1260 BULLETIN OFFICIEL N° 6484 – 16 chaoual 1437 (21-7-2016)
TANGER MED ISPS DECLARATION BSP_EN_01_03 Date d'émission 15/10/07 Page 1 sur 1
Booking Nr ........................................ Voyage No........................................................ Ship Name............................................ Call Sign........................................ IMO Number....................................................... Flag State.............................................. ETA ................... ETD........................................................ Previous port of call............................................ Next port of call...........................................................
Does the ship have a valid international ship security and the name of its issuing authority (SOLAS regulation XI-2/9.2.1.1) Yes ☐ No ☐
Name of its issuing authority
Expiry date (dd/mm/yyyy)
INMARSAT ship's call numbers (if available)
CSO name & 24 hour contact details
The security level at which the ship is currently operating (SOLAS regulation XI-2/9.2.1.2) 1 ☐ 2 ☐ 3 ☐
The security level at which the ship operated in the previous ten calls at port facilities where it has conducted a ship/port interface (SOLAS regulation XI-2/9.2.1.3)
Name of the port 1 | 2 | 3 Oldest ☐ | ☐ | ☐ ☐ | ☐ | ☐ ☐ | ☐ | ☐ ☐ | ☐ | ☐ ☐ | ☐ | ☐ ☐ | ☐ | ☐ ☐ | ☐ | ☐ ☐ | ☐ | ☐ ☐ | ☐ | ☐ Last one ☐ | ☐ | ☐
How many declarations of security that were entered into with port facilities or other ships (ISPS Code part B paragraph 4.37.2)
Observations: