Commonwealth Numbered Regulations Commonwealth Numbered Regulations(subregulation 26 (1))
REPORT TO THE IOPC FUNDS ON RECEIPTS OF CONTRIBUTING OIL
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STATE in which oil was received |
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YEAR in which oil was received |
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FUND to which report is being made ie to the 1992 Fund only, to the Supplementary Fund only or to both Funds |
1992 Fund only |
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Supp. Fund only |
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Both Funds |
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COMPANY OR ENTITY RECEIVING CONTRIBUTING OIL Please give details exactly as you would like them to appear on invoices |
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COMPANY OR ENTITY |
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FOR THE ATTENTION OF |
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ADDRESS |
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CONTACT PERSON in case of queries |
Name |
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Job title |
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Telephone no. |
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Fax no. |
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Email address |
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ASSOCIATED COMPANIES OR ENTITIES which may also have received contributing oil |
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RECEIPTS OF CONTRIBUTING OIL ie crude oil and heavy fuel oil |
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QUANTITY in metric tonnes, rounded to the nearest tonne |
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A. Received directly after carriage by sea |
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Imported from other States |
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After coastal movement within the same State |
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B. Received by other modes of transport eg by pipeline, after carriage by sea |
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From a Non‑Member State |
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State from which received |
Mode of transport |
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TOTAL QUANTITY OF CONTRIBUTING OIL RECEIVED |
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SIGNATURES |
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OFFICER OF COMPANY OR ENTITY |
GOVERNMENT OFFICIAL |
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Signed |
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Signed |
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Date |
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Date |
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Name |
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Name |
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Job title |
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Job title |
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Body |
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FUND USE ONLY |
File: |
Associated to: |
92 Fund |
SF |
Entered |
Checked |
FUND USE ONLY |
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CTR/ |
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