Declaration of Security

Name of Ship: Port of Registry: IMO Number: Name of Port Facility: Atlantic Grace Hong Kong 9337511

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 re uirements 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 these columns indicates that the activity will be done, in accordance with relevant approved plan, by The port facility: The ship: ) ) , ) , ) ) ) ) ) )

Activity (nsuring the performance of all security duties *onitoring restricted areas to ensure that only authori+ed personnel 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 ship.s stores -andling unaccompanied baggage $ontrolling the embar/ation of persons and their effects (nsuring that security communication is readily available between the 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 provisions already 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) 1ame and title of person who signed 1ame: Title:

(Signature of *aster or Ship Security 'fficer) 1ame: S.S ISLAM Title: SSO

$ontact Details (to be completed as appropriate) (indicate the telephone numbers or the radio channels or fre uencies 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: