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IMO General Declaration

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IMO General Declaration

Page number
Arrival Departure
1
1.1 Name and type of ship MARIANN / OIL TANKER 2. Port of arrival/departure 3. Date of arrival/departure
1.2 IMO number 9326897 MILFORD HAVEN, UK 27/04/2021
1.3 Call sign LAGW6
4. Flag state of ship 5. Name of master 6. Last port of call/next
NORWAY MLADEN VUKOSA port of call
MILFORD HAVEN,
UK / ANTWERP, BE

7. Certificate of registry (port; date; number) 8. Name and contact detail’s of ship’s agent
LONGYEARBYEN / 31 JAN 2012 / KR-0040 Matthew Broadway / Agency Operator
9. Gross tonnage 10. Net tonnage Cory Brothers Shipping Agency Ltd.
42,996 22,043 agency.milford@corybrothers.com
11. Position of the ship in the port (berth or station) Mobile: +44 (0) 7768 855852
AT BERTH Office: +44 (0) 1646 692472
12. Brief particulars of voyage (previous and subsequent ports of call; underline where remaining cargo will be discharged
N/A

13. Brief description of the cargo


BALLAST CONDITION

14. Number of crew (including master) 15. Number of passengers 16. Remarks
21 NIL NIL

Attached documents
(indicate number of copies)
17. Cargo declaration 18. Ship’s stores declaration
ATTACHED ATTACHED

19. Crew list 20. Passenger list 21. The ship’s requirements in terms of waste and
ATTACHED NA (NIL)) residue reception facilities
22. Crew’s effects declaration (*) 23. Maritime declaration of health(*)      
ATTACHED ATTACHED
24. Date and signature by master, authorised agent or officer

Signed Date / /

For official use

IMO FAL
Form 1 (*) Only on arrival
C94 HMRC 10/06

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