Ref. No. Vessel details Current name IMO No: of vessel: Shipping line from Australia/ Gross tonnage: Charterer: Registered Country of registration: owner: Classification society DNV GL? ; Lloyd’s Register of Shipping? ; Other? OR Please specify Bureau Veritas? ; American Bureau of Shipping? ; Vessel conveying UOC through High Risk Areas Will this vessel convey Australian obligated UOC through a High Risk Area? Will the vessel be able to maintain a Does the freeboard height exceed 8 m? minimum 18 knots navigating the HRA? Applicant’s signature, and permit details ASNO approves this Name : application, the Permit Holder will note the Expiry Position: Date listed below Signature: ______________________________ Date: ____/____/_________ Name of Permit Permit Holder: number: ASNO USE ONLY Actions: Expiry date: Approved: ____/____/________ This approval to use this vessel for: – Checked Equasis 1. UOC shipments from Australian Port will expire on: Checked AMSA ____/_____/_______ NUMBAT updated 2. UOC conveyance through HRAs will expire on: ________________________ Approved for HRA ____/_____/_______ For Director General ASNO Explanatory Notes This application must be lodged with ASNO not less than 5 business days to export.
Ref. No. Vessel details Current name of vessel: IMO No: Gross tonnage: Shipping line from Australia/ Charterer: Registered owner: Country of registration: Classification society DNV GL? ; Lloyd’s Register of Shipping? ; Other? OR Please specify Bureau Veritas? ; American Bureau of Shipping? ; Vessel conveying UOC through High Risk Areas Will this vessel convey Australian obligated UOC through a High Risk Area? Does the freeboard height exceed 8 m? Will the vessel be able to maintain a minimum 18 knots navigating the HRA? Applicant’s signature, and permit details Name : ASNO approves this application, the Permit Holder will note the Expiry Date listed below Position: Signature: ______________________________ Date: ____/____/_________ Name of Permit Holder: Permit number: ASNO USE ONLY Actions: Checked Equasis Checked AMSA NUMBAT updated Approved for HRA Expiry date: This approval – to use this vessel for: 1. UOC shipments from Australian Port will expire on: ____/_____/_______ 2. UOC conveyance through HRAs will expire on: ____/_____/_______ Approved: ____/____/________ ________________________ For Director General ASNO Explanatory Notes This application must be lodged with ASNO not less than 5 business days to export.
ASO111.docx