Appointment of Manager

/ MONGOLIA
MONGOLIA MARITIME ADMINISTRATION

Appointment of Manager

(Form M7) / Mongolia Ship Registry Pte Ltd
133 New Bridge Road
#16-02 Chinatown Point
Singapore 059413
Tel: (65) 6225 0125
Fax: (65) 6225 0305
Email:
Website:

A. SHIP’S PARTICULARS

Ship Name / Type of Ship / Year Built / Port of Registry
ULAANBAATAR
Gross Tonnage / Net Tonnage / Deadweight / IMO Number of Ship
Length of Ship – LOA (Metres) / Breadth (Metres) / Moulded Depth (Metres) / Moulded Draught (Metres)

B. MANAGER’S / MANAGEMENT COMPANY’S PARTICULARS AND DECLARATION

Name of Manager / Management Company / Address
IMO Number of Company
Name of Designated Person (ISM Code)
Designation in Management Company / Emergency contact details
Mobile phone :
Telephone :
Fax :
E-mail :
Name of Designated Company Security Officer (ISPS Code)
Designation in Management Company / Emergency contact details
Mobile phone :
Telephone :
Fax :
E-mail :
I, hereby declare my appointment as the Manager / Management Company under the ISM Code and the above information is true and correct.
Signature of Manager / Management Company’s Stamp / Date of Declaration

C. OWNER’S DECLARATION

I, hereby declare that the above Manager / Management Company and the Designated Person / Company Security Officer have assumed the responsibility for operation of the above ship from me, the owner, and agreed to take over the duties and responsibilities imposed by the ISM Code/ ISPS Code and the above information is true and correct.
Signature of Owner / Company’s Stamp / Date of Declaration

The following documents shall be submitted together with this declaration form :

(1)Passport of Owner

(2)Passport of Manager / Designated Person / Company Security Officer

(3)Management contract between Owner and Manager / Management Company.

______

 / ISM Code – International Safety Management Code
 / ISPS Code – International Code for the Security of Ships and of Port Facilities

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