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Survey Record of IBWM Certificate for Panamanian flagged Ships Record No, ;_22H10284 ‘Name of ship SAGAR MOTI Class No. 126886 IMO No. IMO 9883146 “The undersigned carried out the survey of the Intemational Convention for the, Control and Management of Ship's Ballast Water and Sediments and isued Interim Intemational Uallast Water Management (IBWM) Cerificate, 1. Dateofsurvey: _30October 2022 __ 2 Place of survey: _Dung Quat,Viefnum___ 3. _Kind of Survey CD Initial survey [Renewal Survey Periodical Survey if concurrent carried out Annual Survey G1. Intermediate Survey G] Suney forfiag change to Panama G] Surey to chang the particulars of ship ) Ba Survey to change the descriptions of BWM Cerificate C7 Ballast water capacity Method of ballast water manegement used 1 Date of installed ‘Name of manufacturer 1d Ballast water management method(s)employed [1] Column of (deseribe) LD Other("BWMS newly installation ) 1 Other survey ) Request for Re-Writen Reason: ( ) 44, The validity of Full term Cargo Ship Safety Construction Cerificate (SC) S$. The anniversary date of new IBWM Cerificate 30 October nee arpoN EA tevoKaL NO: recor esd and nde ine over hn insin BUDM eit isis aoa ee ean af MERCHANT NARNECIRCULAR NMIC3#S he oer euesedto shit In accords es ah see et sap we te Ful term BWA Cee wih er eee 3, Tick the appropriate box. Extraction from MMC-345 Extract nenatonl Blt Water Manage Cerf 1BWMC) wile ise by Sgunar Os ing bach) er re Shrug he eto tem, copy ofthe flowing oeunens ein en erifete sed he Recognzed Oral 47.2 Saver Repo and 723 BWMP approval 15a rg Sup Sater Consrcon Ceri 177 Some Paymeat ecope sax sy, insole aprovel by SEGUMAR Ox as per Resaluton MEFC 1273), hercie approval copy or he crest SSLSSSTAD We Mino an ey i mo hb ale ef Spe Sule ine pe he usc of Reson AS) of 15, bys a) myoedRecopnard Oran renee set Comic sal te wooed on SEGUMAR Epp, Bae shoud tne Compe teeing approval per Rss AEC) a {ie BVM Cor pa oe dort ell pros pe Reskstn ASSO), Be RO Sul once an eau acon eet es cS A ane over srocnond Roan ey tut rsa be sede Shee me confi et ee anon fe BWOIF oe nd IMO Reon A882) Form BWM-PAN (1/1) ‘Buge quét bang CamScanner

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