ROPME Sea Area Ballast Water Reporting Form

1-BALLAST WATER REPORTING FORM

(To be completed for all vessels arriving in all ROPME Sea area Ports)
1.VESSEL’S INFORMATION 2.BALLAST WATER
Vessel Name : DESH SHANTI Type: OIL TANKER IMO Number: 9263746 Specify unit: M3/MT
Owner: THE S.C.I. LTD, MUMBAI GT: 84261 Call Sign: A U C T Total Ballast Water on Board:
Flag: INDIAN Arrival Date: 08.10.2017 Agent: M/S INCHAPE SHIPPING SERVICES 49532 M3/ 48781 MT
Last Port and Country: KOCHI,INDIA Arrival Port: BASRAH Total Ballast Water Capacity:
Next Port and Country: MUMBAI, INDIA 58695.7 M3 / 60163.1 MT
3. BALLAST WATER TANKS BALLAST WATER MANAGEMENT PLAN ON BOARD? YES HAS THIS BEEN IMPLEMENTED? YES
TOTAL NO. OF TANKS ON BOARD: 14 NO. OF TANKS IN BALLAST : 12
NO. OF TANKS EXCHANGED : 12 NO. OF TANKS NOT EXCHANGED: NIL IF NONE IN BALLAST GO TO NO.5

4. BALLAST WATER HISTORY: RECORD ALL TANKS THAT WILL BE DEBALLASTED IN PORT STATE OF ARRIVAL; IF NONE GO TO NO. 5
Tanks/Hold BW SOURCE BW EXCHANGE BW DISCHARGE
(list CIRCLE ONE : EMPTY / REFILL OR FLOW THROUGH
multiple
sources DATE PORT OR VOLUME Temp DATE ENDPIONT VOLUME % EXCH. SEA DATE PORT OR VOLUME SALINITY
tank DDMMYY LAT.LONG. (CBM) (C) DDMMYY LAT.LONG. (UNITS)M3 Depth DDMMYY LAT.LONG. (CBM) (UNITS)
separately) (M)
FP - - NIL - - - - - - - - NIL -
1P 25.09.2017 KOCHI,INDIA 4509 29 01.10.2017 20⁰23.16’N, 068⁰21.40’E 4503 99% >1000 BASRAH 4503 1.025
1S 25.09.2017 KOCHI,INDIA 4468 29 01.10.2017 20⁰48.47’N, 067⁰51.45’E 4460 99% >1000 BASRAH 4460 1.025
2P 25.09.2017 KOCHI,INDIA 4021 29 01.10.2017 21⁰08.8’N, 067⁰27.40’E 4015 99% >1000 BASRAH 4015 1.025
2S 25.09.2017 KOCHI,INDIA 3957 29 01.10.2017 21⁰29.51’N, 067⁰02.63’E 3943 99% >1000 BASRAH 3943 1.025
3P 25.09.2017 KOCHI,INDIA 3702 29 02.10.2017 22⁰27.29’N, 065⁰42.67’E 3689 99% >1000 BASRAH 3689 1.025
3S 25.09.2017 KOCHI,INDIA 3988 29 02.10.2017 22⁰27.29’N, 065⁰42.67’E 3980 99% >1000 BASRAH 3980 1.025
4P 25.09.2017 KOCHI,INDIA 3973 29 02.10.2017 22⁰36.17’N, 065⁰13.0’E 3959 99% >1000 BASRAH 3959 1.025
4S 25.09.2017 KOCHI,INDIA 3951 29 02.10.2017 22⁰45.63’N, 064⁰42.13’E 3942 99% >1000 BASRAH 3942 1.025
5P 25.09.2017 KOCHI,INDIA 3865 29 01.10.2017 21⁰29.51’N, 067⁰02.63’E 3859 99% >1000 BASRAH 3859 1.025
5S 25.09.2017 KOCHI,INDIA 3828 29 01.10.2017 21⁰08.8’N, 067⁰27.40’E 3815 99% >1000 BASRAH 3815 1.025
6P 25.09.2017 KOCHI,INDIA 3717 29 02.10.2017 22⁰45.63’N, 064⁰42.13’E 3706 99% >1000 BASRAH 3706 1.025
6S 25.09.2017 KOCHI,INDIA 3726 29 02.10.2017 22⁰36.17’N, 065⁰13.0’E 3718 99% >1000 BASRAH 3718 1.025
AP - - NIL - - - - - - - - NIL -
Ballast Water Tank Codes : Forepeak = FP, Aft peak = AP, Double Bottom = DB, Wing = WT, Topside = TS, Cargo Hold = CH, O = Other
IF EXCHANGES WERE NOT CONDUCTED, STATE OTHER CONTROL ACTION(S) …….NA…..
IF NONE, STATE REASON WHY NOT: NA
5. IMO BALLAST WATER GUIDELINES ON BOARD (IMO RES.A.868 (20)? YES
REMARKS :RESPONSIBLE OFFICER’S NAME AND TITLE AND SIGNATURE: KUMAR SACHIN GUPTA (CH OFFICER)