TRANSFER OF ASSETS OWNERSHIP Unitor Cylinder Pte Ltd

This form should be used when a vessel is

changing owner and the new owner is taking over SINGAPORE
the assets onboard. All fields MUST be filled out Tel: +65 6395 4545
clearly to avoid any transfer discrepancies. Fax:+65 6872 7270
wss.cylinder.claims@wilhelmsen.com
www.wilhelmsen.com
Transfer Id: 192583
From:
Vessel no 9470909 Vessel Name UOG HELIOS
Payer no 8000130189 Payer Name V.SHIPS NORWAY AS

To:
Vessel no _____________ Vessel Name _____________
Payer no _____________ Payer Name _____________

Date of transfer _______________ Port of takeover _______________

Assets onboard the vessel when transferring to new owner:

Tagged Assets on board 16.10.2023
Asset Type Asset ID Serial No Paid by Tick off if asset is on board
510644 A-40 110122721753 513119 8000130189 _________ FULL
510669 E-50 390 usd 110350335086 403159 8000130189 _________
510669 E-50 per 110345376146 4266417 8000130189 _________
cylinder
510669 E-50 110350409238 400766 8000130189 _________
510651 N-50 110332842381 4056602 8000130189 _________ EMPTY
625160 R-12 190 usd 110721225172 6203315 8000130189 _________ FULL
625160 R-12 per 110720875340 6194358 8000130189 _________
EMPTY
510594 R-56 cylinder 110775785139 6015492 8000130189 _________
4038853 N-50
______________ ______________ _________ _________ EMPTY
______________ ______________ _________ _________
______________ ______________ _________ _________

Total 8 are availabe onboard

______________
______________
______________
______________
_________
_________
_________
_________

Untagged Assets on board 16.10.2023

Asset Type No of Assets No of Assets found Paid by
______________ ______________ ______________
______________ ______________ ______________

Payer 8000130189 Reserve Balance 16.10.2023

Asset Type Reserve Balance

510594 R-56 1
510644 A-40 1
510651 N-50 1
510669 E-50 C 3
625160 R-12 2

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Name ____________________ Name ____________________

Designation ____________________ Designation ____________________

________________________________ ________________________________
Sign & Stamp Ex Payer/Vessel Sign & Stamp New Payer/Vessel

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