| (Schedule 1 paragraph 16) |
The Port Manager, Castries/Vieux-Fort |
APPLICATION FOR A BERTH |
We the undersigned.................................... *Owner/Master/ Agents of the S/M/V Sch ....................... GRT ........................ |
LGTH ........................ Draft Fwd ................... Aft .............. |
Registered No ...................... request that a berth at .................... be allowed to this vessel on the ................................ 20 .......... for the purpose of discharging/loading *and/or disembarking passengers. |
I hereby declare and certify as follows— |
*(a) | The vessel is not carrying any dangerous goods described in the list of dangerous goods in the .................. schedule. |
(b) | The vessel is not carrying explosives or goods possessing dangerous properties other than those described in the list of dangerous goods. |
(c) | The vessel is carrying dangerous goods as shown on the back thereof. |
(d) | The vessel is carrying explosives or goods possessing dangerous properties other than those described in the list of dangerous goods as shown on the back thereof. |
(e) | The packing and storage of all goods listed under (c) and (d) above are in accordance with the usual shipping practice except as shown on back thereof. |
(f) | The amount of cargo to be discharged is ............ tons. |
(g) | The amount to be loaded is .......................... tons. |
(h) | The amount of deck cargo is ........................ tons. |
(i) | The number of passengers disembarking is .......... Embarking .................. |
(j) | The vessel is expected to arrive in the harbour at ......... hours. |
Signed ................................ |
Master/Agent. |
* Cross out whichever is not applicable. State number of tons of each type of cargo. (To be submitted in quadruplicate). |