TRANSFER OF ASSETS OWNERSHIP Unitor Cylinder Pte Ltd

This form should be used when a vessel is

changing owner and the new owner is taking over SINGAPORE
the assets onboard. All fields MUST be filled out Tel: +65 6395 4545
clearly to avoid any transfer discrepancies. Fax:+65 6872 7270
wss.cylinder.claims@wilhelmsen.com
www.wilhelmsen.com
Transfer Id: 192584
From:
Vessel no 9470909 Vessel Name UOG HELIOS
Payer no 8100014219 Payer Name SYNERGY NAVIS
PRIVATE LIMITED

To:
Vessel no _____________ Vessel Name _____________
Payer no _____________ Payer Name _____________

Date of transfer _______________ Port of takeover _______________

Assets onboard the vessel when transferring to new owner:

Tagged Assets on board 16.10.2023
Asset Type Asset ID Serial No Paid by Tick off if asset is on board
510644 A-40 110122784652 2037212 8100014219 _________
510644 A-40 110131909746 565985 8100014219 _________ EMPTY
510644 A-40 110131870492 583779 8100014219 _________ FULL
510644 A-40 110131875517 593673 8100014219 _________ FULL
390 usd
510644 A-40 per 110131866565 2111564 8100014219 _________ IN USE
510636 O-40 cylinder 110242977442 5336498 8100014219 _________ EMPTY
510636 O-40 110243287429 3227502 8100014219 _________ EMPTY
510636 O-40 110243287403 3034741 8100014219 _________EMPTY
510636 O-40 110240186954 3155782 8100014219 _________EMPTY
510636 O-40 110241739702 3152053 8100014219 _________EMPTY
510636 O-40 110241877858 3185728 8100014219 _________EMPTY
510636 O-40 110242977491 3228412 8100014219 _________ FULL
510594 R-56 190 usd110721466966 6091625 8100014219 _________EMPTY
510594 R-56 per 110721754700 6179967 8100014219 _________IN USE
cylinder
______________ ______________ _________ _________
961398 R404
______________ ______________ _________ _________ EMPTY
001356 R404
______________ ______________ _________ _________ EMPTY
______________ ______________ _________ _________
______________ ______________ _________ _________

Untagged Assets on board 16.10.2023

Asset Type No of Assets No of Assets found Paid by
______________ ______________ ______________
______________ ______________ ______________

TOTAL 15 BOTTLES AVAILABLE ONBOARD

Page 1 (2)
Name ____________________ Name ____________________

Designation ____________________ Designation ____________________

________________________________ ________________________________
Sign & Stamp Ex Payer/Vessel Sign & Stamp New Payer/Vessel

Page 2 (2)