CMT-BTC (Azeri Oil)

Isps Form A


PORT SECURITY FACILITIES

========================


- Security level of port       : 1

- Name/Contact details of PFSO : Mr. COSKUN SAYMAN

                            Tel: +90 (322) 355-1700


Meanwhile, as per ISPS requirement Master is kindly requested to urgently fax following form and ISPS certificate in order we obtain berthing orders of terminal.



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                             ISPS Form


       PREARRIVAL INFORMATION TO BE PROVIDED BY SHIPS INTENDING TO

                      ENTER PORT OF BOTAS

                              FORM  A

1) INTERNATIONAL SHIP SECURITY CERTIFICATE (ISSC) OR INTERIM ISSC


    Issuing Authority         

    Dates of Issue and Expire 


2) The current security level of the ship


3) The security levels in the previous ten calls at port facilities:

        Port name      Port Securitiy level   Date of Arrival/Departure


   1-

   2-

   3-

   4-

   5-

   6-

   7-

   8-

   9-

  10-


4) Any special or additional security measure taken by the ship in any

    previous port where it has conducted a ship/port interface during the

    period covered by previous ten calls at port facilities.

     a) Measures taken or while visiting a port facility located in the

      territory of state which is not a Contracting Government.

   b) Any Declarations of Security that were entered in to with port

      facilities or other ships.


  5) Confirmation that appropriate ship, security procedures were

     maintained during any ship-to-ship activity during the period covered

     by previous ten calls at port facilities.


  a) Measures taken while engaged in a ship-to-ship activity with a ship

     flying the flag of a state which is not a Contracting Government.

  b) Measures taken while engaged in a ship-to-ship activity with a ship

     flying the flag of a Contracting Government but not required to comply

     with the provisions of chapter XI-2 and Part A of the ISPS Code.

 

  c) In the event that persons or goods rescued at sea are on board, all

     known information about such persons or goods, including their

     identies when known and results of any checks run on behalf of the

     to establish the security status of those rescued.


   Agent Name/Company                      Ship stamp and signature

   Date of Completion


Unquote

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