船舶载运固体散装货物申报单.docxVIP

船舶载运固体散装货物申报单 Declaration Form for Solid Bulk Cargoes Carried By Ship 船 名： 粤电 52 航 次：1210 √进港 始发港： 秦皇岛 抵港时间： 2012-07-25 1242LT Ship ’ s Name: Voyage No.: Arrival Port of Departure: Time of Arrival: 国 籍： 中国 经 营 人： 广东粤电航运有限公司 □出港 作业泊位： 903 作业时间： Nationality: Manager: Departure Berth: Time of Loading: 散装货物运输名称 组别 类别 危规编号 总 重 量 卸 货 港 装载位置 备 注 Bulk Cargo Shipping Name Group Class UN No. Weight in Total Port of Discharging Location of Stowage Remarks 散装煤 B MHB 56800MT 湛江 1,2,3,4,5 舱 兹声明根据船舶装载固体散装货物安全和防污染规定，本轮具备装载上述货物的适装条件，货物配装符合要求，货物资料齐全。申报内容准确无 主管机关签证栏 误。 Remarks by the Administration I hereby declare that, in accordance with the provisions of the safe transportation of solid bulk cargoes by ships and pollution prevention, this ship has met the requirements of fitness for carrying the above declared goods; Cargo stowage is properly planned according to the requirements; The documentation of the cargo is complete and the contents of the declaration are true and correct. 附送以下单证、资料 The following documents and information are submitted in addition. 轮船长 /申报员 : 船舶 / 代理人（盖章） Master / Declarator: Ship / Agent (Seal) 船长 /申报员证书编号 : 日期 : Certificate No.: Date: 紧急联系人姓名、电话、传真、电子邮箱： Emergency Contact Person ’ s Name, Telephone No., Fax, -andmail:E 此申报单一式三份，其中两份退申报人留持并分送港口作业部门，一份留主管机关存查。 This declaration should be made in tripartite, one is kept by the Administration for file, and two for the declarer and port operator respectively. 中华人民共和国海事局监