THE FOLLOWING INFORMATION REGARDING THE VESSEL
".........................................................." IS LODGED IN
SUPPORT OF THE SINGLE VOYAGE PERMIT APPLICATION.
ON THE BASIS OF THIS INFORMATION WE BELIEVE THE
VESSEL IS SUITABLE FOR THE INTENDED VOYAGE.
MASTER OR OWNER/MANAGER REPRESENTATIVE
Signature: ................................................. Date ....................
Name: ..........................................................
Company: .....................................................
Note: Further information should be provided under additional remarks
for items where a NO response has been indicated.
VESSEL PARTICULARS