SRF MARPOL Annex VI Ch.4

SERVICE REQUEST FORM FOR COMPLIANCE WITH
MARPOL ANNEX VI CHAPTER 4
To: Indian Register of Shipping
We hereby request your services to be carried out for compliance towards MARPOL ANNEX VI
CHAPTER 4 (Please select from Table 1 on Page 2)
This request is being made in the event of:

Entry into force of new requirement for existing ships
Change of Flag Change of Company Change of Flag & Company
Change of Verifier
Major Modification (Specify) ______________________________________________________________________
Company Details
Company Name (Name of DOC holder) TW Ship Management Private Limited
Address of Company TW Ship Management Private Limited,

E – 304 – 306, Level 3, Tower – II, Seawoods Grand Central,
Plot No. R1, Sector – 40, Nerul Node,
Navi Mumbai, 400 706, India
Phone Number
Contact Person (s) in the company Name: Kabilan Sadasivam

Designation: Asst. General Manager -Technical
Email ID: [email protected]
Telephone Number:
Mobile Number:9489972232
Details required for Invoice Name (As printed on PAN):
Address:
PAN No:
TAN No:
GST No:
Details of ships: (Additional sheets may be attached if necessary)
Sr. Ship Name IMO No. / IR No. Ship Type 1

No
1 SSL BHARAT 9141314 / 46315 CONTAINER SHIP
2 SSL BRAHMAPUTRA 9238806 / 60667 CONTAINER SHIP
3 SSL DELHI 9217034 / 49501 CONTAINER SHIP
4 SSL GANGA 9256406 / 60673 CONTAINER SHIP
5 SSL GUJARAT 9137533 / 45529 CONTAINER SHIP
6 SSL KOCHI 9157674 / 42759 CONTAINER SHIP
7 SSL KRISHNA 9239898 / 61591 CONTAINER SHIP
8 SSL KUTCH 9157662 / 42814 CONTAINER SHIP
9 SSL MUMBAI 9137545 / 44692 CONTAINER SHIP
10 SSL SABARIMALAI 9223899 / 60553 CONTAINER SHIP
Note 1: As defined in regulation 2 of MARPOL Annex VI. If any other ship type, same to be stated.
Form No: SRF_MARPOL Annex VI Chapter 4_Rev.0 Page 1 of 3

Table 1:
Approval of EEXI Technical File for compliance to Regulation 23 & Regulation 25 of Revised
MARPOL Annex VI adopted vide MEPC 328 (76)
1. Approved NOX Technical File for Main and Aux. Engines (if applicable)
2. Shop Test Results for Main and Aux. Engines or SFC values provided by engine
manufacturer
3. Approved Stability Booklet
4. Approved / Estimated Speed vs Power curve obtained from the tank test and/or numerical
calculations and/or the sea trial results
5. Onboard Management Manual (OMM) for overridable Shaft / Engine Power
Limitation (If applicable)
Examination of SEEMP Part II for compliance to Regulation 26.2 of Revised
Following supporting documentation is to be submitted by the company at the time of submitting SEEMP
1. Certificate of Registry, ISM DOC and SMC
2. Certificate copies of emission sources (M/E, A/E, Boiler, Gas Turbine, Inert Gas Generator)
3. Description of flow meters (if fitted) including type, details of maintenance and calibration
schedule
4. Calibration certificate copies of measuring equipment
5. Drawings and Documents:
a. General Arrangement of vessel
b. Engine room layout / G.A of machinery space
c. Fuel Oil Supply system plan
Examination of SEEMP Part III for compliance to Regulation 26.3 of Revised
1. Certificate of Registry
2. ISM DOC and SMC
3. IEE Certificate
4. Verified Annual Fuel Oil Consumption Report for previous year (for existing ship)
5. Statement of Compliance – Fuel Oil Consumption Reporting (for existing ship)
Verification of fuel consumption data for compliance to Regulation 27 and CII for compliance to
Regulation 28 of Revised MARPOL Annex VI adopted vide MEPC 328 (76)
Following supporting documentation is to be submitted by the company at the time of reporting annual
fuel consumption data and CII
1. A copy of the ship's Data Collection Plan (SEEMP Part II) [If not reviewed by IRS]
2. Summaries of bunker delivery notes (BDNs).
3. Summaries of disaggregated data of fuel oil consumption, distance travelled and hours
underway.
4. Copies of documents containing information on the amount of fuel oil consumption, distance
travelled and hours underway for the ship's voyages during the reporting period (the ship's
official logbook, oil record book, BDNs, arrival/noon/departure reports, etc.).
5. Information on data gaps, if any, and how they were filled as well as how the event that
caused the data gap was resolved. (Described in SEEMP-II)
6. Any other document as deemed necessary and relevant at a later stage while carrying out
verification of data.

Declaration by the Company
• We agree to make all necessary arrangements for the conduct of verification, including
o Provisions for examining documentation
o Access to all relevant processes, areas, records and personnel as deemed necessary by
IRS
 We also agree to communicate to IRS in the event the vessel changes ownership/management/
Flag or is sent to recycling yard
 SEEMP documentation (Tick as appropriate)
Part of Safety Management System
Independent of Safety Management System
Other Terms and Conditions
• Whilst Indian Register of Shipping, a Classification Society, along with its subsidiaries and
associates (hereinafter referred to as the Society) and its Board/Committees use their best
endeavors to ensure that the functions of the Society are properly carried out, in providing
services, information or advice neither the Society nor any of its servants or agents warrants the
accuracy of any information or advice supplied.
• Except as set out herein neither the Society nor any of its servants or agents (on behalf of each of
whom the Society has agreed this clause) shall be liable for any loss damage or expense whatever
sustained by any person due to any act or omission or error of whatsoever nature and however
caused of the Society, its servants or agents or due to any inaccuracy of whatsoever nature and
howsoever caused in any information or advice given in any way whatsoever by or on behalf of
the Society, even if held to amount to a breach of warranty.
• Nevertheless, if any person uses services of the Society, or relies on any information or advice
given by or on behalf of the Society and suffers loss damage or expenses thereby which is proved
to have been due to any negligent act omission or error of the Society, its servants or agents or
any negligent inaccuracy in information or advice given by or on behalf of the Society then the
Society will pay compensation to such person for his proved loss up to but not exceeding the
amount of the fee charged by the Society for that particular service, information or advice.
• Any notice of claim for loss, damage or expense, as referred to above, shall be made in writing to
the Society’s Head Office within six months of the date when the service, information or advice
was first provided, failing which all the rights to any such claim shall be forfeited and the Society
shall be relieved and discharged from all liabilities.
• Information on procedures for handling complaints and appeals is available on IRCLASS website.
• IRS shall not disclose information that is not public about a client or responsible party to a third
party without their written consent.
Signature for and on behalf of the company Signature for and on behalf of IRS
Place: Navi Mumbai Place:
Date: 11-Oct-2022 Date:

SRF MARPOL Annex VI Ch.4

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SERVICE REQUEST FORM FOR COMPLIANCE WITH

MARPOL ANNEX VI CHAPTER 4

To: Indian Register of Shipping

This request is being made in the event of:

Company Name (Name of DOC holder) TW Ship Management Private Limited

Address of Company TW Ship Management Private Limited,

Contact Person (s) in the company Name: Kabilan Sadasivam

Details of ships: (Additional sheets may be attached if necessary)

Sr. Ship Name IMO No. / IR No. Ship Type 1

Form No: SRF_MARPOL Annex VI Chapter 4_Rev.0 Page 1 of 3

Form No: SRF_MARPOL Annex VI Chapter 4_Rev.0 Page 2 of 3

Declaration by the Company

Other Terms and Conditions

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