‫شركة الشرق األوسط للمالحة المحدودة‬
MIDDLE EAST SHIPPING Co. LTD.
ARRIVAL DECLARATION
ADEN:……………….……………………….
TO: YEMEN PORT CORPRATION
FROM: MIDDEL EAST SHIPPING CO,. LTD .
M.V. / M.T. : ………...……………...………...……………...…………………..
OWNERS: ………...……………...………...……………...…………………..
PORT REGISTRY: ……….………...………..……….……
NATIONALTY ………...……….…...……………….
G.R.T:……...……...….…….……..… N.R.T:……...….………...….……..… D.W.T……...….…..……..……..……
BERTHED NO: ………………...……………...………...…
DATE/TIME OF ARRIVAL O.H
:
HRS
DATE/TIME OF BERTHEING
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HRS
DATE/TIME OF DEPARTURE
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HRS
NUMBER OF CREW ON BOARD:………...……………...………...……………...…………………..………...……………….
NEXT PORT OF CALL:………...……………...………...……………...…………………..………...…………………………….
POURPES OF CALL:………...……………...………...……………...…………………..………...………………………………..
DATE/TIME OF PASSING BREAK-WATER INWORD/OUTWORD:
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TYPE / QTY. CARGO LOADED: ………...……………...………...……………...…………………..………...…………………..
TYPE / QTY. CARGO DISHCHARGED ………...……………...………...……………...…………………..………...………….
NO. PASSENGER EMBARKED / DISEMBARKED:………...……………...………...……………...………...……………….
BUNKERS RECEIVED: F.O……………………….. (M/T). G.O. …………………………………………………………………
FRESH WATER RECEIVED ………………………………………….. (M.T)……………...............................................
PROVISIONS RECEIVED:………...……………...………...……………...…………………..………...………………………
SHIPS MASTER NAME:………...……………...………...……………...…………………..………...…………………………..
OTHER INFORMATION:………...……………...…..……...……………...……………...………...…..…………….
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Middle East Shipping Co. Ltd.
As agents
MASTER SIGNATURE / SHIP-STAMP