VESSEL DETAILS FORM

NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 Vessel Name Type Light Weight (LDT) in Metric or Long ton Country & Year Built Length Overall x LBP x Breadth x Depth Draft of the Vessel (FWD/AFT) GRT/NRT (International) Main Engine (Make, Model, BHP, Present working Condition) Generator(s) (Number, Make, Model, Kw/KVA, Volts, HZ, AC/DC) Emergency Generators Bowthruster All working? Working Propeller (Please confirm Material and weight of the same) Spare Propeller (Please confirm Material and weight if present) Spare Anchor Spare Tailshaft Location of Ballast Tanks ORIGINAL POINT Permanent Ballast (Material, Weight, Location) Under own power or undertow Delivery Dates Last Port of Discharge Last 5 cargoes carried by the Vessel Any Removals Any Exclusions Any Conversions to the vessel ? (if yes, please answer the following) Type of vessel prior conversion Date converted, where ? LDT proofs of before and after conversion confirming new LDT Any Damages to the vessel (especially those affecting the ligthship) Welded or Riveted Construction Vessel is Single or Double Skinned (Does vessel have any side/Wing ballast tanks)? Vessel has Single or Double Bottom Tanks? Any Top Side Tanks? Vessel been laid up in last three (3) years? (When/Where/How Long) Present Class of the vessel Bunkers ROB upon delivery Other Special Items (Aluminum / Stainless Steel onboard the vessel) General Arrangement Plan Flag / Port of Registry Deadweight Holds / Hatches Derricks / Crane Draft Class PARTICULAR DETAILS