Notice to Mariner No. 118 SUBJECT : MASTER ... - Port Of Fujairah

Notice to Mariner No. 118SUBJECT : MASTER DECLARATIONIMPLIMENTATION OF ISPS CODEIn connection with the implementation of ISPS Code, vessel requesting Anchorage / Port Clearancemust submit the attached Master Declaration (ISPS Code – Form 4) duly signed and stamped by shipmaster along with Anchorage / Port Clearance request.The Master Declaration is compulsory from 01 October, 2008 for the issuance of Anchorage / PortClearance.

2PORT OF FUJAIRAHMARINE DEPARTMENTISPS Code PoF – Form 4Date : ………………….Vessel Name : ……………………………………I.M.O. No.: ……………Flag : ……………………..……….Security Level : …………..DECLARATIONPORT OF FUJAIRAH / FUJAIRAH OFFSHORE ANCHORAGE AREAI,…………………………………………………………….the master of……………………………….…hereby confirm & declare that no visitors /illegal persons onboard my vessel and I will ensure that persons onboardwill be strictly as per the crew list at the time of sailing.Ship MasterSignature: …………………………….: …………………………….Ship's Stamp : …………………………….