Issue Date : 06.05.

2013
Revision No : 00
Revision Date :
Zenith Gemi İşletmeciliği A.Ş. Issued by : DPA
Approved by : Managing Director

MASTER HAND-OVER FORM

VESSEL : DATE :

We certified that ; …………..… flag, registered port of …………….., ……………register no , ……GRT, ……….
NRT’s M / T …….... as undersigned below; hand-over has been done between incoming Master Capt. ………...
………...and outgoing Master Cpt. ……………….… under instructions of ZENITH GEMİ İŞLETMECİLİĞİ A.Ş.

Teyit ederiz ki;........................Bayraklı, .......................Limanı’na kayıtlı, ..................sicil nolu

..................GRT, ................NRT’luk M/T ...........................gemisinin Kaptanlığı, aşağıda imzaları bulunan bizler;
devralan Kaptan ............................. ile devreden Kaptan ..............................arasında, operatör ZENITH GEMİ
İŞLETMECİLİĞİ A.Ş.’nin talimatlarıyla devir-teslim yapılmıştır.

Following items are noted during the hand-over / Devir- teslim esnasında aşağıdaki konular not edilmiştir :

A : MAIN CHECKLIST

COMMERCIAL
1. Present Charterers ………
2. Sub-Charterers (if any)
Voyage Instructions
a) Speed …….kts.
b) F.O. …….T/day D.O……..T/day
c) Next cargo …….
d) Company and/or Charterer’s voyage instructions Yes No

PRESENT CARGO
1. Cargo loaded / to be loaded at .……….
2. Cargo to be discharged at .……….
3. Cargo plan is actual / provisional .……….
4. Cargo Document onboard Yes No

BUNKER, LUB OIL AND FRESH WATER

F.O.(HSFO) F.O.(LSFO) MGO
1. R.O.B .………. Tonnes .………. Tonnes .………. Tonnes
2. Lub Oils .………. Tonnes
3.Fresh Water .………. Tonnes

MASTER'S ACCOUNTS
1. Master’s cash advance account .………. USD,
2. Slop-chest account and cash good ………. USD & cash ……..USD

3. Set of Master Key ……….. pcs

PROVISIONS/STORE
1. Sufficient Provisions to make next port Yes No
2. Provision account and list updated on software

INSPECTIONS, SURVEYS AND MEETINGS

1. Date of last internal audit : .……….
(Nonconformities and abnormal situations (if any) has been explained to incoming Master by outgoing Master. )
2. Date of last Superintendents Inspection : .……….
3. Date of last Vetting inspection: …………
4. Date of last Port State Inspection: …………

Form No : ZN-401.001 Page:1/2

 Issue Date : 06.05.2013
Revision No : 00
Revision Date :
Zenith Gemi İşletmeciliği A.Ş. Issued by : DPA
Approved by : Managing Director

B - EQUIPMENT / INSPECTION RECORDS

1.All ship’s certificates and documents have been filed in the certificate file and expire dates of the
certificates are written in Certificate & Documents follow up form dated on …………..
2. All charts have been corrected until N.T.M. no ….. and last N.T.M. no ….. is on board.

C- VARIOUS PUBLICATIONS, BOOKS, DIRECTORIES

Following has been received by incoming Master. Please tick off whether the following items are on board (as
applicable
YES NO REMARKS
- All Publications as per publication list .………………
- Ship’s Log Book .………………
- Ship's Articles of Agreement .………………
- Officers / Crew Passports are valid .………………
- Officers / Crew Licenses are valid .………………
- Oil Record Book Part I & II .………………
- File with Loose Cargo Gear & Class Certificates .………………
- Maintenance is being done according to planned maintenance .………………

Outgoing Master has told incoming Master that there is no any abnormal situation which effects the
safe cargo operation and safe navigation of the vessel. Also both Masters walked around the vessel
and incoming Master is satisfied with the information given by outgoing Master.
Geminin yük operasyonunu ve seyir emniyetini etkileyecek bir durumun mevcut olmadığı devralan Kaptana ifade edilmiş
olup, devreden Kaptanla beraber gemi dolaşılarak kendisine verilen bilgilerden tatmin olmuştur

The Vessel is seaworthy in all respects and adequate for the proposed voyage.

Hand-over performed at Port : ……………… Date :………………… Time :………………

Total time spent during the hand over process : .......... day ....... hours

Outgoing Master : Capt Incoming Master : Capt

License register no : License register no :

Signature : ........................................... Signature : ............................................

Note : Complete this form as 2 copies in every Master hand-over and send original to company office, other to be kept onboard.
Not : Her Kaptan değişiminde 2 nüsha olarak doldurulacaktır. Kopyası gemide kalırken, orijinali şirkete gönderilecektir

Form No : ZN-401.001 Page:2/2