Appendix 1

Pre-Arrival Notification of Security (PANS) for: a) Passenger ships including high speed passenger craft, b) argo ships, including high-speed craft, of !"" #$% and up&ards, and c) 'obile offshore drilling units(

1. Particulars of the ship and contact details

1.1 IMO Number: )1*+1,, 1.3 Port of registry: 0isa1hapatna2 1.6 Call sign:0%45

1.2 Name of the ship: - . -redge /0 1.5 Type of ship: %S3(-redger) 1.8 Gross Tonnage: 8"9"

1.4 Flag State: .ndia 1.7 Inmarsat call Numbers: Sat 6 7 ++1)+811"

1.9 Name of Company: - .:, 0is1hapatna2, .ndia

1.10 Name and ! hour contact details of Company Security Officer: Name: apt( P' Saravanan""""##""# Tel no#: $%&'( %)'*+,- $&&!&&% , '%""""""""

2. Port and port facility infor2ation

2.1 Port of arri.al and port facility /here the ship is to berth- if 0no/n : Ne& 'angalore, .ndia 2.2 12pected date and time of arri.al of the ship in port 3paragraph 45!#*&#* of the ISPS Code: !#''#$& 6M 2.3 Primary purpose of call: Cargo operation5 Ta0ing 4un0ers5 7ta0ing Supplies5 repair5 Changing Cre/5 Passengers 31mbar0ing5 8isembar0ing95 Others (-elete as appropriate) If others- pleases specify purpose: Port -redging operations""""""""""

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3. .nfor2ation re;uired by S<:AS regulation /.-,=)(,(1

3.1 The ship is pro.ided 3SO:6S ;1G<:6TION &# #'#'9 /ith a .alid: International Ship Security Certificate Interim International Ship Security Certificate 3.1.1 Certificate indicated in *#' has been issued by: Name of issuing authority: -# Shipping, #ovt( of .ndia""""""""""""" 8ate of e2piry: """"""""""""""""""""""""""""""""""""""### 3.1.2 If the ship is not pro.ided /ith a .alid International Ship Security Certificate or a .alid Interim International Ship Security Certificate- e2plain /hy> : =1S =1S NO NO

3.1.2.1 8oes the ship ha.e an appro.ed ship security plan on board> 3.2 Current security le.el 3SO:6S regulation ?I( 5&# #'# 9: <ne

=1S

NO

3.2.1 :ocation of ship at the time the report is made 3paragraph 45!#*&# of the ISPS Code9: :atitude: """""""""""# :ongitude: """""""""" or Port: olo2bo""""

3.3 :ist the last '$ calls in chronological order /ith the most recent call first- at port facilities at /hich the ship conducted ship5 port interface together /ith the security le.el at /hich the ship operated 3SO:6S regulation ?I( 5&# #'#*9: No ' * ! , + ) % & '$ 8ate From To Port- Country- Port Facility and <N:OCO81 Security le.el

25-12-09 25-11-09 07-10-09 11-05-09 30-4-09 24-04-09 18-03-09 20-01-09 15-01-09 07-12-08

10- 10 24-12-09 24-11-09 03-10-09 05-5-09 30-4-09 23-3-09 18-03-09 20-01-09 15-01-09

Marmagao New Mangalore Marmagoa Colombo Kolkota Haldia Kolkata Haldia Kolkota Haldia

I II II II II II II II II II

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3.3.1 8id the ship- during the period specified in 3.3, ta0e any special or additional security measuresbeyond those specified in the appro.ed ship security plan> =1S NO

3.3.2 If your ans/er to 3.3.1. is =1S- for each of such occasions please indicate the special or additional security measures /hich /ere ta0en by the ship 3SO:6S regulation ?I( 5&# #'#!9: 8ate From To Special or additional measures

No ' * ! , + ) % & '$

Port- Country- Port Facility and <N:OCO81

3.4 :ist the ship to ship acti.ities in chronological order /ith the most recent ship( to( ship acti.ity first/hich ha.e been carried out during the period specified in 3.3:

No '

8ate From To

Port- Country- Port Facility and <N:OCO81

Ship(to(ship 6cti.ity

* ! , + ) % & '$ NOT 6PP:IC64:1

'+#$+#$& $!#$,#$& $'#$,#$& *$#$!#$& ,#$!#$& '$#$!#$& '#$*#$& '&#$*#$& '%#$*#$& !#$ #$&

'+#$+#$& $!#$,#$& $'#$,#$& *$#$!#$& ,#$!#$& '$#$!#$& '#$*#$& '&#$*#$& '%#$*#$& !#$ #$&

M Kand! " Colombo # $ %alad&i " Kolkata $arge no -855" Kolkata # $ %ald&i " Kolkata M 'art&i" Kolkata M 'art&i" Kolkata # $ %ald&i" Kolkata # $ %ald&i" Kolkata # $ %ald&i" Kolkata M 'art&i" Kolkata

@S8 F;1S@ A6T1; @8S F;1S@ A6T1; @S8 @S8 F;1S@ A6T1; F;1S@ A6T1; F;1S@ A6T1; @S8

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3.4.1 @a.e the ship security procedures- specified in the appro.ed ship security plan- been maintained during each of the ship(to(ship acti.ities specified in *#! 3SO:6S regulation ?I( 5&# #'#,9>

B=1S

NO

3.4.2 If the ans/er to 3.4.1. is NO- identify the ship to ship acti.ities for /hich the ship security procedures /ere not maintained and indicate- for each- the security measures /hich /ere applied in No ' * ! , + ) % & '$ lieu: 8ate From To Security measures applied Ship(to(ship acti.ity

3.5 Pro.ide a general description of cargo aboard the ship 3SO:6S regulation ?I( 5&# #'#+ and paragraph 45!#*&#, of the ISPS Code9:

N(A

3.5.1 Is the ship carrying any dangerous substances as cargo>

=1S

NO

3.5.2 If the ans/er to *#,#'# is =1S- pro.ide details or attach a copy of the 8angerous Goods Manifest 3IMO F6: FO;M )9 N(A

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3.6 6 copy of the shipCs Cre/ :ist 3IMO F6: Form , is attached9 3SO:6S regulation ?I( 5&# #'#+ and paragraph 45!#*&#! of the ISPS Code9

>es

3.7 6 copy of the shipCs Passenger :ist 3IMO F6: Form + is attached9 3SO:6S regulation ?I( 5&# #'#+ and paragraph 45!#*&#+ of the ISPS Code9

4. <ther security related infor2ation

4.1 Is there any security related matter you /ish to report> 4.1.1 If the ans/er to !#' is =1S- pro.ide details: N(A =1S NO

5. Agent of the ship at the intended port of arrival

5.1 Name and !(hour contact details of 6gent in intended port of call: """""""""" '=s ?('( @axi A o """"""""""""""""""""""### Tel no: """"")1-)8,,1,,9B1 ('ob)"# Fa2 No: """"")1-8B,-,!1B)19""""

6. .dentification of the person providing the infor2ation

6.1 Name: " apt( '(0( :a1sh2ana $ao"""""""""""""""""""## 6.2 Title or position: ""Ship Security <fficer""""""""""""""""## 6.3 Signature: """""""""""""""""""""""""""""""""""""""# This report is dated at 3Place9 "" olo2bo"""""""""""""# On 38ate and time9 """""""""""""""""""""""""""""""""""""

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