PERIODICAL SURVEY REPORT FOR ISSUANCE / RENEWAL OF

CARGO SHIP SAFETY RADIO CERTIFICATE

SHIPS FITTED WITH A GMDSS RADIO INSTALLATION

(Radio communications Installations complying with new Chap. IV, SOLAS 1974)

Name of Ship Port of Registry

Gross Tonnage Date Keel Laid IMO Number
BV Register : Flag :

IGIRAN TIDE MONROVIA 157 2022 9958511

42308P LIBERIA

Call Sign : 5LQY2 ID for DSC (VHF) : 636024091

Selcall No. for NBDP : N/A ID for DSC (MF/HF) : 636024091

1st ID for INMARSAT - A/B : N/A ID for DSC (MF) : N/A

2nd ID for INMARSAT - A/B : N/A 1st ID for INMARSAT - C : N/A

ID for Satellite EPIRB : 636024091 2nd ID for INMARSAT - C : N/A

Yes No
i Has an « Interim » / « Conditionally Issued » Certificate been issued ?
i Date of issuance : RSL - 17 MAY 2024 ... Date of validity : RSL - 15 AUG 2024
i Does the vessel call regularly your port ?

Reference of the Report :

Connecting District : Marine Centre :

Ship Owner : TDW INTERNATIONAL UNRESTRICTED INC

DATE OF SURVEY PLACE OF SURVEY

Start : 18 MAY 2024
MALONGO, ANGOLA
End : 18 MAY 2024

SURVEYOR KEVIN PHILLIPSON SSOM

Signature Stamp Signature Stamp

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