Registration As a Chartered Bareboat

Docume FO-R03 nt GOVERNMENT OF ANTIGUA AND Revision 04 BARBUDA DEPARTMENT OF MARINE SERVICES Page 1 of 2 AND MERCHANT SHIPPING (ADOMS) Registration Documents (Ships in Referenc ARP-R03 Service) e

1. Present name of vessel 2. IMO number

3. Given name of the vessel when registered under 4. Name of applicant A&B flag

The following documents have to be submitted with the Application for Registration (FO-R01) or on the date of registration latest. Submitted Valid No. Name of Document Yes No Yes No Relevant Certificate of Incorporation, Certificate of Good Standing or Certificate of Incumbency evidencing the incorporation and good 1. standing of the A&B company as well as a Notice of Directors (Form 5) at the discretion of the registrar1 If applicable, confirmation of registration of an external company under 2. the Companies Act 1995 Resolutions of the Board of Directors of the new owning company, 3. certified by the company's secretary approving the purchase of the vessel "Power of Attorney" from the new owning company in favor of the 4. persons acting on its behalf in the vessels purchase, duly notarized "Bill of Sale" duly notarized and legalized by the Apostille acc. to the 5. Hague Convention dd. 1961-10-05 A "Protocol of Delivery and Acceptance", signed by attorneys of the 6. seller and the buyer, evidencing the physical delivery of the vessel to the new owning company  A "Certificate of Deletion" from the foreign register, evidencing the deletion of the ship from its register free of encumbrances, mortgages and maritime liens (for permanent registration)2 or 7.  A closed "Transcript of Register", evidencing the register of the ship closed free of encumbrances, mortgages and maritime liens3, provided that the "Certificate of Deletion" will be issued by the foreign register within a period not exceeding 30 days (for provisional registration)4 Copies of the ship's present valid certificates (see Checklist Ship's 8. Documents FO-R02) issued by a duly authorized RO5 9. Application Form for a Minimum Safe Manning Document (FO_T29)

Documents complete Yes  No * Checked by (Name) Signature FOR OFFICIAL USE ONLY * if no inform applicant Remarks: ID: End.:

1 Applicant has to transmit a completed application form by fax copy in advance to a competent law firm in A&B to establish an Antigua IBC company. 2 Copy sent by fax is sufficient provided that the original is mailed immediately to ADOMS. 3 Copy sent by fax is sufficient provided that the original is mailed immediately to ADOMS. 4 In this case, a letter of undertaking has to be submitted to the relevant ADOMS office prior registration of the ship, confirming that the "Certificate of Deletion" will be surrendered within 30 days. 5 Authorized ROs acting on behalf of A&B are: ABS, BV, DNV, GL, KRS, LR, NKK, RINA, RMS.

14.10.13 0d478def9539f7e0e54415bdc9d8a1e9.doc Docume FO-R03 nt GOVERNMENT OF ANTIGUA AND Revision 04 BARBUDA DEPARTMENT OF MARINE SERVICES Page 2 of 2 AND MERCHANT SHIPPING (ADOMS) Registration Documents (Ships in Referenc ARP-R03 Service) e

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