FORM TO BE COMPLETED TO REQUEST THE PURCHASE OF GEODETIC VERTEX
CERTIFICATES AND/OR FIXED TIDAL BENCHMARKS
INFORMATION ABOUT APPLICANT
Name
Company/ Institution
Company I.D.
Activity
Address
Phone
E-mail
:_____________________________________________________
:_____________________________________________________
:_____________________________________________________
:_____________________________________________________
:_____________________________________________________
:__________________________ Fax
:__________________
:__________________________ PO. Box:_________________
PRODUCT TO BE PURCHASED
GEODETIC VERTEX
COMPLETE TABLE N° 1
TIDAL BENCHMARK
COMPLETE TABLE N° 2
INFORMATION OF GEODETIC VERTEX
TABLE N° 1
Name of Vertex
:________________________________
Geographic area or approximated coordinates
:________________________________
All vertexes provided by this Service can be found in Datum WGS-84
Height (M.S.L. Chart Datum., ELLIPSOIDAL)
:________________________________
Example:
Location : Talcahuano
Note:
Area : Puerto
Designation : V06-0012
If you wish, you can use the code assigned in E-Commerce. In this example it would
correspond to: V06-0012 (Code _ Serv.)
TIDAL BENCHMARK INFORMATION
Location
Designation
:________________________________ Area
:________________________________
Example:
Location : Punta Arenas
Note :
Area : Bahía Catalina
BOX N° 2
:______________________
Designation : N° 1
If you wish you can use the code assigned in E-Commerce. In this example it would
correspond to: T11-0010 (Code _ Serv.)
If you need further information about the name or geographic place of the Geodetic Vertex or
the tidal benchmark, visit our webpage www.shoa.cl, link Services, E-Commerce, Tidal
Benchmark or Geodetic Vertexes, according to the product you wish to acquire.To have a faster service send this form to serviciosaterceros@shoa.cl
VALUES
The applicant declares to accept the corresponding value of the requested purchase in the
present format, based on the values given below:
TIDAL BENCHMARK
4,0 U.F. + I.V.A.
GEODETIC VERTEX
4,0 U.F. + I.V.A.
VERTEX WITH HIGHT TO M.S.L. and/or CHART DATUM. 6,0 U.F. + I.V.A. (Make a request to
e-mail serviciosaterceros@shoa.cl, for the existence of vertexes with height to M.S.L. and Chart
Datum. for the area in which you are going to work before making the corresponding deposit.)
INVOICE AND PAYMENT DATA
Corporate name
Company I.D.
Activity
Address
Phone
:________________________________________________
:________________________________________________
:________________________________________________
:________________________________________________
:________________________________________________
Make a deposit in the Current Account N° 24509008414 of Banco Estado de Chile
addressed to Servicio Hidrográfico y Oceanográfico de la Armada de Chile. The receipt must be
sent to our office by e-mail to serviciosaterceros@shoa.cl or by fax to 032 – 2266714. (If you
make an electronic transfer, indicate the e-mail address to which the corresponding deposit
must be sent).
On_______to_____days of the month of___________________of the year_______.
____________________________
Signature