Application for exemption from exceeding berth dimensions Amazonehaven

On whose behalf the request is made
Personal Data
Vessel name/registration
Sea Shipping or Inland Shipping
IMO
ENI

(the vessel exceeding berth dimensions)

Additional Vessel

(name of additional vessel; only applicable if berth dimensions are exceeded by mooring additional vessel)

Sea Shipping or Inland Shipping
IMO
ENI
Additional Vessel

(name of additional vessel; only applicable if berth dimensions are exceeded by mooring additional vessel)

Sea Shipping or Inland Shipping
IMO
ENI
Exemption
largest combination of ship/ships + possibly fendering
Duration of exceedance
One file only. | 10 MB limit. | Allowed types: pdf, xls, xlsx, doc, docx, odt, rtf, png, jpg, jpeg.
The undersigned declares that the information in this request form has been filled in truthfully and that any explanatory notes and/or attachments reflect reality.