Period From: ….……
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To:
………..
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Name of
Ship ……………………………………..………………...
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IMO
number …………….…………………………………..…….….
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Gross
tonnage ………………………………………………………
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Total
Ballast Water capacity (in cubic metres) ………………….….
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The ship
is provided with a Ballast Water Management plan
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Diagram
of ship indicating ballast tanks:
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