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.