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1. VESSEL DESCRIPTION

1.1 Date updated:

1.2 Vessel's name:

1.3 IMO number:

1.4 Vessel's previous name(s) and date(s) of !an"e:

1.# Date delivered:

1.$ %uilder (&!ere built):

1. la":

1. *ort of +e"istr,:

1.- all si"n:

1.1/ Vessel's satom p!one number:

Vessel's fa0 number:

Vessel's tele0 number:

Vessel's email address:

1.11 ,pe of vessel:

1.12 ,pe of !ull:

Classification

1.13 lassifiation soiet,:

1.14 lass notation:

1.1# If lassifiation soiet, !an"ed name of previous soiet,:

1.1$ If lassifiation soiet, !an"ed date of !an"e:

1.1 IMO t,pe if appliable:

1.1 Does t!e vessel !ave ie lass If ,es state &!at level:

1.1- Date 5 plae of last dr,6do7:

1.2/ Date ne0t dr, do7 due

1.21 Date of last speial surve, 5 ne0t surve, due:

1.22 Date of last annual surve,:

1.23 If s!ip !as ondition 8ssessment *ro"ram (8*) &!at is t!e

latest overall ratin":

1.24 Does t!e vessel !ave a statement of ompliane issued under t!e

provisions of t!e ondition 8ssessment 9!eme (89): If ,es

&!at is t!e e0pir, date

Dimensions

1.2# en"t! Over 8ll (O8):

1.2$ en"t! %et&een *erpendiulars (%*):

1.2 ;0treme breadt! (%eam):

1.2 Moulded dept!:

1.2-

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