declaration of security.doc
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8/13/2019 Declaration of Security.doc
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Declaration of SecurityName of Ship: Atlantic Grace
Port of Registry: Hong Kong
IMO Number: 9337511
Name of Port Facility:
This Declaration of Security is valid from .. until completed..., for the following activities :CARGO OPERA!O"#.. (list the activities with relevant details) under the following security levels
Security level(s) for the ship:
Security level(s) for the port facility:
The port facility and ship agree to the following security measures and responsibilities to ensure compliance with the reuirements of
!art " of the #nternational $ode for the Security of Ships and of !ort %acilities.
The affi&ing of the initials of the SS' or !%S' under thesecolumns indicates that the activity will be done, in
accordance with relevant approved plan, by
Activity The port facility: The ship:
nsuring the performance of all security duties
*onitoring restricted areas to ensure that only authori+edpersonnel have access
$ontrolling access to the port facility
$ontrolling access to the ship
*onitoring of the port facility, including berthing areas and areas
surrounding the ship
*onitoring of the ship, including berthing areas and areas
surrounding the ship
-andling of cargo
Delivery of ships stores
-andling unaccompanied baggage
$ontrolling the embar/ation of persons and their effects
nsuring that security communication is readily available betweenthe ship and port facility
The signatories to this agreement certify that security measures and arrangements for both the port facility and the ship during the
specified activities meet the provisions of chapter #0 and !art " of $ode that will be implemented in accordance with the provisionsalready stipulated in their approved plan or the specific arrangements agreed to and set out in the attached anne&.
Dated at ..on the
Signe for an on behalf of
The port facility: The ship:
(Signature of !ort %acility Security 'fficer) (Signature of *aster or Ship Security 'fficer)
1ame and title of person who signed
1ame: 1ame: S.S ISLAM
Title: Title: SSO
$ontact Details(to be completed as appropriate)
(indicate the telephone numbers or the radio channels or freuencies to be used)
For the port facility: For the ship:
!ort %acility: *aster: 234566660766
!ort %acility Security 'fficer: Ship Security 'fficer: 234566660766
$ompany: 38 3004 699$ompany Security 'fficer: 38 3004 699