Document Reference: Mideast/ FMS

Revision No: 008 /Mar 2013

Company Fonns Manual Section: 3

LANDED MATERIALS FORM

M.V./M. T. ............................... Date ......... .

Consecutive Number .........................................
P. 0. Number NIA ................................................. Port YANBU .................................. .

* FOR REPAIR / EXCHANGE / FORWARDING / TO BE ADVISED (*Delete as required)

I Machinery Details: Manufacturer:

Type:
Serial Number:

Full Description:

Reasons for Landing:

Weight and dimensions of package:

THE FOLLOWING HAS BEEN LANDED c/o :Faisal M. Riggi & Associates
Co. Ltd.- Yanbu (K.S.A.)
FOR DELNERY TO Abou Sultan:

Received by: Name /Designation/Sign

For further information / instructions, please contact:

Mideast Ship Management Limited JLT
PO Box 32890
Dubai
United Arab Emirates
Tel: + 971 4 384 0400 Signature of Master of chief Engineer
Fax: + 971 4 395 0400
E-MAIL: FLEET@MSML.COM

Mideast Form No. 301