SRTI - Disclosure Form 2023

A / Business Details
A0 / Your details
A0.1 Your name:
Your Name:     Surname:
A0.2 Position:
A0.3 Email address:
A0.3 What is the primary organization’s name:
A0.4 Please confirm the following (tick the boxes):
	I am authorized to sign off this disclosure:
	I agree to the privacy policy:

B / Policies
Does your organization have a ship recycling policy?	Yes No