Prescribed Other Queensland Regulated Ship - This
application will require an endorsement from Maritime
Standards (Maritime_Standards@tmr.qld.gov.au)
prior to transfer.
Other
Note: If you require a change to the ship category or purpose of use
please complete a Change of Queensland Regulated Ship Particulars
Notication (form F3527).
Part A Page 1 of 3 TRB Forms Area Form F3521 V01 Aug 2020
4. Disposer’s Customer Reference Number (CRN)
(The CRN is your Qld Driver Licence number, Adult Proof of Age
or Photo Identication Card number or your reference number
issued by TMR)
Disposer’s name/s (please print)
Is the ship a recreational ship 15 metres or more in length?
This application will require an endorsement
from Maritime Standards
(Maritime_Standards@tmr.qld.gov.au) prior to
transfer.
No
Yes
3.
Engine details
Number of engines
Engine 1
Manufacturer Serial number
Inboard
Inboard
Outboard
Outboard
Engine 2 (if applicable)
Manufacturer Serial number
HP divide by 1.341 = kW
.
HP divide by 1.341 = kW
.
Print Form
Reset Form
Part A Page 2 of 3 TRB Forms Area Form F3521 V01 Aug 2020
9. Date of disposal
/ /
10.
Is the current registration under concession?
You, the acquirer, may have to pay a
pro-rata fee with this application.
YesNo
11.
Are you applying for a registration concession?
Go to 12.
What type of concession will you be applying for?
Yes
No
A Registration Concession Application (F3937) and
proof of entitlement may need to be supplied with this
application.
8. Is someone lodging this application on your
behalf?
(Your representative will need to bring proof of
their identication as well as proof of your identity, e.g.,
Queensland Driver Licence).
Go to 9.
Representative’s details - name (in full)
Representative’s signature
Yes
No
12.
Ship storage details
On registered trailer Moored to jetty/pontoon
Unregistered trailer/trolley
Moored to piles
Beached on foreshore
Moored to an approved
buoy mooring
Storage rack or similar
Anchored
Moored in marina berth
b. Where is the ship’s place of storage?
At or near private residence
Other place at which
regular mooring/storage
fees are charged
At club marina or premises
Other place at which
regular mooring/storage
fees are not charged
At commercial marina or
storage area
5. The ship is to be transferred to: (Note: The ship may be
transferred into one or two names. EOI is required for all acquirers).
6. Is the ship to be transferred into two names?
7. Second registered operator’s details
First registered operator’s details
Full name and residential/business address (please print)
Postal address (if same as residential write ‘as above’)
Email address
Mobile/Telephone number
Postcode
Postcode
Does the individual or organisation have a CRN?
Complete a New Customer Application (form F3503)
CRN
Yes
No
The registered operator above is (tick one box)
Private individual/s
Registered company
Business/trust
Other/legal entities
Go to 6.
Go to 8.
You must nominate one proprietor/
trustee of the business or trust as the
second registered operator, go to 7.
Go to 8.
YesNo Go to 8. Go to 7.
Do you have a CRN?
Complete a New Customer Application (form F3503)
CRN
Yes
No
Details must be those of an individual or the proprietor/trustee
of the business/trust.
Email address
Full name (please print)
Mobile/Telephone number
a. What is the ship’s method of storage?
c. Postcode of place of storage
13.
Certication - All acquirers must sign, however, future
transactions will require only one signature. I/We declare that
the information provided in this application is correct. I/We
consent to TMR verifying my EOI documents or
information with the issuing authority or their agencies. I/We
certify the ship complies with the safety requirements set out in
the Transport Operations (Marine Safety) Regulation 2016.
Acquirer/s signature/s
/ /
Date
Disposer/s signature/s (If currently in joint names the signature
of only one disposer is required).
Now complete Part B Proof of Transfer/Notice of Disposal
Privacy Statement: TMR collects information on this form to administer the register
of ships under the Transport Operations (Marine Safety) Act. This information may be
released by TMR to people who have an interest that justies access to the register,
including people proposing to buy, sell, lease or insure the ship and, when relevant,
litigants in matters about marine incidents, or the insolvency, or external administration,
or fraudulent activity of the registered owner, or Family Court matters. Your personal
information will not be disclosed to other third parties without your consent unless
authorised or required by law.
Oce use only
Yes
No
Identication sighted:
Is the ship a ‘Prescribed Other Regulated Ship’?
No
Yes
Authorising person’s name
Authorising person’s signature
Is endorsement from Maritime Standards attached
to the application (if applicable)?
No
Yes
/ /
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Part B Page 3 of 3 TRB Forms Area Form F3521 V01 Aug 2020
Queensland Regulated Ship Registration
Transfer Application
Under the Transport Operations (Marine Safety) Act 1994
Part B. Proof of Transfer/Notice of Disposal: Disposer to keep.
Privacy Statement: TMR collects information on this form to administer the register of
ships under the Transport Operations (Marine Safety) Act. This information may be
released by TMR to people who have an interest that justies access to the register,
including people proposing to buy, sell, lease or insure the ship and, when relevant,
litigants in matters about marine incidents, or the insolvency, or external
administration, or fraudulent activity of the registered owner, or Family Court matters.
Your personal information will not be disclosed to other third parties without your
consent unless authorised or required by law.
Registration number
/ /
Due date
As the disposer of this ship, you must positively identify the
person who will now be responsible for the ship.
The ship is to be transferred to:
Full name and residential/business address (please print)
Postal address (if same as residential write ‘as above’)
Postcode
Postcode
Does the above individual or organisation have a CRN?
CRN
Yes
No
Do you have a CRN?
Complete a New Customer Application (F3503)
Full name (please print)
1. Ship details (please print)
2. Acquirer’s identication details
Email address
Mobile/Telephone number
The registered operator above is (tick one box)
Private individual/s
Registered company
Business/trust
Other/legal entities
Go to 3.
Go to 5.
You must nominate one proprietor/
trustee of the business or trust as the
second registered operator, go to 4.
Go to 5.
3. Is the ship to be transferred into two names?
4. Second registered operator’s details
Go to 5. Go to 4.No Yes
CRN
Yes
No
Email address
Mobile/Telephone number
5. Date of disposal
/ /
6. Ship storage
7. Certication
- All acquirers must sign, however, future
transactions will require only one signature.
I/We declare that the information provided is correct.
I/We certify the ship complies with the safety requirements set
out in Transport Operations (Marine Safety) Regulation.
On registered trailer Moored to jetty/pontoon
Unregistered trailer/trolley
Moored to piles
Beached on foreshore
Moored to an approved
buoy mooring
Storage rack or similar
Anchored
Moored in marina berth
b. Where will the acquirer store the ship?
At or near private residence
Other place at which
regular mooring/storage
fees are charged
At club marina or premises
Other place at which
regular mooring/storage
fees are not charged
At commercial marina or
storage area
a. How will the acquirer store the ship?
c. Postcode of place of storage
Acquirer/s signature/s
/ /
/ /
Date
Date
Disposer/s signature/s (If currently in joint names the signature
of only one disposer is required).
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Queensland Regulated Ship Registration Transfer Application (Department of the Environment and Energy)

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Completed 9 November 2021

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