海事报告及声明范例

1、NameofVessel:OfficialNo:Portofregistry:NameofOwner:NameofMaster:Tonnage:GrossNetTheaovementionedvesselundermycommandladenwithleftYokohama,Japanon17hofAug.1976.boundforHongkongfordischarging,andarrivedatHongkongon23dofAug.1976.whileenrouteonAug.19-20,thevesselencounteredTyphoone7616Ellen,withstrongbr

2、eezeandroughsea,labouringandstrainingheavily.Fearinglossesordamagemighthavebeencausedtoship;shull,machinaryand/orthecargo.Iherebynotethisprotestagainstalllossesanddamages,reservingtherighttoextendtheprotestwhenevernecessary.MasterNotaryPublic:MARINENOTEOFPROTEST(2)NameofVesselNameofMasterOwnerCharte

3、rerGrossTonnageNetTonnagePortofRegistry:OfficialNumber:At0900hoursonFebruary1,1976,thesubjectvessel,undercommandoftheundersigned,touchbottomofthefairwayoftheharbourwhiledepartingfromtheportof-.Fearingtherudder,prpellarandtailshaftandship'sbottomonbothportandstarboardsidesmightbedamagedbythisacci

4、dent.Iherebynotethisprotestagainstalllossesandreservetherighttoextendthesameatanytimeandplaceconvenient.NameofCaptainNotaryPublicattheportofMARINENOTEOFPROTEST(3)NameofVesselNameofMasterOwnerChartererGrossTonnageNetTonnagePortofRegistryOfficialNumber:At0900hoursonFeb.1,1976,thesubjectvesselarrivedat

5、theouterharbouranchorageoftheportof.Thepilot,Mr.,boardedthevesselat0950hoursonthesamedayandbegantopilotthevesseltoinsideharbour.At1035hours,whenthevesselwasberthingatPierNo.7,herportsidestruckstronglyagainstthepierundertheconditionofwindforcefive(5)andnotugboatassistance.Aftermooring,thefollowingdam

6、agewerefound:1. Stem:atthelocationofdraft31ft.thestemindentedabout1ft.x1.5ft.2. 2.PortsideShellPlate:Secondstrakebelowsheerstrake,betweenNo.1andNo.2cargoholds,andareaofabout11ft.6inx3ft.indented.3. 3.UnderWaterline:Theremightbesomedamagewhichcanbeseenbydiverorduringdrydocking.Iherebynotetheprotestag

7、ainstalllossesanddamagescausedbytheaboveaccidentandreservetherighttoextendthesameatanytimeandplaceconvenient.MasterNotaryPublicattheportofOnthisdayof,intheyearofPersonallyappearedandpresentedhimselfbeforePNOTARYPUBLICSNAME)at(NOTARYPUBLICADDRESS)#masterofthe,ofofficialnumberandtonsregister,whichsailedfromonoraboutthedayofwithacargoofboundforandarrivedatonthedayof,andfearinglossordamageowingto#duringthevoyage,heherebynoteshisprotestagainstalllosses,damages,etc.,reservingrighttoextendthesameattimeandplaceconvenient.Master(THISPARTISTOBENOTARIZEDBYNOTARYPUBLICATTHENEARESTPORTAFTERTHEACCIDEN