A CERTIFICATE ISSUED AND SIGNED BY THE OWNER,ACENT CAPTAIN OR COMPANY OF THE VESSEL/PLANE APPENDED TO B/L/A.W.B AND CERTIFIDE BY CHAMBER OF COMMERCE STATING:
1)NAME OF VESSEL......PREVIOUS NAME.........
2)NATIONALITY OF THE VESSEL.
3)VESSEL WILL CALL OR PASS THRU THE FOLLOWING PORTS/ENROUTE TO SAUDI ARABIA:
1)........2)........
3)............4)............(PLEASE LIST PORTS)
THE UNDERSIGNED (THE OWNER,AGENT,CAPTAIN OR COMPANY OF THE VESSEL)ACCORDINGLY DECLARES THAT THE INFORMATION PROVIDED(IN RESPONSES TO 1 TO 3)ABOVE IS CORRECT AND COMPLETE AND THAT THE VESSEL SHALL NOT CALL AT OR ANCHOR ON ANY OTHER PORTS OTHER THAN THAT MENTIONED ABOVE ENROUTE TO SAUDI ARABIA WRITTEN ON THE...DAY OF...YEAR
AT.......................
THIS CERT.IS NOT REQUIRED IF SHIPMENT IS EFFECTED THRU NATIONAL SHIPPING CO. OF SAUDI ARABIA OR UNITED ARAB SHIPPING CO.(S.A.G)