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VESSEL PARTICULAR Rev.03 (1000) - FWMS
VESSEL PARTICULAR Rev.03 (1000) - FWMS
Date :
VESSEL DETAILS
Name:* Voyage Express Ex- Name: Venelia
Address: 301, 3rd Floor, KG chambers, udhana Darwaja, Ring Road, Surat Gujrat 395002.
Tel: Fax: NA
E-mail: technical@firstwavemarineservices.com
Address: Office No 506, Shelton Cubix, plot no 87, sector 15, Belapur 400614
E-mail: technical@firstwavemarineservices.com
OTHER DETAILS IF ENQUIRER IS SHIP REPAIRER / CHANDLER / SUPPLIER / TRADING HOUSE ETC.
Name: NA
Address: NA
Tel: NA Fax: NA
E-mail: NA
DIRECT OR INDIRECT
(CURRENT OR FUTURE)
If YES,Kindly State the Country
TRANSACTION WITH IRAN YES NO NA
Name
OR ANY OTHER
SANCTIONED COUNTRY?
*
Confirmed by
Name : Anurag Chaturvedi
Signature :
NOTE :
Data to be filled in
Item with (*) is must required info in order for us to check further and prepare a quote.
Kindly Indicate NA where not applicable
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