NOTICE OF ARRIVAL. Deadweight DATE ISSUED EXPIRE. ETA (date&time) Cargo Weight
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1 otice of Arrival Form 1.Vessel Details REPUBLIC OF CROATIA Ministry of the Sea, Transport and Infrastructure Vessel ame OTICE OF ARRIVAL Call Sign IMO umber MMSI Redni broj obrasca Flag Port of Registry Owner Charterer/Operator Classification Society Year of Build ett Tonnage ross Tonnage Summer Displacement Deadweight Lenght Over All Type of Ship Beam Last Port and Country Port: Country: Draft On Arrival Summer Fore Aft Draft * Bunker Convention / Insurance for Bunker Pollution Issuing Authority *International Anti-fouling System Certificate Issuing Authority * Wreck Removal Insurance / Financial Security Issuing Authority Vessels Agent DATE ISSUED EXPIRE DATE ISSUED EXPIRE DATE ISSUED EXPIRE Last Port State Control - Place and Date (According to Paris MOU Report) Master's ame 2.Arrival / Departure Details Port of Arrival ETA (date&time) ext port ext Country umber of Crew umber of Passengers 3.Cargo Details eneral Description of Cargo for Discharge Cargo Weight ETD(date &time) Dangerous Cargo on Board eneral Description of Cargo for Loading Cargo Weight 4.International Ship Security Certificate - ISPS Code Security Issuing Authority Certificate Expiry Date Ship Security Officer Level 5.Ballast Water Details Ballast Management Plan on Board (State Yes or o) Management Plan Implemented (State Yes or o) Any Ballast for Discharge 6.otes To Be Filled By HMO Received By ame: Date: Time: *WARI: If Bunker Convention Insurance, Anti-fouling System Certificate, CLC Certificate and Wreck Removal Insurance are ot Available on Board, Entry in Croatian Teritorial Waters will be DEIED *WARI: COPY OF CERTIFICATES MUST BE SUBMITTED WITH PREARRIVAL OTICE Prepared By:capt.V.Malnar ing MSTI
2 MSTI 1. VESSEL IFORMATIO Vessel ame: IMO umber: Port Of Registry: Owner: Type*: DWT: T: MMSI: *Type codes: Cargo to be discharged (Type/MT): Year of build 2. VOYAE IFORMATIO Last Port: Last Country: ext Port: ext Country: bulk(bc), roro(rr), container(cs), oil tanker(ot), chemical tanker(ct), passenger(pa), oil/bulk ore(ob), general cargo(c), reefer(rf), other(o) 3. CARO OPERATIOS: Cargo to be loaded (Type/MT): IMD REPORTI FORM - DCRForm 4. IMD CARO DETAILS: IMD CARO FOR DISCHARI IMD CARO I TRASIT IMD CARO FOR LOADI CLASS WEIHT UITS CLASS WEIHT UITS CLASS WEIHT UITS IMD CARO TOTAL WEIHT: 5. RESPOSIBLE OFFICER'S AME (Printed and signature): MT MT TOTAL WEIHT Prepared By:Capt.V.Malnar ing IMD REPORT
3 BALLAST WATER REPORTI FORM Vessel ame: IMO umber: Owner: Type*: DWT: 1. VESSEL IFORMATIO T: 2. VOYAE IFORMATIO Agent: Last Port: Last Country: ext Port: ext Country: 3. BALLAST WATER USAE AD CAPACITY o. Of Tanks Volume (m³ or MT) Ballast Water Pump(s) Max Capacity (m³/h) Ship Service Speed (knots) TPC on Arrival Draft (mt/cm) TPC on Summer Draft (mt/cm) Ballast Water Capacity Ballast Water on Board *Type codes: bulk(bc), roro(rr), container(cs), oil tanker(ot), chemical tanker(ct), passenger(pa), oil/bulk ore(ob), general cargo(c), reefer(rf), other(o) 4. CARO OPERATIOS: Total Cargo(Type/MT) to be Loaded to be Discharged 5. Ballast Water Management: Total o.ballast Water Tanks to be Discharged Of tanks to be discharged, how many: Underwent exchange: Underwent Alternative Management: Please specify alternative method(s) used, if any: If no ballast treatment conducted, state reason why not: Ballast management plan on board: YES O Management plan implemented: YES O 6. BALLAST WATER HISTORY: Record all tanks to be deballasted in port state of arrival; IF OE O TO #7 (use additional sheets as needed) Tank/Holds BW SOURCES BW MAAEMET PRACTICES BW DISCHARES List multiple source tanks Date Port or VOLUME Temp Date End Point VOLUME % Method Sea HT Date Port or VOLUME Salinity separately dd/mm/yy Lat/Long (units) (units) dd/mm/yy Lat/Long (units) Exch (ER/FT/ALT) (m) dd/mm/yy Lat/Long (units) (units) Ballast Water Tank Codes: Forepeak = FP, Afterpeak = AP, Double Bottom = DB, Wing Tank = WT, Topside = TS, Cargo Hold = CH, Other = O 7. RESPOSIBLE OFFICER'S AME (Printed and signature):
4 MSTI OTIFICATIO OF SHIP - EERATED WASTE (As per Article 6. of Directive 2000/59/EC as amended) Information to be sent to Harbour Master Office 48 hours before arrival in any Croatian port Vessel ame: IMO umber T Port of Registry: AET: Last port: Last Country: Last port and date when ship-generated waste was delivered: ETD: ext Port: ext Country: Are you delivering: ALL SOME OE of your waste into port reception facilities 1? Please advice if: Oil Incinerator Rate/Hour: and/or arbage Incinerator are installed / operational. Rate/Hour: Type and amount of waste and residues to be delivered and / or remaining on board, and percentage of maximum storage capacity: If delivering all waste, complete second column as appropriate. If delivering some or no waste, complete all columns. ¹ Tick appropriate box TYPE WASTE TO BE DELIVERED (m³) MAXIMUM DEDICATED STORAE CAPACITY (m³) AMOUT OF WASTE RETAIED O BOARD (m³) PORT AT WHICH REMAII WASTE WILL BE DELIVERED ESTIMATED AMOUT OF WASTE TO BE EERATED BETWEE OTIFICATIO AD EXT PORT OF CALL (m³) 1. WASTE OILS Sludge Bildge water Other (Specify) 2. ARBAE Food waste Plastic Other 3. Sewage 4. Cargo associated waste ( 1 ) (specify) 5. Cargo Residues ( 1 ) (specify) ( 1 ) May be estimates 1. This informations may be used for Port State Control and other inspection purposes 2. To be delivered to the Harbourmasters Office and Port Authority 3. This form is to be completed unless the ship is covered by an exemption in accordance with Article 9. of Directive 2000/59/EC I confirm that above details are accurate and correct and there is sufficient dedicated on board capacity to store all waste generated between notification and next port at which waste will be delivered. DATE: SIATURE TIME: Prepared By:Capt.V.Malnar ing WASTE OTIFICATIO
5 REPUBLIC OF CROATIA Ministry of the Sea, Transport and Infrastructure ISPS CODE Arrival notification The following report is required for all ships to which ISPS Code applies and which intend to enter at any Croatian port In accordance with "Zakon o sigurnosnoj zaštiti pomorskih brodova i luka", Official azette 124/2009, SOLAS '74 Chapter XI-2 Convention and International Ship and Port Facilities Security Code 48 Hours Advance otice of Arrival OTIFICATIO UMBER: To be filled by Harbour Master's Office 1. Vessel's name 2. Flag 3. IMO umber MMSI Ship's position and reporting time Port of arrival and ETA (date&time) ISSC Expiry date, issuing Authority Ship's security level Last ten POC and port's security level Any special measures taken in last ten POC otice must be sent through ship's agent or directly to Harbour Master's Office and Port Authorities Denial of entry into Croatian waters and ports will apply to any vessel failed to send required ISPS ARRIVAL OTIFICATIO and/or to any vessel failed to comply with requirements of "Zakon o sigurnosnoj zaštiti pomorskih brodova i luka", Official azette 124/2009, SOLAS'74 Convention and International Ship and Port Facilities Security Code
6 MSTI DAEROUS OODS MAIFEST (As required by SOLAS 74, chapter VII, regulation 4.5 and 7-2.2, MARPOL 73/78, annex III, regulation 4(3) and chapter 5.4, paragraph of the IMD Code) 1. VESSEL IFORMATIO Vessel ame: IMO umber: Type *: Master's ame: Agent: Year of Build Port of Registry: 2. VOYAE IFORMATIO ETD (date&time): ext Port: ext Country: BOOKI/ REFERECE UMBER MARKS & UMBERS COTAIER ID. O(s). VEHICLE RE. O(s). UMBER AD KID OF PACKAES PROPER SHIPPI AME CLASS U UMBER PACKI ROUP SUBSIDIARY RISK(S) FLASH POIT (I C) MARIE POLLUTAT MASS (kg) ROSS/ET EmS STOWAE POSITIO O BOARD IMO FAL FORM 7 Master's Signature: Place and Date: Prepared By:Capt.V.Malnar ing DAEROUS OODS MAIFEST
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