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Suie 3(l)
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THr Rspuet-rc oF LtepnIA Vieura- Vrrguria
Tel: '1 Tttl l9lt-1434
Far: tI7l-)-j:9)5655
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Under the ISM Code, the declared Safety Management Company must provide contact
information to the Administration. ln accordance with Section 1.1.2 of IMO Resolution
A.741(18), the ISM code, "Company" means the Owner of a ship or any other organization or
person such as the Manager, or the Bareboat Charter, who has assumed the responsibility for
operation of the ship from the Shipowner and who on assuming such responsibility has agreed
to take over all the duties and responsibility imposed by the Code. The undersigned affirms
that:
ln accordance with Section 3.1 of Assembly Resolution 741(18), if the entity who is responsible
for the operation of the ship is other than the above stated Owner, the Owner must report the full
name and details of such entity to the Administration. lf such is the case here, the undersigned
affirms that. the "Company" responsible for all the requirements imposed by the Code for the
Liberian registered Ship(s) listed above.
The undersigned further understands that any change in "Company" must be made in writing by
facsimile or otherwise with effect two full business days after notice has been received by the
Office of the Deputy Commissioner of Maritime Affairs for lV!_arine Safety.
G** zu4,-2,;
Elia Isabel T.,lavarro Cffiari De Juliao
Date. Aoril14,2023
RLM.297 Rlev.lll30ll2
DECLARATION AND AFFIDAVIT
of Non-Registration
According to Liberian Maritime Law
(ii) that the Company has applied for the registration of the Vessel under the Liberian
flag;
(iii) that the Vessel is currently not flying another flag; and will not be registered in
another flag prior to registering under the Liberian flag.
(iv) the Vessel is free and clear of recorded liens and encumbrances.
Sub mitted
Full Name Elia Isabel Navarro Chiari De Juliao
Citizen of PANAMA
Residins at PANAMA
(Signature)
TO,
Liberian lnternational Ship and Corporate Registry
Registration Departm ent,
99 Part Avenue, Suite 830,
New York, NY, 10016-1601,
United States of America.
Dear Sir,
Subject: Lila Cumberland (Official No: 22946). Consent for Transfer of Flag to 'Liberia'.
Reference to subject vessel, undersigned duly authorized on behalf of the Company erystat nivgt
Trading !nc', herewith confirm their consent to transfer of Flag to 'L!-EEE!A', presently registered under '
Malta Flag ', as under.
NameOfVessel:
, @
IMO Number: 9666649
Undersigned also undertakes to submit the 'Deletion Certificate' of the previous registry of the subject
vessel, within a period of 30 days from registration under the 'Liberian Flag'.
Thanking You,
Best Regards,
,/-Z^i-'
Director
OWNEHSHIP (not a Liberian Entity) Waiver of Section 51{2} under Section 51 {5} :.Y.fi&r or N/A /
AGE (20 years 0r older) Waiyer of Section 51(4) under Seciion 51(6) E or N/A
TONNAGE (less than 500 net tons) Waiver of Section 51(2) under Section 51(2)(a) rY,E or N/A /
3- APPLICATION FOR TEMPOHARY valid for 3 mo. IAA
A contract has been (or will be) entered into with the above AA. which will be
rsponsible for all communication accounts. Pending the contract efftrtive date,
responsibility for payment of acccunts and cotre$pondence relative to the radiotelegraphy,/telephony service of Vssel is hereby assumed by applimnt Owner(9.
musl submit Radio License Aiplication Form RLM- prior to expiratian in arder to obtain a fult-tffi Libeian Radio Station License.
"Use Form frLM-296 Declqration of lnvoicing Responsibility for more detailed billing instructions, if required
PART 5. OATH OF OWNER, AFFIRMATIOH OF SUHRENDEB OF FOREIGN DOCUMENTS & MAKING OF MARKINGS
I do hereby swear and atfirm, as required by Section 57 of the Liberian Maritime Law, that I am duly authorized in writing by Owner(s) or prospective Owna(s) of Vessel
as dscribed in Part t
herein, and declare that all information in this Application are true and corrmt and that Master of Vesel has been ordered or will be ordered and
instructed. upon receipt of Vessl's Liberian Provisional Certificate of Registry, to surender Vessel's previous documents isued by the Government of the Flag State ffi
declared in Box 4 and to make the Vessel markings required by Section 75 (1), (2) and (4), ofthe Liberian Maritime Law, as amended.
Submitted by:
RLM-101A Questions? Contact: Registration@/iscr.corn or your nearest friendly LISCR office Rev.70/2022