{% load static %} SURVEY REQUEST PDF

Survey Information

Client File No.

{{client_file_no}}

Vessel Name

{{vessel_name}}

Is a PO No. Required?

{{po_required}}

Surveyor:

{{surveyor}}

Senior Surveyor:

{{senior_surveyor}}

Appraiser:

{{appraiser}}

Priority Level:

{{priority_level}}

Due Date, Required if a Priority:

{{due_date}}

Select If New Client or info is not in Juris

{% if select_new_client %}
{% else %}
{% endif %}

Requested By:

{{client_name}}

Request Date:

{{request_date}}

Client/Company:

{{requested_by}}

Phone:

{{client_phone}}

Email:

{{client_email}}

Invoice Instructions:

{{invoice}}
{% for i in data %} {% endfor %}

Send {% if i.s_check_report == 'true'%} Reports And {% else %} Reports And {% endif %} {% if i.s_check_invoice == 'true' %} Invoices To: {% else %} Invoices To: {% endif %}

Company:

{{i.company}}

Address:

{{i.add}}

City:

{{i.city}}

State:

{{i.state}}

Zipcode:

{{i.zipcode}}

Attention Of:

{{i.attention_of}}

Phone:

{{i.phone}}

Country Code:

{{i.country_code}}

Email:

{{i.email}}

Date of Survey:

{{date_of_survey}}

If Damage, Date of Loss:

{{date_of_loss}}
{% if fleet_check %}
      This is a Fleet

Type of Fleet:

{{fleet_type}}
{% else %}
      This is a Fleet
{% endif %}
{% if othersurveytype %} {% elif fleettype %} {% else %} {% endif %}

Survey Type:

{{survey_type}}

Others

{{survey_type_other}}

Survey Type:

{{survey_type}}

Describe What This Fleet Consist Of

{{survey_type_fleet}}

Survey Type:

{{survey_type}}

Survey Location (City, State):

{{survey_location}}

Assured We Represent:

{{assured_we_represent}}

Asset We Represent:

{{asset_we_represent}}

Asset Surveyed:

{{asset_surveyed}}

Owner of Asset Surveyed:

{{owner_of_asset}}

Survey Contact Info:

{{survey_contact_info}}

Quoted Amount:

{{quoted_amount}}

Person Submitting This Request:

{{person_request}}

Notes:

{{another_notes}}