Executive director

Services

Zionsville, IN

Full Time - 3 years ago

Who we are?

We believe lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters.

What we are looking for?

We believe lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text.

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Applicants Requirements

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Berth Application

*Vessel :

*S/S Line :

*Call Letters :

*Flag :

*IMO Number :

*ISPS Certificate Number :

*Vessel P&I Club :

*Contact Information :

*Length :

*Beam :

*Lloyd’s Register Tonnage: (Use Highest If Dual) N/T :

*G/T :

*ETA :

*Arrival Draft :

*ETD :

*Departure Draft :

*Vessel Will Load / Discharge: Commodity :

*Tons :

*Vessel Will Load / Discharge: Loaded :

*Empty Containers :

*Stevedore :

*Last Port :

*Next Port :

Remarks :

In accordance with USCG 33 CFR 105.270 (b) (2), advance notification of vessel stores or bunkers delivery is required:

*Initial if vessel will receive: Stores :

*Initial if vessel will receive: Bunkers :

*Initial if vessel will change crew: Yes :

*Initial if vessel will change crew: No :

*Fresh Water Hookup: Yes :

*Fresh Water Hookup: No :

*Hot Work Request: Yes :

*Hot Work Request: No :

I hereby request berthing for the above listed vessel and have provided the required information herein. I further agree, as the agent or authorized representative for the agent requesting berth, to accept responsibility for all charges assessed against the vessel and any additional charges resulting from requests for service from the terminal or terminals at which the vessel is either working or at lay berth.

*Berth Desired :

*Date :

Berth Granted :

Date :

*Vessel Agent :

*Vessel Agent Contact Number :

Reassigned Berth :

Date :

MARSEC Level at Time of Filing :

Berth Request / Reassignment Approval Granted By :