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APPENDIX 1
FORM 1.1 : PKKA / PPKA ARRANGEMENT


This document contains a list of documents that must be provided for PPKA/PKKA permit
arrangement. Please read focusly and concern for provide all documents completely

No.         Document's Name                                            Description
                                      Is a appoinment from owner to agent for handling their
 1 Agency Appoinment Letter
                                      vessel, crews and purposes.
                                      Is a dispensation for foreign vessel for opperating in
 2 Flag Dispensation INSA
                                      Indonesia's Coast/Sea that given by INSA
 3 Ship's Particular                  is a document describing the ship's specifications
 4 Ship's Registry Certificate        is a certificate that explains the deed registration of ships
                                      is a document that describes the feasibility of safety and
 5 Ship's Safety Certificate
                                      security standards that are owned by ships
                                      Is a certificate for ship's crew or operator that explains/states
 6 Ship's Safety Officer Certf
                                      terms of their ability and safety in operating the ship's security
 7 Intl.Safety Certificate            Is safety certificate given by International Safety Organization


All of above documents must be provided by the owner or the ship's management, and
Given to the agent appointed in accordance with the time limits provided by the Indonesian
government regulation.


                                                                             Batam, November 20th, 2009




                                                                                   Adi Martadinata
                                                                                 (Marketing Executive)
                                                                              PT.Samudera Indonesia,Tbk
                                                                                   Batam Branches

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Appendix 1 PPKA

  • 1. APPENDIX 1 FORM 1.1 : PKKA / PPKA ARRANGEMENT This document contains a list of documents that must be provided for PPKA/PKKA permit arrangement. Please read focusly and concern for provide all documents completely No. Document's Name Description Is a appoinment from owner to agent for handling their 1 Agency Appoinment Letter vessel, crews and purposes. Is a dispensation for foreign vessel for opperating in 2 Flag Dispensation INSA Indonesia's Coast/Sea that given by INSA 3 Ship's Particular is a document describing the ship's specifications 4 Ship's Registry Certificate is a certificate that explains the deed registration of ships is a document that describes the feasibility of safety and 5 Ship's Safety Certificate security standards that are owned by ships Is a certificate for ship's crew or operator that explains/states 6 Ship's Safety Officer Certf terms of their ability and safety in operating the ship's security 7 Intl.Safety Certificate Is safety certificate given by International Safety Organization All of above documents must be provided by the owner or the ship's management, and Given to the agent appointed in accordance with the time limits provided by the Indonesian government regulation. Batam, November 20th, 2009 Adi Martadinata (Marketing Executive) PT.Samudera Indonesia,Tbk Batam Branches