1

Out of Gauge/Convoi Exceptionnel Approval Request

Ferry Operator:

Page 1 of 2Ref: QD446,Issue 09,14/09/2012

See overleaf for notes on completing this form

Part A – Vehicle Particulars

Vehicle Registration Number / Numéro du véhicule
Customer’s Name / Client:
Overall width of vehicle with load:
Largeur hors tout: / m / Totalgross weight of vehicle with load: / kg
Overall length of vehicle with load:
Longeur hors tout: / m / Poids total roulant:
Overall height of vehicle with load:
Hauteur hors tout: / m / Total number of axles / essieu: / nr
Does this vehicle with load regularly use the Port of Dover: / Yes
No / Minimum ground clearance:
Garde au sol mini: / m
Axle / Essieu / No. of wheels / Nbre de roues / Gross axle weight / Poids total par essieu (kg) / Axle spacing / Distance d’essieu
(m)
1 / W1
a
2 / W2
b
3 / W3
c
4 / W4
d
5 / W5
e
6 / W6
f
7 / W7
g
8 / W8
h
9 / W9
i
10 / W10
j
11 / W11
k
12 / W12

Additional Vehicle Information (150 characters max):

Part B – Journey Particulars

Shipping Route:
(Please choose / choisir svp) / DOV > DUNK
DUNK > DOV / DOV > CAL
CAL > DOV / DOV > BOUL
BOUL > DOV / DOV > ZB
ZB > DOV
Date of shipment / Contact
Vessel / Tel Number
ETA at Dover / Email address

Part C – Vehicle Approval

Restrictions (To be filled in by DoverHarbour Board) / Yes / No
Warning– Route restrictions (specify) / NoneRed Route / Heavy Load / Wide Load / Long Load / Highload
Only vehicle on the bridge
Vehicle to run down centre line
Warning – Low vehicle clearance. Unload at high tide to avoid grounding
Warning – Vehicle height problem. Check deck separation
Warning – Heavy load. Too heavy to use Berth No. 1
Load Approved / Visa
Name / Nom / Signature / Port Authority / Date / Time
DHBPADCICCCCIBCO
Comments:
APPROVED / NOT APPROVED

Page 1 of 2Ref: QD446,Issue 09,14/09/2012

Allow 2 working days (excluding Saturday, Sunday and Bank Holidays) for your request to be processed.

Notes on completing this form

  1. For a definite request, Parts A & B must be completed by either the Ferry Operator or their customer. If completed by the customer the form must be submitted to the relevant Ferry Operator for checking and onward transmission to the Port
  2. Prior to further completion and onward transmission to the Port, the vehicle registration number must be used to save the form. The Ferry Operator will verify that Parts A & B are complete and correct and forward the form to the Port of Dover.
  3. Requests not made on this form or where data is incomplete will be delayed whilst enquiries are made
  4. For out of hours support / enquiries please contact Port of Dover, Terminal Control: TELEPHONE +44 (0) 1304 240427
  5. Loads embarking at Dovermust report to the Police Station, Eastern Docks entrance on arrival.

All approved Out of Gauge Loads embarking at Dover MUST stop in the holding bay shown on the map below, and report to the Police Station.

Map of Entrance to Port of Dover, Eastern Docks

Page 1 of 2Ref: QD446,Issue 09,14/09/2012