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REQUIREMENTS FOR THE APPLICATION FOR PRATIQUE BY MASTERS OF VESSELS

It has been noted that many masters of vessels do not apply for pratique in the
correct manner. The
following is a guide that should be followed by the master.
1. Only the master of a vessel may apply to Port Health Services for free pratiq
ue.
2. The master shall apply for pratique between 24 and 48 hours before arrival at
the Pilot Station.
3. When applying for pratique, the following information must be submitted by th
e master of the vessel:
Fax the following to Port Health = 1] format form, voyage memo, crew list and Sa
nitation cert/ derat.

a. Name of vessel- MOL GRATITUDE


b. Estimated time of arrival (ETA)- 31ST MARCH 2013 - 1600 LT
c. Last Ports and departure dates going back 30 days RIO DE JANERIO-BRAZIL/23032013
SANTOS-BRAZIL /22032013
SAO FRANCISCO DO SUL-BRAZIL/19032013
PARANAGUA-BRAZIL /19032013
NAVEGTANTES-BRAZIL/17032013
MONTEVIDEO-URUGUAY/15032013
BUENOS AIRES-ARGENTINA/13032013
PARANAGUA-BRAZIL/10032013
SANTOS-BRAZIL/09032013
SINGAPORE-SINGAPORE/16022013
d. Next Port - NGQURA
e. Number of crew/passengers- 21/0
f. Number of Stowaways.If postive,where did they join the ship (if unknown)?- NI
L
g. Number of animals/Pets.Health condition?- NIL
h. Deratting / Deratting Exemption Certificate Status- ISSUE: 02/01/2013 EXPIRY:
02/07/13 issued at Cape Town
i. Vaccination Status- YELLOW FEVER ALL VALID
j. Health status of ship and person,considering the following health question: A
LL IN GOOD CONDITION
HEALTH QUESTIONS
1.Has any person died on board during the voyage otherwise than as a result of a
ccident?
If yes,state particulars - No
2.Is there on board or has there been during international voyage any case of di
sease which you suspect
to be an infectious nature? If yes,state particulars - NO
3.Has the total number of ill passengers during the voyage been greater than nor
mal/expected?
How many ill persons? - NO
4.Is there any ill person on board now?If yes,state particulars - NO

5.Was a medical practitioner consulted? If yes,state particulars of medical trea


tment or advice provided.- NO
6.Are you aware of any condition on board,which may lead to infection or spread
of disease? If yes,state
particulars.- NO
7.Has any sanitary measure (e.g. quarantine,isolation,disinfection or decontamin
ation) been applied on
board? If yes,specify type,place and date...- NO
8.crew/Passengers who have joined the ship within past 30 days,from where.- VAIS
TINA SASA(4thENGR) 08.03.2013 SANTOS / BRAZIL ,GALLEGO RONEL CONCEPCION ( OLR )
10.03.2013 SANTOS / BRAZIL,AUNG MOE (J/OFF) 14.03.2013 MONTEVIDEO / URUGUAY
9.Shipping Agent.:
MOL South Africa (Pty) Ltd
Address :
17th Floor, Standard Bank Centre Heerengracht, Cape Town 8001
P.O.Box 3496, Cape Town 8000, South Africa
TELEX :
521022 (MITSU SA)
E-Mail :
Arthur.Carelse@mol-liner.com / atcct@mol-liner.com / Michael.Val
cic@mol-liner.com/ Sumeet.Bhardwaj@mol-africa.com
Manager :
Mr. Sumeet Bhardwaj
TEL : +2721 441 2200/2216
MOB : +2783 652 2268
10.Ships's contact details:immarsat C telex,Facsimile,Telephone,Call sign. -4477
03921 & 447703922 , 870-783165509, 870-773161079/ DATA: 870-783165508, VRJU7

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