PROFORMA D/A

(lines in red are compulsory)
Points 6-9 must be filled in accordance with
INTERNATIONAL TONNAGE CERTIFICATE.

1. Company name:
2. E-mail address:
3. Vessel's Name:
4. Vessel's flag
5. LOA:
6. LBP:
7. Beam:
8. Moulded Depth:
9. Maximum draft
     with full cargo:
10. Port of call:
11. Including Kerch
     transit-passage:
12. Kind of cargo:
13. Estimated guantity:
*** OTHER USEFUL
       INFORMATION
14. Bowthrasters
      (if used):
15. Supervision (if any):
16. DWCC:
17. Shifting (if any):
18. Staying at port (days):
19. Please check if the vessel is indended
      to call two or more Ukainian ports:
20. Please check if the vessel
      has two or more decks
      but the vessel is not tweendecker:

21. Your comments,
      requests and any additional
      information.


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