FORM- II PORT MANAGEMENT BOARD ANDAMAN AND NICOBAR ISLANDS Application for Export of Cargo in Shipping Vessel (To be filled by Owner/ Master/ Agent of the vessel) To The Manager (C & S)/ Security Port Management Board Port Blair Sir, I/ We .............................Owner/ Master/ Agent of the vessel M.V. ............ Reg. No..................Sailing for ...............via ............with.........MT of export cargo on ...........working place Haddo, Chatham, Hope Town, Phoenix Bay. The following information & documents attach herewith requirement of service:- 1. Export cargo booking list : (Attached) approx. weight .............................. 2. NOC for Marine/ Forest Product : (Attached) 3. Nature of Cargo : Bulk, Container/ LPG/ Dangerous Cargo/ POL 4. Name if Stevedore and License No. :............................... 5. Number of container : ................................ 6. Cargo/ container handling equipments : (a) ............................... (b) .............................. (c) ............................. (d) ............................. 7. Other Service: (a) Weight Bridge ................... (b) Fire Tender ..................... (c) Labour Gang .................... (d) Storage space .................... (e) Bunkering ...................... (f) ............................. 8. Working period: (a) Form ....... to ................. Days (b) No. of Shift ....................... (c) Sunday/ Holiday .................... (d) Day/ Night ...................... Note: (Signature with name and designation) Date: ............ ROTATION No. Name of the company .......................... Address ......................... Tel. No. ...... (Office) ......... (Res) ........... Fax No. ....................
