SAMSUN LİMANI İÇİN VARIŞ ÖNCESİ GEMİLER TARAFINDAN TEMİN

EDİLECEK BİLGİ FORMU

(PREARRIVAL INFORMATION TO BE PROVIDED BY SHIPS INTENDING TO PORT OF SAMSUN)

M/V”AJAKS-II” FORM A
1)ULUSLAR ARASI GEMİ GÜVENLİK SERTİFİKASI (ISSC) D NO:321706008
VEYAGEÇİCİ ISSC
(Internatıonal Ship Security Certificate (ISSC) or Interim ISSC)
DÜZENLEYEN OTORİTE
(Issuing Authority)
BAŞLANGIÇ VE SONA ERME TARİHİ 04.03.2008 ------- 02.03.2013
(Dates of Issue and Expire)

2)GEMİNİN ŞU ANKİ GÜVENLİK SEVİYESİ -1-

(The Current Security Level of Ship)
3)ÖNCEKİ UĞRADIĞI SON ON LİMANDAKİ GÜVENLİK SEVİYESİ -1-
(The Security Levels of in the Ten Calls at Port Facilities)
4)ÖNCEKİ UĞRANILAN ON LİMAN İÇİN KAPSANILAN SÜRE
ZARFINDA, BİR GEMİ VEYA LİMAN ARA BİRİMİNE İLETİLMİŞ, NO
ÖNCEKİ HERHANGİ BİR LİMANDA GEMİ TARAFINDAN ALINAN
HERHANGİ ÖZEL VEYA EK GÜVENLİK ÖNLEMİ
(Any special or additional security mecasure taken by the ship in any previous
port where it has conducted a ship / portt interface during the period covered by
previous ten calls at port facilities)
a)ANLAŞMALI HÜKÜMET OLAMAYAN BİR DEVLET BÖLGESİNDE NO
YERLEŞİK BİR LİMANI ZİYARETİ SIRASINDA ALINAN ÖNLEMLER
(Measures taken while visitng a port facility located in the territory of a state
which is not Contareting Government)
b)LİMANLARLA VEYA DİĞER GEMİLERLE YAPILMIŞ GÜVENLİK NO
DEKLARASYONU
(Any Declarations of Security that were entered into with port facilities or other
Ships)
5)ÖNCEKİ UĞRANILAN ON LİMAN İÇİN KAPSANILAN SÜRE ZARFINDA,
GEMİDEN GEMİYE HERHANGİ BİR AKTİVİTE SIRASINDA
SÜRDÜRÜLMÜŞ UYGUN GEMİ GÜVENLİK PROSEDÜRLERİ ONAYI NO
(Confirmation that appropriate ship security procedures were maintained during any
Ship-to-ship activity during the period covered by previous ten cals at port facilities)
a)ANLAŞMALI HÜKÜMET OLMAYAN BİR DEVLETİN BAYRAĞINI
TAŞIYAN GEMİ İLE GEMİDEN GEMİYE AKTİVİTE SIRASINDA
ALINAN ÖNLEMLER
NO
(Measures taken while engaged in a ship-to-ship activity with a ship flag of a state
Which is not contracting govenment)
b)ANLAŞMALI HÜKÜMET OLMAYAN AMA “SOLAS” KISIM XI-2
HÜKÜMLERİNE VE “ISPS KOD” UN BÖLÜM A’SINA UYMASI TALEP
EDİLMEYEN BİR DEVLETİN BAYRAĞINI TAŞIYAN GEMİ İLE
GEMİDEN GEMİYE AKTİVİTE SIRASINDA ALINAN ÖNLEMLER
(Measure taken while engaged in a ship-to-ship activity with a ship flying the flag NO
the Flag of a state which is not contracting government but not required to comply
with The provisions of SOLAS chapter XI-2 and port A of the ISPS code)
c)DENİZDE KURTARILAN KİŞİLER VEYA EŞYALAR GÜVERTEDE
OLMASI HALİNDEİ BU KİŞİ VEYA EŞYALARLA İLGİLİ BÜTÜN
BİLGİLER GEMİ ADINA YAPILAN HER KONTROLÜN SONUÇLARI VE
ONLARIN KİMLİKLERİ
(In the event that persons or goods rescued at sea are on board , all known NO
informatıon About such persons or goods,including their identies when known
and the results of any checks run on be half of the ship to establish the
security status of those rescued)