Ship's Name: _____________________ Date: ________________________

No.	Chart/Pub. No.	Name of Publication	Edition

2^nd Office: ________________________________ Master: ______________________________

Note: To be completed every round voyage and filed in both office's file and ship's file.

To retain for 2 years.

Issue date: 03.11.2003/Rev. 00 I-DD02-F02 Page: 1/1

LIST OF CHARTS AND PUBLICATIONS ONBOARD SHIP

QSMS I-DD02-F02 Rev. No.00

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