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Particulars of ship:
Name of Ship: Distinctive number or letters: Gross Tonnage:
TAG NUR DUA 263
Duration Requested:
Type of certificate to be extended:
Duration Requested:
-TUG WILL ONLY OPERATE WITHIN PORT LIMIT (LESS THAN 20NM)
-CREW WILL ALWAYS AVAILABLE 24/7 ONBOARD TO CARRY OUT THE FIRE WATCH
-PORTABLE FIRE EXTINGUISHER QUANTITY AND MAINTENANCE TO BE MAINTAIN ONBOARD AT ALL THE TIME.
-TUG OPERATION ONLY LIMIT TO CARRY OUT BERTHING & UNBERTHING OPERATION
MSN 05/2008
I/we*, the undersigned, hereby declare that the above mentioned vessel has not been subjected to any accident or
other occurrence which would raise any doubt as to the vessel continuing to be seaworthy and that she is properly
equipped to operate within the limits prescribed in the said Certificate.
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(date) (Operator/Charterer/Owner of Vessel)
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(date) (