Yours sincerely,

More documents

Recommendations

Info

Contact InformationName of the CompanyPhoneFaxEmailNOTIFICATION FORM FOR CARRIAGE OF HAZMAT ON BOARD(As per Article 13 of 2002/59/EC Directive)Appendix 3Authorized personDate -TimeDate of issue: 22/12/2010
NOTIFICATION FORM OF ARRIVAL OF SHIP (72h)(As per Article 9 of 2009/16/EC Directive)Appendix 1To: Department of Merchant ShippingEmail : ssn@dms.mcw.gov.cyFax : 258482173orShip IdentificationIMO NumberMMSI NumberCall SignShip’s NameFlag of the shipVoyage InformationPort of arrivalAnchorageEstimated time of arrival (ETA)Estimated time of departure (ETD)locodeyes/no (delete as appropriate)date- timedate- timeCargo/Structural Particulars (In case of a Tanker)ConfigurationCondition of the cargo tankCondition of the ballast tankVolume and nature of the cargosingle hull, single hull with SBT, double hull (delete asappropriate)full, empty, inerted (delete as appropriate)full, empty, inerted (delete as appropriate)Operations/Works/surveys whilst at the portPlanned operations at the port or anchoragePlanned statutory survey inspectionsSubstantial maintenance and repair work tobe carried outWhat is the date of the last expandedinspection in the Paris MOU region(Loading, unloading. Other)yes/no (delete as appropriate)yes/no (delete as appropriate)Contact InformationName of the CompanyPhoneFaxEmailAuthorized personDate -TimeDate of issue: 22/12/2010
Page 1 and 2: REPUBLIC OF CYPRUSMINISTRY OFCOMMUN
Page 3: NOTIFICATION FORM FOR CARRIAGE OF H

Yours sincerely,

Create successful ePaper yourself

Delete template?

Save as template?