Visitor registration form

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Visitors to the office and port facility of Rotterdam Ship Repair must submit to the Port Facility Security Plan. This plan, which is in line with the Dutch Port Security Act, regulates the security of ships and port facilities. Failure to register in advance can lead to denial of access.
The data provided is only used for security purposes and is automatically deleted after a period of 3 weeks. Your data is not stored in a digital database. You may be subject to a visitation by our security personnel before, during or immediately upon leaving the port facility.
Unless you register for several days, your visitor application will automatically expire at 11:59 PM of the day of the first registration. You will then have to register again next time you intend to visit the port facility.

Your details

Name *

ID number *

License plate *

Email address *

Company/organization name *

More visitors of same company/organization

Name

ID number

Name

ID number

Name

ID number

Purpose of visit

In case you are visiting a ship please indicate

Name of ship

Person you are visiting

Your mobile number (for emergencies)

Will you reside on board

yes

What will you be doing on board

Start of visit *

Hour

Minute

End of visit *

Hour

Minute

Fields marked with * are obligatory.