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Email:
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fødselsdato
Dag
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Måned
01
02
03
04
05
06
07
08
09
10
11
12
År
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
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1988
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1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
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2010
fødselssted
Nasjonalitet
Velg
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
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MMSI-detaljer
Vennligst oppgi alt utstyret ditt i boksen nedenfor: (merk: hvis du har en EPIRB, må vi kjenne 15-tegnskoden fra EPIRB-fabrikken)
EPIRB
Bruttotonnasje
Fartøystype
AB = Air Boat
AS = Auxiliary Sail
CM = Cabin Motorboat
HB = Houseboat
IN = Inflatable
OM = Open Motorboat
OT = Other
PB = Pontoon Boat
PW = Personal Watercraft
Beacon Produksjon
Beacon Serail Nummer
Beacon Type
Heks ID
Utstyr 1
Utstyr 2
Utstyr 3
Legg til mer utstyr
Det maksimale antallet passasjerer er tillatt på båten
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4
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