Document No FR.

66
VESSEL & BWMS Date 01.03.2024
Requested Date
PREPARING FORM Revision No 00
Page 1/1

VESSEL & BWMS PREPARING FORM

Reference PROJECT NO PR2400022
VESSEL NAME / VESSEL TYPE
IMO NO
BUILT YEAR
GROSS TONAGE
FLAG
CLASS
BWMS MAKER / MODEL
NUMBER of BWTS INSTALLED
BWMS INSTALLED DATE (YEAR/MONTH/DATE)
BALLAST TANK CAPACITY (m³)
NAME of TREATMENT SYSTEM
TREATMENT TECHNOLOGY (FILTRATION+UV…)
TREATMENT RATED CAPACITY (TRC) in m³/h
INSTALLED LOCATION (E.G E/R)
IMO TYPE APPROVED BY AND CERTIFICATE NO.
USCG TYPE APPROVAL CERTIFICATE NO.
CLIENT NAME Synergy Navis Marine Pvt. Ltd.

SERVICE TYPE BWTS Sample Analysis & D2 Commissioning

Test
DATE of SAMPLING
LOCATION (COUNTRY/CITY/SHIPYARD/PORT)
ATTENDING SURVEYOR
BTWS TIP APPROVAL CERTIFICATE NO.