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Annex 2 — Embarkation Form – ship master Regeling bescherming koopvaardij

Embarkation Form – ship master

Instruction – Please send the completed form after embarking security guards and armament to the Dutch Coast Guard and the Human Environment and Transport Inspectorate (ccc@kustwacht.nl / MIK-NL@kustwacht.nl / wtbk@ilent.nl) – attach completed form to final voyage report

GENERAL INFORMATION

Details | Notes

Name of ship

IMO number

Call sign

Name of master

Place and date of embarkation of security team

INFORMATION ABOUT THE SECURITY TEAM MEMBERS If possible attach crew list with the following information: Name of maritime security guard Date of birth Address Nationality Passport number

INFORMATION ABOUT THE WEAPONS

Weapons | Details | Notes

Type of weapons

Serial numbers | | Attach photo of weapon serial numbers

Do the weapons match the statement from the ship manager and PMSC? | Yes/No

INFORMATION ABOUT THE AMMUNITION

Ammunition | Details | Notes

Ammunition type | | (Calibre, FMJ/soft-point)

Number of bullets

INFORMATION ABOUT THE HELMET CAMERAS

Details | Notes

Brand and type of the helmet cameras

Number of helmet cameras

INFORMATION ABOUT THE HAND CUFFS

Details | Notes

Hand cuffs available?

Number of hand cuffs

THE SHIP MASTER DECLARES THAT:

Yes | Notes

Outside the high risk area, the weapons will be stored in the weapons locker in accordance with art. 3.2 BBK

An immediate report will be made to the Dutch Public Prosecutor’s Office concerning any incident at sea involving the use of force and I will also inform the Coast Guard and the Human Environment and Transport Inspectorate.

a report will be made to the Coast Guard and the Human Environment and Transport Inspectorate about where and when the armed security team disembarks within 48 hours after disembarkment.

I have completed this form correctly to the best of my knowledge.

Name | Date | Signature

Regeling
Regeling bescherming koopvaardij
Soort
Ministeriële regeling
Geldend vanaf
12-10-2023
BWB-id
BWBR0046257
Versie
2023-10-12_0

In de hele regeling · Officiële tekst op wetten.overheid.nl