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FORM O 05

Summary of ship damages

MV: Year:
Back / ‫السابق‬
Master: Month:
DR Number Description of damage, Name of company, caused damages. Amount Amount Projex Repaired / Replaced
Date Port HAS TO BE FILLED OUT CONTNIUOUSLY !! € $ D/N Status
by
‫تاريخ‬ ‫ميناء‬ ‫ يجب أن تمأل باستمرار‬.‫ األضرار التي تسببت‬,‫ اسم الشركة‬,‫وصف الضرر‬ ‫كمية‬€€ ‫ كمية‬$ ‫تم استبداله‬/‫تم اصالحه‬
‫الحالة‬
‫بواسطة‬

01/02/16 xx yy closed

01/02/16 xx yy open

Revision: 01.July.2022 Approved by MD Page 1 of 3


FORM O 05
Summary of ship damages

Revision: 01.July.2022 Approved by MD Page 2 of 3


FORM O 05
Summary of ship damages

Revision: 01.July.2022 Approved by MD Page 3 of 3

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