From :  

Address :

Telephone No                                  

Fax No.

  E-mail:

Ships Name or Yard No.

L.O.A. :                       m

Beam :                   m   

Draught :                   m

Type of vessel :

Type Main Engine and HP : 

Maximum Speed :                             knots   

Fixed or Steering Nozzle :

Electrical Supply Available  :

Rudder Angle required :     2 x              °

Time hard over to hard over :                         secs.

Power Hydraulic :   Yes / No

Number of Steering Positions :

Electric Motor or Engine Driven ?

Engine Driven : Minimum Revs :            Maximum Revs :

Type of Steering Control :  Power Steering Pump /  F F U with Wheel / Tiller Switch / Rotating Switch.

Number of Rudders :

If 2 or more distance between rudder stock centres :                mm

If Vessel Classified name of Society and Notation :

Type of Rudder:

Rudder Height :                    mm

 Full Rudder Width :            mm

Distance between centre line of stock and leading edge :                      mm

Stock Diameter in way of tiller :             mm

Type of emergency steering required :    

Rudder Angle Indicators Type:

Number :

Any other information available:

Signed :                                                                                                                 Dated :