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St. Vincent and The Grenadines: Application For The Issue, Change or Renewal of A Minimum Safe Manning Document

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ST.

VINCENT AND THE GRENADINES


MARITIME ADMINISTRATION
APPLICATION FOR THE ISSUE, CHANGE OR RENEWAL OF A
MINIMUM SAFE MANNING DOCUMENT
NAME OF VESSEL

OFFICIAL NUMBER (if assigned)

IMO NUMBER

TYPE OF VESSEL

TOTAL MAIN ENGINE POWER (kW)

Intended GMDSS Sea Areas in


which the Ship will sail (for ships
over 300GT)
A1
A2
A3
A4

GROSS TONNAGE
International Tonnage Convention, 1969

LENGTH (as per Tonnage Certificate) (m)

UNATTENDED MACHINERY
Any restriction(s) imposed by Class on
SPACE (UMS)
the sailing area or weather/sea
International Tonnage Certificate (if any)
conditions?
YES
NO
YES
NO
If yes a copy of the Class Certificate
should be attached to this Application
Form.
Trading Area: UNRESTRICTED
RESTRICTED
(if restricted give exact geographical details, including any
conditions imposed by Class on the sailing area or weather/sea conditions)
National - See REMARKS column of the

Total number of crew, including the Master

Total accommodation (persons/berths)

Number of lifeboats

Number of generators

Number of liferafts

Automated mooring winches

Number of rescue boats

Other relevant information:

Number of liferafts with launching


Full name and address of Company as per Document of
Compliance (ISM Code) for vessels subject to ISM Code
Full name and address of the Operating Company when
the vessel is not subject to ISM Code
IMO Company Number (if applicable)
MINIMUM SAFE MANNING PROPOSAL
No STCW Reg. Deck

No

STCW Reg. Engine

No

STCW Reg. Others

Master

Chief Engineer

Radio
Operator

Chief Mate

Second Engineer

Cook

Deck Officer(s)

Engine Officer(s)

Doctor

Deck Rating-Watch

Engine Rating-Watch

Rating

Rating

Rating

Able Seafarer Deck*

Able Seafarer Engine*


Electro-Technical Officer*
Electro-Technical Rating*

*Qualifications introduced by STCW 2010 amendments. These qualifications will be required after 31st December 2016.
The Company/Owner hereby confirms that the above proposed minimum safe manning was completed taking into
account IMO Resolution A.1047 (27) and also the requirements on hours of rest stated in the STCW 87 and the
Maritime Labour Convention 2006.
Place and Date:

Signed on behalf of Company/Owner

Print Full Name and position:

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