Sub-Agency Questionnaire
Please complete the questionnaire below and provide the requested supporting documentation where applicable. You may also provide any additional information you consider relevant.
Is your company legally registered?
*
Yes
No
Upload Company Registration and Ownership Structure documents.
*
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Does your company currently maintain professional liability and/or agency insurance (e.g., ITIC)?
*
Yes
No
Provide insurer supporting documentation.
*
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Does your company have formal compliance policies addressing applicable regulations such as the UK Bribery Act, FCPA, and EU GDPR?
*
Yes
No
Upload relevant policies/documents.
*
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Is your company a member of or certified by recognized industry/compliance organizations such as MACN or TRACE?
*
Yes
No
Upload supporting documentation.
*
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Does your company hold any current ISO certifications?
*
Yes
No
Upload ISO Certificate(s) (DNV, Lloyd’s, BV, etc.)
*
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Does your company maintain formal policies covering HSSE, Quality, Risk Assessment, Code of Conduct and/or Ethics?
*
Yes
No
Upload relevant policies.
*
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Does your company maintain formal Environmental, Social, and Governance (ESG) policies or sustainability initiatives (e.g., emissions reduction, labor and community practices, governance and anti-corruption standards)?
*
Yes
No
Upload relevant ESG policies, sustainability reports, or supporting documentation.
*
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Does your company maintain a documented portfolio or business structure outlining the services and activities it provides?
*
Yes
No
Upload company portfolio/profile or documentation describing the services provided.
*
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Does your company hold all required trade, VAT, and/or other applicable business certificates?
*
Yes
No
Upload relevant certificates.
*
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Which of the following maritime sectors does your company have experience servicing?
*
Dry Bulk
Wet Bulk
Break-Bulk
Project Cargo
Husbandry
Navy
Other
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Are there any actual or potential conflicts of interest that should be disclosed?
*
Yes
No
Please provide details.
*
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Does your company operate its own offices in the ports/cities within your Area of Responsibility (AOR)?
*
Yes
No
Upload list of locations, full addresses, PIC names and contact numbers.
*
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Do you use sub-agents to cover any ports/cities within your Country or Area of Responsibility (AOR)?
*
Yes
No
Upload a list of locations and corresponding sub-agents.
*
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Is your company currently involved in any litigation cases?
*
Yes
No
Please provide details.
*
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Additional Information / Remarks
Additional Supporting Documents
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Company Information
Company Name
*
Name of Authorized Representative
*
First Name
Last Name
Job Title
Email Address
*
example@example.com
Phone Number
-
Country Code
-
Area Code
Phone Number
Signature
*
Date Completed
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Submit
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