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Annex F

THE MARITIME AND PORT AUTHORITY OF SINGAPORE


ADVANCE NOTICE OF ARRIVAL / LOADING OF HAZARDOUS AND
NOXIOUS SUBSTANCES IN BULK

Name of Vessel Voyage No. Type of Vessel Call Sign ETA: Last Port
ETD:
S/No. Proper Shipping Name UN No. Pollution Flash Quantity Stewage * D/L/T Site Date & Time
of Substance Category Point (°C) In Tonnes Onboard
(Trade Name shall not be used)

Name of Person Signing: We declare that the information is Remarks:


correct and undertake to fulfill and
Designation: comply with all regulations made and
directions given in respect of discharge /
load / transit of the hazardous and
Name and Address of Owner/Agent: noxious substance from time to time

Telephone Date: Signature of Owner / Agent / Master


No: (With Firm's / Company's Stamp)

* Legend: L - Load, D - Discharge, T - Transit

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