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The information submitted in this form may be used for port state control and other inspection purposes.
The form is to be completed prior to every visit to the port unless the ship is covered by an exemption in accordance with §18 of statutory order 415, 10/05-2012 on reception facilities for ship waste, waste delivery from ships and port waste plans.
I confirm
- that the following details are accurate and correct, and
- that there is sufficient dedicated onboard capacity to store all waste generated between notification and the next port at which waste will be delivered.