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Periodical Returns Quarterly Returns by the Authorized official of Owner / Operator and ROs of DGS on Towing Permission granted

to the PO, MMDs, Districts as the case may be Period From: ________________________ To: _________________ Sr. No. Name of Towing ship/Towed object; Date of Built /Rebuilt*/ Age; Date of Inspection; Place / Port of Inspection Flag of both towing/towed ships; Cargo type if applicable; No. of persons if tow manned; Type of towing permissions IssuedNumber of cases rejected with reasons Year: ________ Remarks * if any regarding incidents of casualty / oil pollution / Loss of life / PSC/FSI detention, etc.

Annex IX

1. 2. 3. 4. 5.

Place / Port _________ Official Seal Date ___________________ * Delete as applicable. Name and Designation/ Signature of Authorized Official of Owner/Operator/ROs *

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