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1917 1992
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10 1986 . N 117

 

-

 

1. , , , ( ) - , ( 1 , , , ( ) , 29 1983 . N 276).

2. ().

3. 3 11 1971 . N 39.

 

..

 

 

 

 

 

 

10.07.86 N 117

 

 

N _____________________

 

1. _______________________________________________

Pilot's name (in block letters)

 

2. ________________________________________________

Ship's name (in block letters)

 

3. ____________________________________________________

Flag

 

4. ___________________ _________ __________

Draught of the ship F. A.

 

5. ______________ __________ __________

Dimensions of the ship Length Breadth

 

6. _________ __________ __________

Register tonnage Netto Brutto

 

7. _________________________________________

Last port of call (in block letters)

 

8. _______________________________________________

Distination (in block letters)

 

9. __________________________________________________

Owner

 

10. _____________________________________________

Captain's name

 

11. _________ _________

The pilot embarked on at

 

12. _________ _________

The pilot disembarked on at

 

13. _____________________

Piloted from- to

 

14. _______________________________________

Kind of cargo and quantity

 

________________ _______________________

Date Captain's signature

 

 

 

 

 

 

 

1. -

 

2. -

 

3. -

 

4. -

 

5. , -

 

6. -

 

7. -

 

8. ___________________________________________________________

 

9. ___________________________________________________________

 

10. __________________________________________________________

 

: -

 

,

 

 








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