Disaster Management Act, 2002 (Act No. 57 of 2002)

Notices

Purchase

Form A

Request for Foreign Crew Changes

[Direction 6(1)]

(To be completed by a shipping company or its representative)

Name of shipping company/representative: Email address: Mobile Number:
Name of vessel: and Type of vessel:
Name of sea port destined for crew change:
Details of inbound flight:
Details of outbound flight:
Date of crew change must be within 96 hours:
Name of quarantine facility (only in exceptional circumstances):
Attachments included (Y/N): Detailed crew list (Signing-on and Signing-off)

Signed at ____________________________ on this _____________ day of __________________________ 2020.

Signature: _________________________________

_________________________________

Full name and surname

_________________________________

Capacity

•	The completed form and crew lists must be submitted to [email protected] and copied to Ms. Mashudu Nepfumbada at the following e-mail address: [email protected].

•	All enquiries pertaining to crew changes must be directed to Ms. Mashudu Nepfumbada at the following e-mail address: [email protected].

[Form A inserted by section 4 of Notice No. 895, GG43629, dated 20 August 2020]