PREARRIVAL INFORMATION TO BE PROVIDED BY SHIPS INTENDING TO

PORT OF IZMIT

FORM A
1-) INTERNATIONAL SHIP SECURITY CERTIFICATE (ISSC) OR INTERIM ISSC

ISSUING AUTHORITY : D.B. DENİZ NAKLİYATI A.Ş. TURKEY

DATES OF ISSUE AND EXPIRE : 20.01.2017 / 19.01.2022

2-) THE CURRENT SECURITY LEVEL OF THE SHIP :..1..

3-) THE SECURITY LEVELS IN THE PREVIOUS TEN CALLS AT PORT FACILITIES :

PORT NAME PORT SECURITY LEVEL DATE OF ARRIVAL & DEPARTURE

1-) THESSALONIKI 1 03.07.2018 04.07.2018
2-) SALERNO 1 27.06.2018 28.06.2018
3-) BERDYANSK 1 14.06.2018 16.06.2018
4-) CHALKIS 1 07.06.2018 09.06.2018
5-) THESSALONIKI 1 04.06.2018 05.06.2018
6-) GALATI 1 29.05.2018 31.05.2018
7-) IZMIT 1 24.05.2018 24.05.2018
8-) ISKENDERUN 1 18.05.2018 20.05.2018
9-) EL DEKHEILA 1 15.05.2018 16.05.2018
10-) CHORNOMORSK 1 07.05.2018 08.05.2018

4-) ANY SPECIAL OR ADDITIONAL SECURITY MEASURE TAKEN BY THE SHIP IN ANY PREVIOUS PORT
WHERE IT HAS CONDUCTED A SHIP / PORT INTERFACE DURING THE PERIOD COVERED BY PREVIOUS
TEN CALLS AT PORT FACILITIES.
NIL
A-) MEASURES TAKEN WHILE VISITING A PORT FACILITY LOCATED IN THE TERRITORY OF A
STATE WHICH IS NOT A CONTACTING GOVERMENT.
NIL
B-) ANY DECLARATIONS OF SECURITY THAT WERE ENTERED INTO WITH PORT FACILITIES OR
OTHER SHIPS.
NIL
5-) CONFIRMATION THAT APPROPRIATE SHIP SECURITY PROCEDURES WERE MAINTAINED DURING ANY
SHIP-TO-SHIP ACTIVITY DURING THE PERIOD COVERED BY PREVIOUS TEN CALLS AT PORT FACILITIES.
NIL
A-) MEASURES TAKEN WHILE ENGAGED IN A SHIP-TO-SHIP ACTIVITY WITH A SHIP FLYING THE
FLAG OF A STATE WHICH IS NOT A CONTACTING GOVERMENT.
NIL
B-) MEASURES TAKEN WHILE ENGAGED IN A SHIP-TOSHIP ACTIVITY A SHIP FLYING THE FLAG OF
A CONTRACTING GOVERMENT BUT NOT REQUIRED TO COMPLY WITH THE PROVISIONS OF CHAPTER
XI-2 AND PART A OF THE ISPS CODE.
NIL
C-) IN THE EVENT THAT PERSONS OR GOODS RESCUED AT SEA ARE ON BOARD ALL KNOW
INFORMATION ABOUT SUCH PERSONS OR GOODS, INCLUDING THEIR IDENTITIES WHEN KNOWN AND
THE RESULTS OF ANY CHECKS RUN ON BEHALF OF THE SHIP TO ESTABLISH THE SECURITY STATUS OF
THOSE RESCUED.
NIL

SHIP STAMP AND SIGNATURE