FORM- I PORT MANAGEMENT BOARD ANDAMAN AND NICOBAR ISLANDS Application for import 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 and require following of service:- 1. Import cargo general manifest : (Attached) approx. weight .............................. 2. Nature of Cargo : Bulk, Container/ LPG/ Dangerous Cargo/ POL 3. Name of Stevedore and License No. :............................... 4. NOC for Marine/ Forest Product : (Attached) 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) Port Entry Permit .................. (f) Shore Power Supply ............... (g) ............................ (h) ............................ 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. ....................
