* Note: Where not applicable please leave the box blank
Email Address :
ARRIVAL AND DEPARTURE
Estimated date of arrival (dd-mmm-yy) :
Check in by (HH:MM) :
Estimated date of departure :
Check out by :
Name of craft:    
ADMIRAL MARINA MEMBERSHIP NO :     
CREW DETAILS
Name of owner or Captain
NRIC / Passport No :
Address of Captain /Owner :
Country :
Post Code :
Emergency Contact No :
Handphone No :     
Fax Number :
Mobile Number :
Guest List - Guest 1 :
Guest 2 :
Guest 3 :
Guest 4 :
Guest 5 :
Guest 6 :
BOAT DETAILS
Type of Craft :
Manufacturer :    
Port of Registry :
Official Number :
LOA (in feet) :
 feet
Beam (in feet) :
 feet
Draft (in feet) :
 feet
Year Built :     
Construction :    

INSURANCE

Type of cover:
Company :
Expiry date (dd-mmm-yy) :
Policy Number :
SERVICES REQUIRED
Electricity (50 Hz) :
Water :

Notes: -

  1. Electricity

    • Visitors RM1.00 / Member RM0.50 per kilowatt hour.

    • Non metered berths will be charged on estimated usage.

  2. Plug deposit

    • 200 amp and 150 amp - RM200.00

    • 60 amp and 16 amp - RM100.00

  3. Water

    • Standard rate at RM6.00 per cubic metre

  4. Billing

    • Visitors terms: Cash

  5. The terms and Conditions will be published on this site shortly. A copy is held in the marina office which will be available on arrival.

  6. Submission of form. By submitting this form I acknowledge that: -

    • I understand that the Rules and Regulations of the Marina.

    • I confirm that I am berthing my vessel at Admiral Marina & Leisure Club entirely at my own risk.

Back | Forward | Top   
Marina Location:
N 02' 28.75", E 101' 50.40" 		Communications:
VHF : Channel 14
Phone  : (06) 647 0888
Fax : (06) 647 0880
Weather in:
Malaysia, Singapore, Thailand

Managed by Avillion Hotels International Sdn Bhd (302949-A). All rights reserved.