ARRIVAL/PASSAGE SUMMARY MESSAGE

Company Forms and Check Lists Voyage Number: 12 1 2 3 4 5 6 7 8 Name of Arrival Port Date/Time GMT and local of Arrival Draft (indicate medium of water) Date/Time GMT NOR Tendered Total distance/hours Voyage Leg Total Average Speed Total IFO/MDO this passage for main engineand aux. eng. only. Total IFO/MDO this passage for heating and total numbers of heating during passage hours. Number of hours/quantity used for heat up and separately for main.t temp. IFO IFO HRS IFO IFO Date: 24/12/01 13:34

Date : 04.05.01 Rev.No : 1 Prep. : ES App. : CAP Section : 01 Page : 1 of 1

GMT 24/12/01 13:34 Local 24/12/01 13:34 FWD AFT

GMT 24/12/01 13:34 NM 1200

12.00

HRS 100 KTS MDO MDO (heating) MDO MDO MDO

(heat up) (maint (

F)

Total IFO/MDO this passage for cleaning or IFO other, including hours, IFO/MDO consumed on office ordered slow speed IFO

HRS)

10 IFO/MDO (MGO) ROB at arrival 11 Information you may have regarding docking

MDO

12 Bad weather or controlled speed information: days/hours in excess force 5, distance sailed, IFO and MDO consumption in bad weather 13 Advise quantity/type slops on board.

NM 0 IFO IFO
0

HRS 0 MDO MDO MT

(drifting)

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MT ALFIOS I