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CSR Form 3 Registration of the amendments to the continuous synopsis record

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FORM 3

INDEX OF AMENDMENTS TO CSR DOCUMENT NUMBER ... FOR THE SHIP ... WITH IMO NUMBER: IMO ...

After this CSR document was issued, the following amendments to entries on the document have been made by the Company or the master, have been attached to the ship’s CSR file and have been notified to the Administration:

Date of application of Amendments:

Amendment to CSR Information (2. 13)

Date amendment form attached to the ship’s

CSR file:

NOTE: If more amendments are issued than allowed for in the above table, add copies of this table as Appendices to this page. Such Appendices should be numbered from 1 and upwards.

When relevant, indicate as follows: Appendix no. ... has been added to this page.

NOTE: THIS FORM IS TO BE KEPT ON BOARD AT ALL TIMES!

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