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VESSEL
PROFILE
TO
BE FILLED AND SUBMITTED AT THE DEPUTY CONSERVATOR’S OFFICE AT LEAST THREE
WORKING DAYS PRIOR TO THE ARRIVAL OF THE
SHIP BUT NEED NOT BE FILLED AND SUBMITTED IF THIS FORM HAS ALREADY BEEN
SUBMITTED
WITHIN SIX MONTHS PRIOR TO THE ARRIVAL DATE UNLESS THERE IS A CHANGE, IN WHICH
CASE ONLY THE COLUMNS PERTAINING TO THE CHANGE ONLY IS TO BE FILLED AND
SUBMITTED AT LEAST THREE WORKING DAYS PRIOR TO THE ARRIVAL OF THE SHIP AT THE
PORT OF MUMBAI
1.
Vessel’s Name ____________________________
2. Call Sign __________
3.
Ex. Name (if any) _________________________
4. Ex. Call sign_________
5.
Agents name ______________________________________________________
6.
Address ___________________________________________________________
7.
Tel. No._______________ 8. Fax No. _____________ 9. e-mail ___________________
10.
Port of Reg. ________________ 11. Nationality______________
12.
Government Vessel Yes
/ No 13.
IMO No. ______________
14.
Satellite Id. ______________ 15.Satcom
Id. ________________
16.
Vessel’s Height _________17. Beam
______ 18. LOA _______ 19. LBP ________
20.
Max Draft __________ 21. Parallel
body length in Ballast Condition (tankers) ________
22.
Dist. Bow to Manifold __________23. G.T. __________24.
N.T. __________
25.
Summer Deadweight __________ 26. TEU
Capacity ________
27. Whether
SBT Yes / No
28. If Yes, Reduced G.T.______________
29.
Vessel’s Building Date ________
Place ___________________
30.
TYPE OF SHIP
(a)
Tanker : Crude,/POL/Gas/ Suezmax / Kerosine / Chemical /daughter/ Others
(b)
Bulk Carrier : Iron Ore/ Colliers (Geared) / Colliers (Non- geared)/ Others
(c)
Mini bulk carrier : Iron / Ore / Sulphur / Steel Products
(d)
General Cargo :Gen. Cargo / Cellular container (non-geared) / Combi-container /
Lash /
RO-RO / Live Stock / Reefer / Cellular Container (Geared) / Library /
Passenser cum Cargo / Others
(e)
Passenger Vessel : Coastal / Overseas / Hovercraft / Catamaran / Cruise
(f)
Sailing Vessel : Coastal / Overseas / Yatch
(g)
Government Vessel : Naval Ship / Coast Guards / Light ship / Research Vessel /
Survey Vessel
(h)
Oilfield Support Vessels : ONGC supply boats / Oil Rigs / D.S.V / M.S.V / Well
Stimulator Vessels
(i)
Barges : Self-propelled / Dumb /
Lighters / Sand barge
(j)
Port Craft : Tug / Transhipper / Dredger / Floating Crane / Fire Float
(k)
Others
31.
Name of the Owner _________________________________________
32.
Classification Society ____________________________
33.
Name of the P&I Club ____________________________________
34.
Local Correspondent of the P&I Club __________________________________
35.
Name of the Hull Insurance Company ____________________________________
36.
Engine Type _____________________ 39. No.
of Engines_____
38.
Engine Power_____________
39.
Propulsion Type ___________________________
40. No. of propellers ____
41.
Normal Speed ______
42.
Bow Thruster No. _________ 43. Power
__________
44.
Stern Thruster No. _________45. Power
___________ 46. Bulbous Bow
Yes / No.
47.Ship
Registry Cert. No. ____________48.
Valid Till _________________
49.Safety
Management Cert No. __________50. Valid Till __________________
Signature
_______________________
Name__________________________