M.V. ________________ Port ___________________ Date _________________

Dear Sir,

Under instructions of _________________________________________ I have handed over command of M.V. ____________________________ to Capt. __________________________ on _______________________________ at ____________________________ hours

The following have been handed over to the new Master:

1. Certificate of Registry.

2. International Tonnage Certificate.

3. Suez Canal Certificates.

4. Panama Canal Certificates.

5. International load line Certificate in duplicate. Annual freeboard survey is due on

5. Conditions of assignment of load line, Form C-11/L.L.4D.

7. Safety equipment Certificate in duplicate, date of expiry

8. Record of safety equipment.

9. Certificates for Liferafts, Lifeboats, Davits, Gong, Bell, Lanterns, Whistle, etc.

10. Safety telegraphy Certificate in duplicate, date of expiry

11. Radio Licence, date of expiry

12. D.F. calibration Certificate in duplicate, date of expiry

13. Safety construction Certificate in duplicate, date of expiry

14. IOPP Certificate in duplicate, date of expiry

15. Certificates for 15 PPM Monitor, Oily-Water Seperator.

16. COFR (Water Pollution), date of expiry

17. Deratting exempion Certificate, date of expiry

18. Certificate of Medicine Chest.

19. Anchors and chain cables certificate and Calibrations Record Date

20. Certificates for Hull, Machinery, and Boilers.

21. The Factory Act Book.

(i) Cargo gear annual surveyed on

(ii) Derricks / cranes load tested on

22. Stability booklet, Hydrostatic curves Grain Loading Manual, etc.

23. Plans as per annexed list.

24. Files as per annexed list.

25. The Nautical instruments and Navigational Equipment as per annexed list. (In case any instrument is not in good working order the same should be stated in the annexed list.)

26. Official Log Book.

27. Articles of agreement copies.

28. Seamen Identity Books Nos.

Seamen Discharge Books Nos.

International Health Books Nos.

29. The current accounts of the following:-

(i) Portage Bill.

(ii) Bond Store.

(iii) Cash Advance to Crew.

(iv) Officer's Victualling.

(v) Master's Account.

30. Port Clearance Free Pratique.

31. Customs documents.

32. The following are the quantities remaining on board.

(i) Fresh Water M Tons.

(ii) Gas Oil M Tons.

(iii) Diesel Oil M Tons.

(iv) Fuel Oil M Tons.

(v) Galley Oil M Tons.

Next Bunkering Instruction have not been received from the Charterer's.

Log Books, Store Books, Stores Indent and Repair List Have also been handed over to the new Master.

The following have been brought to the notice of the new Master.

Note of Protest

Certificate of Cargo Inspection.

Safe with sets of keys.

Any entry regarding change of Command has been made in the Official and Deck Log Books.

Yours faithfully,

Outgoing Master: _________________________ Date: _____________________________

I acknowledge receipt of the above Documents and Information.

Joining Master: __________________________ Date: ___________________________

N.B. (Joining Master is advised to report to the Company as soon as possible, when he consider there are deficiencies in the state of the Vessel, in its Equipment, Stores, or Manning).

Note: To be completed when hand over and filed in both office's file and ship's file.

To retain for 5 years.

Issue date: 03.11.2003/Rev. 00 PBO-PD03-F01 Page: 2/2

CHANGE OF THE MASTER

QSMS PBO-PD03-F01 Rev. No.00

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