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72
Notification 72 hrs Prior to Entry into a Greek Port or Anchorage

. (
.)
Must be submitted for any foreign flagged vessel bound for a Greek port or
anchorage. (Filled in English with capital letters)

: ______________________________________
To: Port Authority of _________________________________________

Ship Identification

Vessels Name

IMO Identification Number
MMSI
MMSI Number
(...)
Call Sign

Flag


Voyage Information

Port of Destination


Call at port

Call at Anchorage

/

(//)

Date
(E.T.A.)
Estimated time of arrival at the port or
(Day/Month/Year)
anchorage of destination
/


Estimated time of departure

(//)

(E.T.D.)

Date


Local Time


Local Time

(Day/Month/Year)

(A.T.D.)
/

(

//)
Last
Port

Date
of
call
Actual time of departure from the last port of call


Local Time

(Day/Month/Year)

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Planned operations at the port or anchorage
of destination

- (Loading)
- (Unloading)
- (Other)

( Description)




/ .
Planned statutory survey inspections and
substantial maintenance and repair work to
be carried out whilst in the port/anchorage
of destination;


.
Date of last expanded inspection in the Paris
MOU region.

/ (//)
Date (Day/Month/Year)


FOR TANKERS

- M (single hull)

Configuration

- M
Single hull with SBT


(,
, )
Condition of the cargo and ballast
tanks (full, empty, inerted)

Volume and nature of the cargo

- Double hull
- Full
- Empty
- A nerted


The Owner or Manager

Agent

Master

-
NAME SIGNATURE

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