MI DOC APPLICATION

Date: 27.03.
2024
To NIPPON KAIJI KYOKAI ( MUMBAI ) Branch/Office

Application for Company Audit of SMS
We acknowledge the provisions of “RULES FOR AUDIT AND REGISTRATION OF SAFETY MANAGEMENT
SYSTEMS” and “CONDITIONS OF SERVICE FOR CLASSIFICATION OF SHIPS AND REGISTRATION OF
INSTALLATIONS” of NIPPON KAIJI KYOKAI (ClassNK) and request you to carry out audit / to issue certificate for
the Safety Management System as mentioned below:
Type of Audit Initial* Annual Renewal Issuing Interim DOC*
Additional (Note: for addition of MI flag) for DNC ( Relevant Record No )
Company Name: Executive Ship Management Pvt Ltd

Address: 2nd Floor, Sai Commercial Annexe, B.K.S Devashi Marg, Govandi Station Road,
Govandi (East) - 400088
IMO Company Identification Number: 5305159
NK Company ID Number:
Telephone No.: +91-22-67551700/67551704 Fax No.: +91-22- 6755 1771
E-mail: dpaindia@executiveship.com/Supdtmum9@executiveship.com
Designated Person(s): Capt. Khambatta Kersi Tehmurasp
Person in charge: Capt. Anil Arora (Official Position): Director
Type of Ship* Oil Tanker Passenger HSC

Chemical Tanker Cargo HSC
Gas Carrier MODU
Bulk Carrier Other Cargo Ship
Passenger Ship
Ship’s Flag Company manages the ship(s) under following flag(s) at the present time
ISLE OF
(1) INDIA (2) (3) PANAMA (4) LIBERIA (5)
MAN
(6) (7) (8) (9) (10)
Proposed Date:
Audit Schedule 28.03.2024
* : Type of Ship is to be referred in regulation IX/1 of the SOLAS Convention.
All fees and expenses incurred in the above-mentioned audit and issue of certificate(s) are to be paid by;
Name of Company: Executive Ship Management Pvt Ltd
Address: 2nd Floor, Sai Commercial Annexe, B.K.S Devashi Marg, Govandi Station Road, Govandi (East) - 400088
Telephone No.: +91-22-67551700/67551704 Fax No.: +91-22-67551771
Capt. Anil Arora

Applicant’s signature:
( DIRECTOR )
*: In case of Initial Audit or Audit for issuing Interim DOC, Safety Management Manual and Procedures related to
SMS, the size and total number of each ship type covered by the SMS and Outlines of the Company and its business
activity must be submitted.
APPLI-C (2013.7) 1/3

NK Company ID Number:
Names and Official Positions of persons responsible for the following functions
Signer to the Management Policy Capt. Anil Arora Director
Designated Person, Ashore Capt. Khambatta Kersi Tehmurasp D.P. A
Marine Capt. Nadeem Naik Company Security Officer & Alt DPA
Manning Capt. Sumit Sahni Director
Maintenance Mr. Dharmendra Kumar Technical Director
Number of relevant employees who carry out or have responsibility to SMS of the Company. 13
Title of the Safety Management Manual Latest Revision Date

APEX MANUAL Rev 15: 15.09.2023
CONTAINER MANUAL Rev 1: 23rd August 2022
Initial Audit Company Ships

Oil Tanker
For other cargo
ship- YES - Spirit Chemical Tanker
of Singapore – 25th Gas Carrier
Has the Company’s SMS been implemented for at least 3 months Feb 2023
at ashore and at least one ship of each ship type? (Starting date) Bulk Carrier YES
For bulk carrier –
YES – Strength –
17th June 2023
Other Cargo Ship YES
Oil Tanker
For other cargo
ship – 17th Chemical Tanker
February 2024
Gas Carrier
For Bulk carrier

Have the Internal Audits for organization ashore and for at least -YES- Office Bulk Carrier - YES
one ship of each ship type been carried out? (on what date) Internal audit on
8th December 2023.
Internal audits on
ships: Strength –
Other Cargo ship -
17th September
2023
Annual or Renewal Audit Number
Total number of Ships managed by the Company 12
Total number of Ships managed under the DOC issued by ClassNK 8
Number of Ships operated with SMC or Interim SMC issued by ClassNK NIL
Number of Ships operated with SMC or Interim SMC issued by other than ClassNK * 8
*: Please write-down the particular of ships in the table below or attach another paper, if any.
List of Ships operated under NK DOC with (Interim) SMC issued by other than ClassNK (if any)
No Ship name IMO No. Kind of Ship Flag Class SMC issuer
Spirit of
1 9362396 Container Isle Of Man DNV DNV
Singapore
Spirit of
2 9360752 Container Isle Of Man ABS DNV
Auckland
Spirit of
Melbourne
Spirit of
Sydney
5 ICE II 9401362 Bulk Carrier Panama DNV DNV
6 Strength 9413420 Bulk Carrier Panama DNV DNV
APPLI-C (2013.7) 2/3

7 Annie B 9253026 Container Liberia DNV Liberia
8 Chloe D 9241190 Container Liberia DNV Liberia
Chola
9 9200392 Bulk Carrier India ABS /IRS IRS
Harmony
10 Ganga k 9482110 Bulk Carrier India IRS IRS
11 Chola Melody 9238296 Bulk Carrier India NKK / IRS IRS
Chola Bulk Carrier India
12 9244817 NKK / IRS IRS
Treasure
APPLI-C (2013.7) 3/3

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Date: 27.03.

To NIPPON KAIJI KYOKAI ( MUMBAI ) Branch/Office

Type of Audit Initial* Annual Renewal Issuing Interim DOC*

Additional (Note: for addition of MI flag) for DNC ( Relevant Record No )

Company Name: Executive Ship Management Pvt Ltd

Telephone No.: +91-22-67551700/67551704 Fax No.: +91-22- 6755 1771

Designated Person(s): Capt. Khambatta Kersi Tehmurasp

Person in charge: Capt. Anil Arora (Official Position): Director

Type of Ship* Oil Tanker Passenger HSC

(6) (7) (8) (9) (10)

Telephone No.: +91-22-67551700/67551704 Fax No.: +91-22-67551771

Capt. Anil Arora

APPLI-C (2013.7) 1/3

Designated Person, Ashore Capt. Khambatta Kersi Tehmurasp D.P. A

Manning Capt. Sumit Sahni Director

Maintenance Mr. Dharmendra Kumar Technical Director

Title of the Safety Management Manual Latest Revision Date

Initial Audit Company Ships

of Singapore – 25th Gas Carrier

For Bulk carrier

Total number of Ships managed under the DOC issued by ClassNK 8

APPLI-C (2013.7) 2/3

APPLI-C (2013.7) 3/3

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