MEMORANDUM CECK LIST OF SHIPS DOCUMENTS

1. Name Of Ship : 6. Type Of Ship :

2. Flag : 7. Owner :
3. Distinetive Number or Letters / 8. Date Arrival From :
Call Sign : 9. Date Of Departure :
4. Gross Tonnage : 10. Distination :
5. IMO Number :

Issued at Certificate Date OF Certificate Is Ok or

Number Name Of Ship Certificate
Place of Issue of Certificate Issued Valid Until No
I Ship Certificate (Clearance In)
1. Port Of Registeri
2. International Tonnage
3. International Load Line Cerificate
4. Cargo ship Safety Contruction Certificate
5. Cargo ship Safety Equipment
- Record Of safety equipment ( Form. E)
6. Cargo ship Safety Radio Certificate
- Record Of safety equipment Radio ( Form. R)
7. International Oil Pollution Prevention Certificate ( IOPP )
- Suplement IOPP
8. Class Certificate
9. Minimum Safe Manning Certificate
10. Port State Control from A and B
11. International Ship Security Certificate
- Continnous Sinopsis Record
- Certificate Of Profesional Training Of Seafarers
12. Safety Management Certificate
13. Document Of Compliance
14. Stability Calculation
15. Seamen Book
II Document (Clearance In)
1. Last Potionrt Clearance
2. Nil List
3. Bonded Stores List
4. Ship Store List
5. Crew Effect Declaration
6. Port Of Call
7. Cargo Manifest
8. Ship Particular
9. Stowage Plan
10. Arrival Condition
11. NOR (Notice of Readinees)
12. Shipping Order
13. Crew List
14. PKKA
15. Derating
III Clearance Out
1. Port Clerance / SIB from Harbaou Master
2. Crew List Acknowledged By Imigration Clearance
3. Sailing Declaration
4. LK. 3
5. Departure Condition
6. Stowage Plan Departure
7. Cargo Manifest
8. Stevedory Daily Report
9. Time Sheet and Mate’s Receipt
10. Profesional Report of Draft Survay
11. Arrival Condition
IV Port State Control
1. Radio Log Book
2. Oil Record Book
3. Cargo Record Book
4. Intruction For On oard Mantainance Of Life Saving Apliances
5. Stability Information Approved By Port Administration
6. S.O.P.E.P
7. Solas Training Manual
8. Garbage Record Book And Management Plan
9. Safety Management Manual

Arrival Departure
Nakhoda Notice
(Signed) (Signed)

Harbour Master Signed Signed