You are on page 1of 58

Passenger List

Arrival X Departure
1. Name and description of ship 2. Port of arrival/departure 3. Date of arrival/departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ningbo
6. Family, given names 7. Nationality 8. Date and place of birth 9. Port of Embarkation 10.Port of disembarkation

11. Date and signature by master, authorised agent of officer


020

Nature and no. of identity


document
Crew List

Arrival X Departure
1. Name and description of ship 2. Port of arrival/departure 3. Date of arrival / departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. Place of embarkation

Singapore Ningbo
7. No. 8. Family name, given names 9. Rank or rating 10. Nationality DOB POB PASSPORT NO PP EXP SB NO SB EXP

dd/mm/yy dd/mm/yy dd/mm/yy

1. ILIEVICI, CATALIN VALENTIN Master ROMANIAN 26/05/1975 TULCEA 054722362 23/05/2022 9127CT 17/05/2020 NINGBO

2. GENERALOV, MAKSYM Chief Officer UKRAINIAN 24/01/1985 IZMAIL ER438882 08/04/2024 2194 NO EXP NINGBO

3. PATILEA, ADRIAN 2nd. Officer ROMANIAN 20/05/1992 PECHEA 054429337 07/02/2022 30495CT 06/11/2021 NINGBO

4. BELEHUZI, ANDREI 3rd. Officer ROMANIAN 27/07/1989 MANGALIA 056758496 05/12/2028 31802CT 29/05/2021 NINGBO
5. CONDURACHE, LAURENTIU
ANDREI 3rd. Officer ROMANIAN 14/08/1994 CONSTANTA 053425310 18/12/2020 35013CT 05/06/2021 NINGBO

6. THAN, TUN Chief Engineer MYANMAR 05/04/1966 CHAUNG - U MC260654 13/06/2022 37926 08/01/2028 NINGBO

7. TAY, ZAR WIN 2nd. Engineer MYANMAR 03/04/1982 KYAUKSE MB890356 08/12/2021 55977 03/04/2028 NINGBO

8. SUCALA, AUREL 3rd. Engineer ROMANIAN 25/05/1986 CONSTANTA 053498497 29/01/2021 21966CT 28/02/2021 NINGBO

9. DINU, SILVIU-NICUSOR 4th. Engineer ROMANIAN 06/12/1993 CONSTANTA 058335922 25/11/2029 34549CT 04/06/2021 NINGBO

10. ZHURAVLEV, SERGEY Elec. Engineer RUSSIAN 30/09/1972 USSR 754124675 30/12/2026 MK0276880 NO EXP NINGBO

11. SISA, CARMELO FAJARDO Chief Cook FILIPINO 15/07/1979 CEBU P3597735B 21/10/2029 C1381128 05/11/2029 NINGBO

12. OCHO, ARNEL MAKILING Second Cook FILIPINO 18/02/1976 NASIPIT P3176176B 12/09/2029 C1280524 03/09/2029 NINGBO
13. ESTRADA, JAMIE RESHLEY
AREOLA Able Seaman FILIPINO 16/10/1983 MABINI P0906222A 13/11/2021 C0931289 01/11/2026 NINGBO

11. Date and signature by master, authorised agent of officer


Page 3 of 58
Crew List

Arrival X Departure
1. Name and description of ship 2. Port of arrival/departure 3. Date of arrival / departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. Place of embarkation

Singapore Ningbo
7. No. 8. Family name, given names 9. Rank or rating 10. Nationality DOB POB PASSPORT NO PP EXP SB NO SB EXP

dd/mm/yy dd/mm/yy dd/mm/yy

14. MAMARIL, ALBERT REYES Able Seaman FILIPINO 26/01/1977 BULACAN P4572087A 29/09/2022 C1159977 02/10/2027 NINGBO

15. ROBLES, RALLY AMONCIO Able Seaman FILIPINO 02/07/1978 MATI CITY P1822295A 30/01/2022 C0991400 29/01/2027 NINGBO
16. ROMA, SAMUEL JR.
GALEREANA Able Seaman FILIPINO 02/12/1983 CEBU P6532910A 22/03/2028 C1236347 06/05/2028 NINGBO
17. MARBELLA, LORETO JR.
PABLO Ordinary Seaman FILIPINO 02/05/1989 VICTORIA P1760618A 25/01/2022 C1416533 01/12/2028 NINGBO
18. CLEOFAS, ROMEO DELOS
SANTOS PMP FILIPINO 09/06/1961 LAS PINAS CITY P0056845A 25/08/2021 C1488662 18/06/2029 NINGBO

19. PEDRO, RIVERO QUIAS MTM FILIPINO 05/09/1986 TUBA P2977314A 10/05/2022 C1058258 15/05/2027 NINGBO

20. RADA, RODRIGO AFRICA REP. MAN FILIPINO 07/12/1968 BAUAN P9448562A 06/11/2028 C0782974 05/07/2021 NINGBO

21. CABADING, JEEPEY GARCIA REP. MAN FILIPINO 22/07/1988 MAKATI CITY P0255405B 14/01/2029 C1270858 17/06/2028 NINGBO

22. KYDLAND, MAGNE FITTER NORWAY 18/09/1952 KRISTIANSAND 32341720 10/04/2027 A0056803 10/04/2022 NINGBO

23. PEDERSEN, BO KLOVE SUPERINT. DANISH 23/07/1955 NORDDJURS 210236930 30/10/2027 104076 NO EXP NINGBO

11. Date and signature by master, authorised agent of officer


Page 4 of 58
Crew List

Arrival X Departure
1. Name and description of ship 2. Port of arrival/departure 3. Date of arrival/departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. Place of
embarkation
Singapore Ningbo
7. No. 8. Family name, given names 9. Rank or rating 10. Nationality 11. DOB 12. POB 13. PASSPORT NO 14. PP EXP

dd/mm/yy dd/mm/yy

1. ILIEVICI, CATALIN VALENTIN Master ROMANIAN

2. GENERALOV, MAKSYM Chief Officer UKRAINIAN

3. PATILEA, ADRIAN 2nd. Officer ROMANIAN

4. BELEHUZI, ANDREI 3rd. Officer ROMANIAN


5. CONDURACHE, LAURENTIU
ANDREI 3rd. Officer ROMANIAN

6. THAN, TUN Chief Engineer MYANMAR

7. TAY, ZAR WIN 2nd. Engineer MYANMAR

8. SUCALA, AUREL 3rd. Engineer ROMANIAN

9. DINU, SILVIU-NICUSOR 4th. Engineer ROMANIAN

10. ZHURAVLEV, SERGEY Elec. Engineer RUSSIAN

11. SISA, CARMELO FAJARDO Chief Cook FILIPINO

12. OCHO, ARNEL MAKILING Second Cook FILIPINO


13. ESTRADA, JAMIE RESHLEY
AREOLA Able Seaman FILIPINO

14. MAMARIL, ALBERT REYES Able Seaman FILIPINO

15. ROBLES, RALLY AMONCIO Able Seaman FILIPINO


16. ROMA, SAMUEL JR.
GALEREANA Able Seaman FILIPINO
17. MARBELLA, LORETO JR. Ordinary
PABLO Seaman FILIPINO
18. CLEOFAS, ROMEO DELOS
SANTOS PMP FILIPINO

19. PEDRO, RIVERO QUIAS MTM FILIPINO

20. RADA, RODRIGO AFRICA REP. MAN FILIPINO

21. CABADING, JEEPEY GARCIA REP. MAN FILIPINO

22. KYDLAND, MAGNE FITTER NORWAY

23. PEDERSEN, BO KLOVE SUPERINT. DANISH

11. Date and signature by master, authorised agent of officer


Page 5 of 58
Crew List

Arrival X Departure
1. Name and description of ship 2. Port of arrival/departure 3. Date of arrival/departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. Place of
embarkation
Singapore Ningbo
7. No. 8. Family name, given names 9. Rank or rating 10. Nationality 11. DOB 12. POB 13. SB NO 14. SB EXP

dd/mm/yy dd/mm/yy
1. ILIEVICI, CATALIN
VALENTIN Master ROMANIAN 26/05/1975 TULCEA 9127CT 17/05/2020 NINGBO

2. GENERALOV, MAKSYM Chief Officer UKRAINIAN 24/01/1985 IZMAIL 2194 NO EXP NINGBO

3. PATILEA, ADRIAN 2nd. Officer ROMANIAN 20/05/1992 PECHEA 30495CT 06/11/2021 NINGBO

4. BELEHUZI, ANDREI 3rd. Officer ROMANIAN 27/07/1989 MANGALIA 31802CT 29/05/2021 NINGBO
5. CONDURACHE,
LAURENTIU ANDREI 3rd. Officer ROMANIAN 14/08/1994 CONSTANTA 35013CT 05/06/2021 NINGBO

6. THAN, TUN Chief Engineer MYANMAR 05/04/1966 CHAUNG - U 37926 08/01/2028 NINGBO

7. TAY, ZAR WIN 2nd. Engineer MYANMAR 03/04/1982 KYAUKSE 55977 03/04/2028 NINGBO

8. SUCALA, AUREL 3rd. Engineer ROMANIAN 25/05/1986 CONSTANTA 21966CT 28/02/2021 NINGBO

9. DINU, SILVIU-NICUSOR 4th. Engineer ROMANIAN 06/12/1993 CONSTANTA 34549CT 04/06/2021 NINGBO

10. ZHURAVLEV, SERGEY Elec. Engineer RUSSIAN 30/09/1972 USSR MK0276880 NO EXP NINGBO
11. SISA, CARMELO
FAJARDO Chief Cook FILIPINO 15/07/1979 CEBU C1381128 05/11/2029 NINGBO

12. OCHO, ARNEL MAKILING Second Cook FILIPINO 18/02/1976 NASIPIT C1280524 03/09/2029 NINGBO
13. ESTRADA, JAMIE
RESHLEY AREOLA Able Seaman FILIPINO 16/10/1983 MABINI C0931289 01/11/2026 NINGBO
14. MAMARIL, ALBERT
REYES Able Seaman FILIPINO 26/01/1977 BULACAN C1159977 02/10/2027 NINGBO
15. ROBLES, RALLY
AMONCIO Able Seaman FILIPINO 02/07/1978 MATI CITY C0991400 29/01/2027 NINGBO
16. ROMA, SAMUEL JR.
GALEREANA Able Seaman FILIPINO 02/12/1983 CEBU C1236347 06/05/2028 NINGBO
17. MARBELLA, LORETO JR. Ordinary
PABLO Seaman FILIPINO 02/05/1989 VICTORIA C1416533 01/12/2028 NINGBO
18. CLEOFAS, ROMEO
DELOS SANTOS PMP FILIPINO 09/06/1961 LAS PINAS CITY C1488662 18/06/2029 NINGBO

19. PEDRO, RIVERO QUIAS MTM FILIPINO 05/09/1986 TUBA C1058258 15/05/2027 NINGBO

20. RADA, RODRIGO AFRICA REP. MAN FILIPINO 07/12/1968 BAUAN C0782974 05/07/2021 NINGBO
21. CABADING, JEEPEY
GARCIA REP. MAN FILIPINO 22/07/1988 MAKATI CITY C1270858 17/06/2028 NINGBO

22. KYDLAND, MAGNE FITTER NORWAY 18/09/1952 KRISTIANSAND A0056803 10/04/2022 NINGBO

23. PEDERSEN, BO KLOVE SUPERINT. DANISH 23/07/1955 NORDDJURS 104076 NO EXP NINGBO

11. Date and signature by master, authorised agent of officer


Page 6 of 58
Voyage memo
Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. For official use

Singapore Ningbo
7. Port Name 8. Date of arrival 9. Date of departure 10. Security level

Ningbo N/A (New Building) 5/8/2019 One

11. Date and signature by master, authorised agent ofPage


officer
7 of 58
Vaccination list
Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. For official use

Singapore Ningbo
7. Name 8. Rank 9. Body temperature 10. Vaccination 11. Validity

1. ILIEVICI, CATALIN VALENTIN Master 36.4 Yellow Fever Valid for lifetime

2. GENERALOV, MAKSYM Chief Officer 36.5 Yellow Fever Valid for lifetime

3. PATILEA, ADRIAN 2nd. Officer 36.7 Yellow Fever Valid for lifetime

4. BELEHUZI, ANDREI 2nd. Officer 36.9 Yellow Fever Valid for lifetime
5. CONDURACHE, LAURENTIU
ANDREI 3rd. Officer 36.7 Yellow Fever Valid for lifetime

6. THAN, TUN Chief Engineer 36.6 Yellow Fever Valid for lifetime

7. TAY, ZAR WIN 2nd. Engineer 36.8 Yellow Fever Valid for lifetime

8. SUCALA, AUREL 3rd. Engineer 36.6 Yellow Fever Valid for lifetime

9. DINU, SILVIU-NICUSOR 4th. Engineer 37.0 Yellow Fever Valid for lifetime

10. ZHURAVLEV, SERGEY E/E 36.4 Yellow Fever Valid for lifetime

11. SISA, CARMELO FAJARDO Chief Cook 36.7 Yellow Fever Valid for lifetime

12. OCHO, ARNEL MAKILING Second Cook 36.6 Yellow Fever Valid for lifetime
13. ESTRADA, JAMIE RESHLEY
AREOLA A/B 36.7 Yellow Fever Valid for lifetime

14. MAMARIL, ALBERT REYES A/B 36.1 Yellow Fever Valid for lifetime

15. ROBLES, RALLY AMONCIO A/B 37.1 Yellow Fever Valid for lifetime
16. ROMA, SAMUEL JR.
GALEREANA A/B 36.2 Yellow Fever Valid for lifetime
17. MARBELLA, LORETO JR.
PABLO O/S 36.5 Yellow Fever Valid for lifetime
18. CLEOFAS, ROMEO DELOS
SANTOS PMP 36.9 Yellow Fever Valid for lifetime

19. PEDRO, RIVERO QUIAS MTM 36.7 Yellow Fever Valid for lifetime

20. RADA, RODRIGO AFRICA REP. MAN 36.6 Yellow Fever Valid for lifetime

21. CABADING, JEEPEY GARCIA REP. MAN 36.6 Yellow Fever Valid for lifetime

22. KYDLAND, MAGNE REP. MAN 36.7 Yellow Fever Valid for lifetime

23. PEDERSEN, BO KLOVE SUPERINT. 36.1 Yellow Fever Valid for lifetime

11. Date and signature by master, authorised agent ofPage


officer
8 of 58
CREW EFFECTS

Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. For official use

Singapore Ningbo

Laptop-1pc; Mobile phone-1pc; Headphones - 5set;

Portable HDD-2pce; Memory stick - 5pce;


1. ILIEVICI, CATALIN VALENTIN
Sport watch-1pc; Wireless charger-2pce;

Power bank - 2pce; Beard trimmer-2pce

1 x MOB Phone, 2 x Headphone, 1 x Laptop,


1 x fitness bracelet, 1 x Powerbank, 2 x USB.
2. GENERALOV, MAKSYM

1 x Laptop,1 x HDD,1 x MOB Phone,2 x USB,


2 x Hair Trimmer,3 x Earphones,1 x Necklace,
3. PATILEA, ADRIAN 1 x Sunglasses, 1 x Powerbank, 2 x Wrist
Watch.

1 x Gold Ring,1 x Wrist Watch,1 x Sunglasses


1 x Ipad Mini Tablet, 2 x MOB Phone, 2 x USB
4. BELEHUZI, ANDREI 1 x HDD, 1 x e-Cigarette, 1 x Portable Battery,
3 x Headphones, 1 x Hair Trimmer,1 x Laptop,
1 x Portable Speaker, 200 x Cigarettes.

1 x Laptop, 1 x MOB Phone, 2 x Hair Trimmer

5. CONDURACHE, LAURENTIU 2 x Wrist Watch, 1 x Gold Necklace, 2 x USB,


ANDREI
1 x Bluetooth Earphones, 1 x Sunglasses,
4 x Bluetooth Speaker, 1 x Wireless Charger.

1 x Laptop, 2 x MOB Phone, 1 x Ipad, 2 x USB


1 x Wrist Watch, 1 x Golden Dimond Ring,
6. THAN, TUN
1 x HDD, 1 x Blood Pressure Tester.

11. Date and signature by master, authorised agent of officer Page 9 of 58


CREW EFFECTS

Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. For official use

Singapore Ningbo

1 x Laptop, 2 x MOB Phone,1 x Powerbank,


3 x Wrist Watch, 1 x HDD, 1 x Hair Trimmer,
7. TAY, ZAR WIN 1 x Bluetooth Speaker, 3 x USB, 1 x Bluetooth
Earphones.

1 x Laptop, 2 x MOB Phone,2 x Powerbank,


1 x Hair Trimmer, 3 x Bluetooth Earphones,
2 x Bluetooth Speaker, 1 x Bluetooth Mouse &
8. SUCALA, AUREL Keyboard,1 x Silver Chain & Pendant,1 x Gold
Pendant, 1 x Selfie Stick, 2 x Sunglasses,
1 x Hair Drier,1 x Ipad Pro, 1 x Apple Pen,
1 x Apple Key Board.

1 x Laptop, 1 x Laptop Earphones, 1 x Wrist


Watch, 1 x Bluetooth Speaker, 1 x Projector,
1 x Bluetooth Earphones, 1 x MOB Phone,
9. DINU, SILVIU-NICUSOR
1 x Zealot Speaker, 1 x Wireless Charger,
1 x Powerbank, 3 x USB, 2 x HDD, 1 x Silver
Bracelet, 1 x Hair Trimmer.

1 x MOB Phone, 1 x Hair Clipper, 1 x Galley


10. ZHURAVLEV, SERGEY Shoes.

MOB Phone - 1pc, Tablet - 1pc, HDD - 1pc,


USB - 4pcs, Laptop - 1pc, Binocular - 1pc,
11. SISA, CARMELO FAJARDO Gold Necklace - 1pc, Carving Knifes Set-1pc,

Pantry Set - 1pc, Wedding Ring - 2pcs,


Sunglasses - 1pc.

11. Date and signature by master, authorised agent of officer Page 10 of 58


CREW EFFECTS

Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. For official use

Singapore Ningbo

MOB Phone - 2pcs, Speaker - 2pcs, Wrist


Watch - 1pc, Reading Glasses - 2pcs.
12. OCHO, ARNEL MAKILING

Wrist Watch - 2pcs, Gold Necklace - 1pc,

13. ESTRADA, JAMIE RESHLEY Gold Ring - 1pc, MOB Phone - 2pcs, Laptop-
AREOLA
1pc, Speaker - 1pc.

Laptop - 1pc, Bluetooth Speaker - 1pc, Wrist


Watch - 1pc, Gold Necklace - 1pc, MOB
14. MAMARIL, ALBERT REYES
Phone - 1pc, Sunglasses - 2pcs.

Gold Ring - 1pc, Laptop - 1pc, Tablet - 1pc,


MOB Phone - 1pc, Wrist Watch - 3pcs,
15. ROBLES, RALLY AMONCIO
HDD - 1pc.

Laptop - 1pc, MOB Phone - 1pc, HDD - 2pcs,

16. ROMA, SAMUEL JR. Bluetooth Speaker - 2pcs, Wrist Watch - 2pcs
GALEREANA
Gold Ring - 1pc, Penlight - 1pc.

MOB Phone - 1pc, Tablet - 1pc, Bluetooth

17. MARBELLA, LORETO JR. Speaker - 2pcs, Wrist Watch - 2pcs, HDD -
PABLO
1pc, USB(Flash Drive) - 2pcs.

11. Date and signature by master, authorised agent of officer Page 11 of 58


CREW EFFECTS

Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


17.
4. MARBELLA,
Nationality of ship LORETO JR. 5. Port arrived from / Port of destination 6. For official use

PABLO Singapore Ningbo

Laptop - 1pc, Ipad - 1pc, HDD - 1pc, Wrist


18. CLEOFAS, ROMEO DELOS
SANTOS Watch - 3pcs, Gold Necklace - 1pc, MOB
Phone - 1pc.

Laptop - 1pc, Portable Speaker - 1pc, Wrist


Watch - 1pc, MOB Phone - 1pc, HDD - 1pc,
19. PEDRO, RIVERO QUIAS
Alarm Clock - 1pc, Powerbank - 1pc.

20. RADA, RODRIGO AFRICA

21. CABADING, JEEPEY


GARCIA

Mobile Phone-1pc; Personal effects.

22. KYDLAND, MAGNE

MOB Phone-1pc; Laptop-1pc;


Personal effects.
23. PEDERSEN, BO KLOVE

11. Date and signature by master, authorised agent of officer Page 12 of 58


Ship's Currency

X Arrival Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. For official use

Singapore Ningbo

Ship's Cash:
US$ 20,950.00
Euros € 10,360.00
Pounds GBP 2,480.00
South Korean Won KRW 25,000.00

11. Date and signature by master, authorised agent of officer

I MASTER OF M/T MAERSK TIANJIN HEREBY GUARANTEE, SAFE STORAGE OF ABOVE GOODS DURING
PORT STAY STORED IN THE SAFE IN CAPTAINS SAFE
Narcotics List

X Arrival Departure
1. Name and description of ship 2. Port of departure 3. Date of arrival

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port of arrival 6. Voyage number

Singapore Ningbo 19001-01


6. No. 7. Description 8. Location CODE 9. Quantity 10.expiry date

S. 3 2 Box Mar-20
1 Adrenaline 1mg/1ml, 5amp
S. 7 2 Box Mar-20
2 Atropini Sulphas 0.5mg/ml, 10amp
S. 15 1 Box Jan-21
3 Diazepam 10 mg *100 tablet
S. 23 2 box Oct-20
4 Haloperidol 25mg/ml, 5amp
S. 33 1 box Oct-20
5 Midazolam 25mg/ml inj. 1ml, 10pc
S.37 4 box Jun-20
6 Morphine HCL 20mg/ml, 10amp
S. 38 1 Box Mar-20
7 MS Contin 20mg tablet, 36pcs
S. 39 1 Box Feb-20
8 Naloxon 0,4mg/1ml, 5amp
Diazepam Rect. 25mg/1ml, 5pcs S. 163 1 Box Oct-20
9
Master's Safe

10

11

12

13

14

15

16

17

18

11. Date and signature by master, authorised agent of officer

I MASTER OF M/T MAERSK CALLAO HEREBY GUARANTEE, SAFE STORAGE OF ABOVE GOODS
DURING PORT STAY
Bonded stores list

Arrival Departure
1. Name and description of ship 2. Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port of arrival 6. Voyage number

Singapore Ningbo 19001-01


6. Name and article 7. Quantity 8. Place of stowage 9.Ffor official use

Cigarettes, pcs 5000 Bonded Stores Locker

11. Date and signature by master, authorised agent of officer

I MASTER OF M/T MAERSK CALLAO HEREBY GUARANTEE, SAFE STORAGE OF ABOVE GOODS DURING
PORT STAY
Dangerous products declaration

Arrival X
1. Name and description of ship 2. Port of Arrival/Port of departure

Maersk Cyprus Ningbo


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ningbo
6. Name and article 7. Quantity 8. Place of stowage

Please see attached list with paints, chemicals, oils and grease
containing pages (including this first page)

11. Date and signature by master, authorised agent of officer


s declaration

Departure
3. Date of arrival / Departure

20.01.2020

Ningbo
9.Ffor official use

ls, oils and grease


s first page)
Medicines and hospital inventory

Arrival X
1. Name and description of ship 2. Port of Arrival/Port of departure

Maersk Cyprus Ningbo


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ningbo
6. Name and article 7. Quantity 8. Place of stowage

Please see attached inventory of medicines and hospital inventory


containing pages (including this first page)

11. Date and signature by master, authorised agent of officer

I MASTER OF M/T MAERSK TACOMA HEREBY GUARANTEE, SAFE STORAGE OF ABOVE GOODS DURING
PORT STAY
tal inventory

Departure
3. Date of arrival / Departure

20.01.2020

Ningbo
9.Ffor official use

and hospital inventory


his first page)

SAFE STORAGE OF ABOVE GOODS DURING


Provisions List

Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ningbo
6. Name and article 7. Quantity 8. Place of stowage 9.Ffor official use

Frozen, poultry, pork, beef,


etc. 500 kg
Canned meat products 56 cans
Cold cuts and sausages 20 pcs
Fish 110 kg
Butter 40 kg
Margarine, lard, oil etc. 20 kg
Eggs 1670 pcs
Cheese 30 kg
Evaporated milk 24 cans
Sugar 36 kg
Tea and teabags 2 kg
Coffee 10 kg
Potatoes 170 kg
Canned vegetables 80 kg
Dried fruits 2 kg
Flour 78 kg
Rice 270 kg
Marmelade 62 kg
Vinegar, ketchup, sauces 40 btl
Spices ass. 5 kg
Salt 20 kg
Non alcoholic beer 120 cans
Soft drinks 450 cans
Fresh fruits 120 kg
Fresh vegetables 130 kg
Milk 180 ltr
Juice 200 ltr
BONDED
Cigaretts 5000 pcs
10. Date and signature by master, authorised agent of officer
Store List

Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ningbo
6. Name and article 7. Quantity 8. Place of stowage 9.Ffor official use

Bunkerfuel (fuel oil) tons


Bunkerfuel (diesel) tons
Lube Oil ltr
Fresh water tons
Paint 1500 ltr
Foam Liquid spare 180 ltr
Petroleum 50 ltr
Thinner 808/823/845 100 ltr
Cleaner liquids 500 ltr
Artificial fiber ropes/lines 100 kg
Manila 200 kg
Wire 200 kg
New canvas 50 kg
Rags 200 kg
New metal 2000 kg
Soap (washing powder/soft soap) 300 kg
Brooms ass. (all kinds) 50 pcs
Distress hand flares 12 pcs
Cameras 1 pcs
Walkie talkies 10 pcs
Mobile Phone 1 pcs
Movies 0 pcs
T.V. sets 6 pcs
Calcuators 2 pcs
Binoculars 3 pcs
P.C. computers 10 pcs
Printers 6 pcs
Rocket parachute flares 20 pcs
Smoke signals 4 pcs
Line throwing apparatus 4 pcs
MOB signal 2 pcs
Grease 120 kg
Mooring ropes 17 pcs
10. Date and signature by master, authorised agent of officer
Cargo Declaration

Arrival X
1. Name and description of ship 2. Port of Arrival/Port of departure

Maersk Cyprus Ningbo


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ningbo
6. Name and article 7. Quantity 8. Place of stowage

No Cargo on board

11. Date and signature by master, authorised agent of officer


ation

Departure
3. Date of arrival / Departure

20.01.2020

Ningbo
9.Ffor official use

ard
Arms and Ammunition List

Arrival X
1. Name and description of ship 2. Port of Arrival/Port of departure

Maersk Cyprus Ningbo


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ningbo
6. Name and article 7. Quantity 8. Place of stowage

No Arms & Ammunitions on board

11. Date and signature by master, authorised agent of officer


munition List

Departure
3. Date of arrival / Departure

20.01.2020

Ningbo
9.Ffor official use

s on board
Mail and Parcels List

Arrival X
1. Name and description of ship 2. Port of Arrival/Port of departure

Maersk Cyprus Ningbo


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ningbo
6. Name and article 7. Quantity 8. Place of stowage

Nil Mail & Parcels

11. Date and signature by master, authorised agent of officer


Parcels List

Departure
3. Date of arrival / Departure

20.01.2020

Ningbo
9. For official use
Plants, Birds and Animals List

Arrival X
1. Name and description of ship 2. Port of Arrival/Port of departure

Maersk Cyprus Ningbo


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ningbo
6. Name and article 7. Quantity 8. Place of stowage

No Plants, Birds or Animals on board

11. Date and signature by master, authorised agent of officer


d Animals List

Departure
3. Date of arrival / Departure

20.01.2020

Ningbo
9. For official use

mals on board
Nil List

Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. For official use

Singapore Ningbo

Passenger Nil
Stowaways Nil
Arms and amunitions Nil
Stowaways Nil
Animals Nil
Dangerous cargo Nil

11. Date and signature by master, authorised agent of officer


Passenger List

Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ningbo
6. Family, given names 7. Nationality 8. Date and place of birth 9. Port of Embarkation 10.Port of disembarkation

No Passengers on board

11. Date and signature by master, authorised agent of officer


020

Nature and no. of identity


document
Stowaway List

Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ningbo
7. No. 8. Family, given names 9. Nationality 10. Date and place of birth

No Stowaways on board

11. Date and signature by master, authorised agent of officer


20.01.2020

6. Identifying document
Kroo Boy List

Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ningbo
6. Family, given names 7. Nationality 8. Date and place of birth

Nil Kroo Boys

11. Date and signature by master, authorised agent of officer


20.01.2020

9. Identifying document
Ship's Paints

Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. For official use

Singapore Ningbo

Paint Locker
Hempels
Marine varnish 0220 10 litres
Hi-Vee Lacquer 10 litres
Hempadur Mastic, red 90 litres
Hempalin Zinc Primer, green 20 litres
Hempalin Zinc Primer, red 40 litres
Hempalin Enamel, light grey 15 litres
Hempalin Enamel, light green 20 litres
Hempatex Enamel, black 65 litres
Hempatex Enamel, black 20 litres
Hempatex Enamel, yellow 10 litres
Hempatex Enamel, red 25 litres
Hempathane Topcoat, black 17.5 litres
Hempathane Topcoat, cream 35 litres
Hemucryl Enamel Hi-build, white 5 litres
Hemucryl Enamel Hi-build, light yellow 25 litres
Hemucryl Enamel Hi-build, light grey 20 litres
Silicone topcoat, black 12.5 litres
Silicone Zinc, metal grey 10 litres
Curing Agent 95880 25 litres
Thinners 08230 40 litres
Anti-slint Powder 47.5 litres

International
Intershield Bronze 12.5 litres
Intershield Curing agent, bronze 5 litres

Sigma
Sigmacover Red brown 74.5 litres
Sigmacover Aluminium 103.8 litres
Sigmacover Hardener 36.6 litres
Sigmadur APM Blue 48.4 litres
Sigmadur Red brown 61.6 litres
Sigmadur Hardener 15.6 litres
Thinner 25 litres

11. Date and signature by master, authorised agent of officer


Ship's pyrotechnics

Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. For official use

Singapore Ningbo

Lifeboat: Expiry date


Parachute flares 4 December, 2012

Hand flares 6 December, 2012

Smoke signals 2 December, 2012

Bridge:
Parachute flares 12 June, 2013

Hand flares 12 April, 2013

Line throwing apparatus 4 June, 2013

Bridgewing:
MOB Light/smoke signal 2 June, 2013

11. Date and signature by master, authorised agent of officer


Ship's equipment list
Arrival X Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination 6. For official use

Singapore Ningbo

Quantity unit
1 Mooring ropes 27 pcs
2 Wires 300 kg
3 TV's 14 pcs
4 DVD's players/Audio systems 7 set
5 Game consoles 3 pcs
6 Washing machines 5 pcs
7 Refrigerators 19 pcs
8 Cameras 2 pcs
9 Microvaves/Ovens 3 pcs
10 DVD Discs/CD 350 pcs
11 Computers 14 pcs
12 Server unit 1 pcs
13 Radios 14 pcs
14 Mini Audio sets 16 pcs
15 Printers 30 pcs
16 Gymnasium Equipment 7 units
17 Cell Phone 1 sets
18 Electrical fan/heater 13 pcs
19 Coffee machine 4 pcs
20 Dryer Machine 3 pcs
21 Ice maker 1 pcs
22 Rice Maker 3 pcs
23 Binoculars 3 pcs
24 Musical instruments 3 pcs
25 Bicycle 2 pcs
26 Typewriter 1 pcs
11. Date and signature by master, authorised agent of officer
Date of arrival / Departure

20.01.2020
Narcotics List

Arrival Departure
1. Name and description of ship 2. Port of Arrival/Port of departure 3. Date of arrival / Departure

Maersk Cyprus Ningbo 20.01.2020


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Ghent
6. No. 7. Description 8. Location MFAG NO

Master's safe
1. Temgesic Sublingualis 0,2mg (Buprenorfin) 3.3
Master's safe
2. Morphine HCL 10mg
Master's safe
3. Tramadol 50mg
Master's safe
4. Naloxone, 0.4mg/ml, 1ml 5.1
Master's safe
5. Halcion ( Triazolam 0.125) mg
Master's safe
6. Diazepam 5mg Teva
Master's safe
7. Diazepam 5mg Ratiopharm
Master's safe
8. Diazepam injection 10mg/2ml (Lagaay)
Master's safe
9. Diazepam 10mg/2,5 ML
Master's safe
10. Haloperidol,5mg/ml, 1ml injection (Lagaay)
Master's safe
11. "Largactil", chlorpromazina 5mg/ml, 5ml (Sanofi Aventis)
Master's safe
12. "Largactil", chlorpromazina 5mg/ml, 5ml (Sanofi Aventis)
Master's safe
13 "Largactil", chlorpromazina25mg (Sanofi Aventis)
Master's safe
14. Codeisan Sulphate (Laboratorios Belmac SA)
Master's safe
15. Fenobarbital, 100mg/ml (Pharmachemie BV, Teva)
Master's safe
16. Lidocain 10Mg/Ml inj. Liquid 2.1
Master's safe
17. Lidocain 2% 30G Gel 2.2
Masters Refrig
18. Lidocain/Adrenalin 10Mg/5Mikrg/Ml 1x20ml (Xylocain) 2.3
Master's safe
19. Adrenalin 1MG/Ml Epinephrine 1x1Ml inj liquid 4.1
Master's safe
20. Hydrocortison 100Mg/2Ml inj Liquid 4.3
Master's safe
21. Cyclizine HCL 50Mg 4.4
Master's safe
22 Metronidazol 500Mg 7.6
Master's safe
23 Metronidazol 1G, 10supp 7.7
Masters Refrig
24 Tetanus Toxoid Vaccin 05.ML 7.10
Masters Refrig
25 Human Tetanus Immune Globulin Inj. Liq 250 IU AMP 2Ml 7.11
Master's safe
26 Doxycyklin 100Mg 8.2
Master's safe
27 Glycerylnitrat "Nitrolingual" 0,4 Mg/Dose 1 x 250 Doses 9.1
Master's safe
28 Acetylsalicylsyre acid 150Mg 9.3
Master's safe
29 Furosemid 40Mg 50tablets 9.4
Master's safe
30 Furosemid 40Mg / 4Ml 10x 4Ml inj liquid 9.5
Master's safe
31 Miconazol 2% 1x 20G 10.1
Master's safe
32 Miconazol cream 2% 1 x 15G 10.2
Master's safe
33 Cimetidin 400Mg tablets 12.1
Master's safe
34 Aluminiumaminoacetat Magnesiumoxid 500/100Mg 12.2
Master's safe
35 Suppositorie/Suppository Metoclopramid 20Mg 12.3
Master's safe
36 Rektalsalve/Rectal Ointment Proctosedyl 30G 12.4
Master's safe
37 Loperamid 2Mg 12.6
Master's safe
38 Cinchocain 5Mg/G Ointment 13.2
Master's safe
39 Atropin Inj/Liquid 1MG/Ml 5.3
Master's safe
40 Atovaquon/Proghuanil HCL Mylan 8.1

Cpt's safe (Lifeboat)


41 Cyclizine HCL 50Mg 4.4

Cpt's safe (Lifeboat)


42 Loperamid 2Mg 12.6

Cpt's safe (Lifeboat)


43 Metoclopramid 20Mg 12.3
20.01.2020

9. Quantity 10.expiry date

50 tablets 06/2014

40 ampules 04/2017

40 capsules 02/2014

10 ampules 05/2014

30 tablets 09/2014

25 tablets 06/2016

20 tablets 06/2014

2 ampoule 08/2014

10 tubes 02/2015

10 ampules 05/2014

5 ampoule 12/2014

5 ampoule 03/2015

100 tablets 01/2015

20 tablets 06/2015

10 ampoule 03/2016

5 ampoles 04/2015

2 tubes 09/2014

1 ampole 01/2014

4 ampoles 07/2014

2 ampules 04/2014

20 tablets 02/2016

24 tablets 01/2015

10 supp 02/2016

5 ampules 04/2015
5 ampules 06/2016

40 tabletes 01/2014

Aerosol /Spray 04/2014

20 tablets 11/2015

50 tablets 03/2014

10 ampules 03/2015

2 pcs powder 01/2015

2 pcs cream 10/2014

30 teblets 07/2014

40 tabletes 01/2016

10supp 01/2016

2tubes 01/2014

57tablets 02/2016

5 tubes 03/2014

15 ampules 06/2015

36tablets 03/2015

170tabletes 02/2016

20tab 02/2016

10Supp 01/2016
Medicines List

Arrival
1. Name and description of ship 2. Port of Arrival/Port of departure

Maersk Cyprus Ningbo


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Lome Anchorage


6. No. 7. Description 8. Location

1 Oxygen Cylinder 10L** Hospital

2 Oxygen Set (Lagaay) Model bag** Hospital

3 Oxygen Cylinder 2L 200bar G5/8** Hospital

4 Paracetamol 500mg, 50 tabl. Hospital

5 Ibuprofen 400mg, 30 tablets x 10 boxes Hospital

6 Acrivastin 8mg/Semprex, 10cap Hospital

7 Acrivastine 8mg/Semprex, 10cap Hospital

8 Fenoxymethylpenicil.660mg,30ta Hospital

9 Dicloxacillin 250mg capsule, 30pcs Hospital

10 Erythromycin 500mg, 30 tabl. Hospital

11 Sulfamethizol 500mg ,12 tabl. Hospital

12 Ciprofloxacin 250mg, 20 tabl Hospital

13 Ceftriaxon 1gram+solv., 5 amp Hospital

14 Atovaquon/Proguanil 250/1000, 12pcs** Hospital

15 Propranolol CF 10mg, 25tabl. Hospital

16 Triamcinolon 0,1% Cream,15gram Hospital

17 Silver Sulphadiaz.Cr.CF 1%,50g Hospital

18 Loxazol/ Permethrin cream 50mg/g 30G Hospital

19 Chlorhexidine/Ethanol, 100ml Hospital

20 Chlorhexidin liquid 0,2%,250ml Hospital

21 Primperan/Metoclopramide 20mg supp. 10 p Hospital

22 Rehidration salts ,12pcs Hospital

23 Chloramphenicol Eyeoint. 1% 5g Hospital

24 Dexamethason 1mg/ml 5ml Eye/Ear drops Hospital


25 Pilocarpin eyedrops 2% 10ml. Hospital

26 Aciclovir 3% eyeointment 4,5G Hospital

27 Aciclovir 3% eyeointment 4,5G Hospital

28 Diflucan 150mg/Fluconazol 1cap Hospital

29 Dextromethorphan/Darolan 30 mg capsule Hospital

30 Terbutaline 0,5mg/dose,200doses Hospital

31 Terbutaline 0,5 inj. 5x1ml Hospital

32 Turbuhaler /Budesonide 0,2mg/dose Hospital

33 Xylometazol.0.1% Nosedr.,10ml Hospital

34 Sodium Chlor. 0,9% inf,1 litre Hospital

35 Glucose/Nacl 25/4,5mg/ml 1000ml. Hospital

36 Hydroxyethyl Amyloid 500ml inf Hospital

37 Oxygen cylinder 50ltr Hospital

38 Paracetamol 500mg, 100 tablets Hospital

39 Calcium Gluconate 2,5% Gel,30g Hospital

40 Calcium Lactogluc. 500mg, 20 tabl. Hospital

41 Norit Carbomix 50gram,1 bottle Hospital

42 Ethylalcohol Absol. 500ml Hospital

43 Phytomenadione 10mg/ml, 5amp. Hospital

44 Amoxycillin 500mg, 30 capsules Hospital

45 Primperan Supp. 20mg, 5 pcs Hospital

46 Budesonide 0,2mg/dose, Turbuh. Hospital

47 Multivitamin tablets 100pcs Hospital

48 Vaseline Intensive Care Lotoin - 200ml Hospital

49 Salt tablets 250pcs Hospital

50 Midalgan Cream - muscle pain relief 60g Hospital

51 Malani 12tab Hospital

52 Malani 12tab Hospital

53 Malani 12tab Hospital

54 Relax antimosquito Hospital


55 Moustil antimosquito Hospital

56 Moustoase antimosquito Hospital

57 Mosquito repelent Hospital

58 Glucagen inj Hospital


dicines List

Departure
3. Date of arrival / Departure

20.01.2020

MFAG NO 9. Quantity 10.expiry date

1.1 1 15/02/2018
1.2 1 N/A
1.3 2 15/02/2018
3.1 44tablets 01/2016
3.2 278tab 08/2015
4.2 9cab 01/2016
4.2 10cab 08/2016
7.1 30tab 01/2015
7.3 30pcs 08/2014
7.4 24tab 08/2014
7.5 12tab 10/2015
7.8 40tab 10/2015
7.9 20amp 02/2014
8.1 311pcs 06/2017
9.2 50pcs 12/2015
10.3 3pcs 04/2014
10.4 1pc 12/2014
10.5 1pc 06/2015
11.1 2pcs 01/2014
11.2 2pcs 04/2014
12.3 5pcs 12/2015
12.7 48pcs 05/2015
13.1 5pcs 08/2014
13.3 1pc 03/2014
13.4 1 04/2014
13.6 1 04/2014
13.6 1 12/2013
14.1 2caps 02/2014
15.1 40caps 07/2015
15.2 1pcs 06/2014
15.3 5amp 11/2014
15.4 1pc 02/2015
15.5 3pcs 11/2014
16.1 7pcs 06/2016
16.2 5pcs 03/2014
16.3 5pcs 04/2014
MFAG A1 1 15/02/2018
MFAG A1 100tab 01/2015
MFAG A1 5pcs 09/2016
MFAG A1 40tab 09/2014
MFAG A1 2pcs 10/2017
MFAG A1 3pcs 05/2014
MFAG A1 2pcs 01/2015
MFAG A1 2pcs 01/2015
MFAG A1 1pc 12/2015
MFAG A1 4pcs 02/2015
16.1 9*100pcs 06/2014
16.1 5
19 02/2016
12pcs 01/2015
48tab 03/2017
84tab 05/2017
180tab 07/2017
4 03/2016
3 06/2014
4 02/2016
21 01/2016
5.2 2 01/2014
Medicines List Lifeboat

X Arrival
1. Name and description of ship 2. Port of Arrival/Port of departure

Maersk Cyprus Ningbo


4. Nationality of ship 5. Port arrived from / Port of destination

Singapore Lome Anchorage


6. No. 7. Description 8. Location

Cpt safe (lifeboat)


1 Paracetamol 500MG
Cpt safe (lifeboat)
2 Glycerylnitat "Nitrolingual" spray
Cpt safe (lifeboat)
3 Chlorhexidin 0.2%
Cpt safe (lifeboat)
4 Silver Sulfadiazine
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
46
47
48
49
50
51
52
53
54
55
56
57
58
dicines List Lifeboat

Departure
3. Date of arrival / Departure

20.01.2020

MFAG NO 9. Quantity 10.expiry date

3.1 20pcs 01/2015


9.1 1pc 04/2014
11.2 1pc 12/2013
10.4 1pc 04/2014

You might also like