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C PORT SAFETY AND SECURITY DEPARTMENT Maldives Ports Limited PHONE 332 9339 3008922 FAX 332 8624 PRE-ARRIVAL NOTIFICATION OF SECURITY PANS 1. Particulars of the ship 2. Arrival voyage information 3. Security related information IMO Number 1. 2 Name of the ship Port of registry 1. 4 GT Type of the ship 1. 6 Call Sign Flag state 1. 8 MMSI Number Name of the ship s owner 1. 10 Name of company security officer CSO CSO 24hrs contact Tel Mobile Fax 1. 11 Ships email address Voyage Number 2. 2 Last Port ETA to Male 2. 4 Purpose of call General description of cargo Is the ship carrying any dangerous substance as cargo Yes/No Has Crew List been forwarded Immigration and MPL Yes/No Has the passenger list been forwarded Immigration and MPL Yes/No Any accident affecting the safety of the ship Yes/no Any fire hazards including hazards involving dangerous goods onboard Yes/no Do you have any Sick crew on board If yes please give details Has Dangerous Cargo Manifest been forwarded to MPL Yes/No NO. Does the ship have a valid compliance certificate Yes/No Last port Security level List last 10 calls Ship/port interface conducted chronological order beginning with most recent calls Date from Date to Port Facility Port Security Level Special or Additional Security measures No List of most recent 5 ship-to-ship activities during the period of specialized in 3. 3 Date from Lat. Long. Activity. Name of the agent/Ship owner/Master Signature with Seal Official Use Received by Name Signature. Particulars of the ship 2. Arrival voyage information 3. Security related information IMO Number 1. 2 Name of the ship Port of registry 1. 4 GT Type of the ship 1. 6 Call Sign Flag state 1. 8 MMSI Number Name of the ship s owner 1. 2 Name of the ship Port of registry 1. 4 GT Type of the ship 1. 6 Call Sign Flag state 1. 8 MMSI Number Name of the ship s owner 1. 10 Name of company security officer CSO CSO 24hrs contact Tel Mobile Fax 1. 11 Ships email address Voyage Number 2. 10 Name of company security officer CSO CSO 24hrs contact Tel Mobile Fax 1. 11 Ships email address Voyage Number 2. 2 Last Port ETA to Male 2. 4 Purpose of call General description of cargo Is the ship carrying any dangerous substance as cargo Yes/No Has Crew List been forwarded Immigration and MPL Yes/No Has the passenger list been forwarded Immigration and MPL Yes/No Any accident affecting the safety of the ship Yes/no Any fire hazards including hazards involving dangerous goods onboard Yes/no Do you have any Sick crew on board If yes please give details Has Dangerous Cargo Manifest been forwarded to MPL Yes/No NO. 2 Last Port ETA to Male 2. 4 Purpose of call General description of cargo Is the ship carrying any dangerous substance as cargo Yes/No Has Crew List been forwarded Immigration and MPL Yes/No Has the passenger list been forwarded Immigration and MPL Yes/No Any accident affecting the safety of the ship Yes/no Any fire hazards including hazards involving dangerous goods onboard Yes/no Do you have any Sick crew on board If yes please give details Has Dangerous Cargo Manifest been forwarded to MPL Yes/No NO. Does the ship have a valid compliance certificate Yes/No Last port Security level List last 10 calls Ship/port interface conducted chronological order beginning with most recent calls Date from Date to Port Facility Port Security Level Special or Additional Security measures No List of most recent 5 ship-to-ship activities during the period of specialized in 3.

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