@include('layouts/header') @include('layouts.navigation1') @if (Session::has('msg')) @endif

VESSEL BERTHING APPLICATION

@php date_default_timezone_set("Pacific/Fiji"); $data = null; @endphp @if(Session::has('draft_data')) @php $data = Session::get('draft_data'); @endphp @endif

@csrf

LINER CODE:

SHIPPING AGENT:

{{--

--}} {{-- LPO NUMBER: --}} {{-- --}} {{--

--}}

VESSEL CODE:

VESSEL NAME:

LOA:

SERVICE CODE:

VOYAGE NO:

VESSEL REFERENCE:

ARRIVAL DRAFT (FWD):

DEPARTURE DRAFT (FWD):

AFT:

ETA:

PURPOSE OF CALL:

LPC:

NPC:

DISCHARGING

TOTAL CONTAINERS:

TOTAL VEHICLES:

TOTAL BREAK/ DRY BULK:

LIQUID QUANTITY:

BERTHING REQUEST:

{{----------------------------------------------------------------}}

HEAVY LIFTS
(If it's yes, tick the checkbox) {{-- (If it's yes please tik checkbox)--}}

{{-- --}} heavy_lift_val === 'y') checked @endif>

RE-STOW
(If it's yes, tick the checkbox)

{{-- --}} row_stow_val === 'y') checked @endif>

DANGEROUS CARGO
(If it's yes, tick the checkbox)

{{-- --}} dangerous_val === 'y') checked @endif>

OOG
(If it's yes, tick the checkbox)

{{-- --}} oog_val === 'y') checked @endif>

SECURITY / EXPLOSIVE HIGH VALUE
(If it's yes, tick the checkbox)

{{-- --}} security_val === 'y') checked @endif>

DISCHARGING

MAX GANGS WORKABLE:

{{---------------------------------------------------------------------------------}}

WE HEREBY DECLARE THAT THE INFORMATION PROVIDED IN THIS DOCUMENT ARE CORRECT & UNDERTAKE TO PAY ALL FEES & CHARGES AS APPLICABLE.

USER NAME:

COMPANY NAME:

DATE:

TIME:

Please ensure that this form is submitted during Customer Service working hours: between 08:00 and 17:00 hours on weekdays and between 08:00 and 13:00 on Saturdays. FPTL accepts no responsibility if the forms are submitted outside working hours and any transactions not being attended to.

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@include('layouts/footer')