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Attachment 1 - Pre-Arrival Notification - Pof

The document is a pre-arrival notification form for a vessel, detailing essential information such as vessel ownership, voyage details, and compliance with safety and security regulations. It includes sections for cargo information, security measures, and declarations by the vessel's master. The form is intended to ensure that all necessary information is provided before the vessel's arrival at the port facility.

Uploaded by

Dmitrii Galinovskii
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144 views2 pages

Attachment 1 - Pre-Arrival Notification - Pof

The document is a pre-arrival notification form for a vessel, detailing essential information such as vessel ownership, voyage details, and compliance with safety and security regulations. It includes sections for cargo information, security measures, and declarations by the vessel's master. The form is intended to ensure that all necessary information is provided before the vessel's arrival at the port facility.

Uploaded by

Dmitrii Galinovskii
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PRE-ARRIVAL NOTIFICATION

PERMISSION TO ENTER

1 Vessel Information
Vessel Name Imo No.
Call Sign Vessel Type Specify others
Flag Port of Registry
GT NT DWT
LOA(m) Beam (m) Class
Year of Built Vessel Mob / Satellite No.
2 Ownership
Vessel Owner
Vessel Charterer
Vessel Management
Vessel Registered Owner
P&I Club
Seafarers Insurance Provider
3 Voyage Details
Master’s Name Nationality
ETA ETD
Local Agent FEDERAL ARGIBELAGO MARINE SERVICES LLC
Owner’s Matters Agent
Last Port Next Port
Draft Fwd. Draft Aft.
Arrival Condition Ballast Loaded Full Loaded Partly
Description Qty
Cargo onboard
Hazardous & Dangerous Cargo No Yes IMO Hazard Classes
Nature of Call Cargo Operation Specify:
Bunkering Crew Change Stores / Provision
Survey Repairs S.T.S
Projects Underwater Inspection Waiting Orders
Hull Cleaning Waste Disposal [Specify]
Others (specify)
Method at IMO 2020 Compliance Compliant Fuel Closed Loop Exhaust Gas Scrubber
Vessel intends to call the port facility [ Select from the list, specify if others]
Port Facility Fujairah Anchorage Area Specify if Others

Contd..2/-
4 Information required by SOLAS Chapter XI-2 & ISPS Code
Security Level Level 1 ISSC is valid Yes No
ISSC number Date of Issue Date of Expiry
Issued by (name of Administration or RSO)
Does the ship have an approved SSP onboard? Yes No
Last 10 Ports of Call and Security Level at Port Facilities in chronological order (most recent call first)
Port Country Arrival Date Departure Date Security Level Comments

Have any special security measures been taken by the ship during Yes No
ship/port interface at the last 10 port facilities?

If Yes, please detail measures:

Security guards on board Yes No

Arm & Ammunition On board Yes No

A copy of the ship’s crew list (IMO FAL Form 5) is attached? Yes No

A copy of the ship’s passenger list (IMO FAL Form 6) is attached? (if applicable) Yes No

Does the vessel have any deficiencies? Yes No

If the answer is Yes, please specify:

5 Declaration

I, the Master of the vessel hereby confirm that the information provided in this form is complete, true and correct to
the best of my knowledge. I further confirm that all statutory ship’s certificates are valid and available onboard.

Master’s Signature Vessel’s Stamp

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