ST. VINCENT MARITIME AND THE GRENADINES ADMINISTRATION

INTERNATIONAL SHIP AND PORT FACILITY SECURITY (ISPS) CODE

DECLARATION OF COMPANY SECURITY OFFICER

Part A Section 11 of the Code requires that each Company nominate a Company Security Officer(s). The responsibility of the Company Security Officer (CSO) includes ensuring that a Ship Security Assessment is carried out for each ship in the Company’s fleet, and that a ship specific security plan is developed, submitted for approval, and implemented and maintained. In addition the CSO must maintain liaison with port facility security officers, and the ship security officers.

Name of the Company Security Officer Mobile Phone Number Name of alternative Company Security Officer Mobile Phone Number These officers have been assigned the duties of Company Security Officer for the following St. Vincent and the Grenadines registered vessels*: Ship’s Name Official Number IMO Number

* attach additional sheets if required Full address of the CSOs to which official correspondence may be sent: Company Name Address

Daytime telephone number(s) Fax Number Email address

Place & Date

Director’s Name Signature

Any change in the above data must be made in writing by fax or otherwise to the Office of the Commissioner for Maritime Affairs, 8 Av de Frontenex, CH 1207 Geneva, Fax: +4122 7076350, Email: [email protected]

Updated 2004-05-06