Berth Application 2

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Berth Application 2

If you have any issues with this form or have application questions, please contact NIT Facility Manager Don Moon, dmoon@portofnewport.com

NOTE: Agents are advised that safety guidelines are set by the Pilots Association in regard to vessel length, draft, beam, air draft, and other factors that may affect the transit of the vessel . Please consult with the Pilots Association to determine if any restrictions apply.

Date (required)

Vessel/Barge Name (required)

Voyage (required)

Vessel Line Operator (required)

IMO Number (required)

Flag (required)

P&I Local Contact (required)

P&I Club (required)

L.O.A. (must be in ft. and in., meters not accepted) (required)

Beam (must be in ft. and in., meters not accepted) (required)

Max Draft This Call (must be in ft. and in., meters not accepted) (required)

Max Air Draft This Call (must be in ft. and in., meters not accepted) (required)

Estimated Boarding Date (required)

Estimated Boarding Hour (required)

Estimated Departure Date (required)

Estimated Departure Hour (required)

Will you be loading bulk liquids? (required)

Yes

No

Berth Requested (required)

Appointed Stevedore (required)

Inbound Cargo Commodity (required)

Inbound Tonnage (Metric Tons only) (required)

Outbound Cargo Commodity (required)

Outbound Tonnage (Metric Tons only): (required)

Will you be taking bunkers? (required)

Yes

No

Fresh Water (required)

Yes

No

Layberth (required)

Yes

No

18-wheeler access (required)

Yes

No

Crane needed (required)

Yes

No

Lighter (required)

Yes

No

Notes

Name of representative submitting application (required)

Name of agent assigned to vessel (required)

Cell Phone of Assigned Agent (required)

Applicant Company Name (required)

Full Company Billing Address (required)

Contact Email Address (required)

Office Phone Number (required)

Consent to be bound by all rules, regulations, terms, conditions and charges as published by the Port of Newport (required)

I consent

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