BRAVE ROYAL SHIP MANAGEMENT (BD) LIMITED

FILE NO. F-58 BRSML/FORM-58-RO

REMOVAL/RECEIPT REPORT

Ship: Jahan Brothers II Vsl Ref No: 23-17

A. Removal Report (to be filled when landing ship’s items) (Vsl Code/YYYY-Running Nos)

Place CHATTOGRAM Date: 22 /07/2023

Description of items landed:

ITEM ITEM DESCRIPTIONS QUANTITY WEIGHT
02 Photo Copy Machine 01 Nos
Model : Canon ImageRUNNER 2204F

Items addressed to:

'KABIR MANZIL (3rd floor), sheikh Mujib Road, Agrabad C/A, Chittagong-4100, Bangladesh Phone: +88-031-
2513791-4,711501-5,721898,716211

Reason for landing (viz. For repairs, return to supplier, transfer to other vessel, scrap, etc):
Repair

Receiver’s Name:

Designation: CARRIER
S.R. SHIPPING LTD
Company:

Signature of Receiver:

Master / Chief Engineers Sign

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(To be filled on return of landed items. Disregard ‘B’ when items are not to be returned to the vessel)
B. Receipt Report.
Place: Date:
Description of items returned:

Remarks:

Returned by:

Received by
Original: To retain on board.
Copy: As required, to [A] receiver/ [B] person returning
Item(s).