DCW Berth Application

Agents or Masters are to complete and sign Sections 1, 2, and 3 of this form. All fields must be completed to ensure prompt and correct processing. Agents are reminded to submit Berth Applications as soon as possible or at least 7 days prior to requested berth date or ship arrival.

Section 1: Vessel Details (all information must be completed)

Vessel Name *:
ETA *:
ETD:
Berthing Preference:
Preferred Berth *:
Last Port *:
Next Port:
Arrival Drafts, if Greater than 5.3 Metres
Fore:
Aft:
Departure Drafts, if Greater than 5.3 Metres
Fore:
Aft:
Number of Tugs
Arrival:
Departure:
Does the Vessel have Pilotage Exemption?:
Who Accepts Responsibility for the Payment of Charges of
Water: *
Wharfage (Cargo) *:
Wharfage (Bunkering) *:
Berthage *:
Storage *:
Mooring / Unmooring *:

Section 2: Service Details

Type of Cargo Discharged *:
Type of Cargo Loaded *:
Stevodoring Company:
Are you taking, handling, or carrying out
Gangways:
Cranes:

Bunkers:
Quarantine Bins - Garbage Landing:
Survey:
Repairs:
Type of repair, if known
Duration of repair, if known

Section 3: (required only if this is the Vessel's first visit to the Dampier Cargo Wharf)

LLOYDS no. *:
Nationality:
Gross Tonnage:
LOA *:	metres
Beam:	metres
Length of Bow to Bridge:	metres

Section 4: DPA Details

Vessel Entered Port:
Record and Exemption Number
Master In:
Master Out:
Mate In:
Mate Out:
Name:
Date:
Contact Name *:
Contact Phone / Mobile No. *:

* Mandatory Fields