STATEMENT OF FACTS

Company Name 1.Agents 2.Vessel's name

M/V

3.Port 4.Owners/Disponent Owners 5.Vessel berthed

6.Loading commenced 7.Loading completed 8.Cargo

Messrs
1 1
9.Discharging commenced 10.Discharging completed 11.Cargo documents on board

1 1 1

12.Pilot on board for sailing, Vessel sailed 13.Charter Party

1
14.Working hours/meal hours of the port 15.Bill of Lading weight/quantity

1
16.Outturn quantity 17.Vessel arrived on roads

18.Pilot on board for berthing 19.Notice of readiness tendered

1
20. ETA to next port

Vessel Arrival and Departure Conditions

Draft Feet Bunkers Lubs and Fresh Water
Forward Amid Aft IFO MDO GO Fresh Water
Arrival
Departure
Next Port

DETAILS OF DAILY WORKING

Date Day Hrs Counted Not Counted No. of Quantity Remarks
At/From To X gangs load/disc.

12:00 15:00
15:00
15:00 16:00 x

16:00 17:00
1:00 21:00
Laytime Used:
Laytime Allowed:

Laytime Demurrage:
General remarks

Place and Date Name and signature(Master)

Name and signature(Agents) Name and signature(for the charterers/Shippers Receivers)

Counted Hrs by Days

3:00
0:00
0:00

1:00
20:00
0:00

0:00
0:00
0:00
0:00
0:00
0:00

0:00
0:00
0:00

0:00
1
 STATEMENT OF FACTS
Company Name 1.Agents 2.Vessel's name

M/V

3.Port 4.Owners/Disponent Owners 5.Vessel berthed

6.Loading commenced 7.Loading completed 8.Cargo

Messrs
1 1
9.Discharging commenced 10.Discharging completed 11.Cargo documents on board

1 1 1

12.Pilot on board for sailing, Vessel sailed 13.Charter Party

1
14.Working hours/meal hours of the port 15.Bill of Lading weight/quantity

1
16.Outturn quantity 17.Vessel arrived on roads

18.Pilot on board for berthing 19.Notice of readiness tendered

1
20. ETA to next port

Vessel Arrival and Departure Conditions

Draft Feet Bunkers Lubs and Fresh Water
Forward Amid Aft IFO MDO GO Fresh Water
Arrival
Departure
Next Port

DETAILS OF DAILY WORKING

Date Day Hrs Counted Not Counted No. of Quantity Remarks
At/From To X gangs load/disc.

12:00 15:00
15:00
15:00 16:00 x

16:00 17:00
1:00 21:00
Laytime Used:
Laytime Allowed:

Laytime Demurrage:
General remarks

Place and Date Name and signature(Master)

Name and signature(Agents) Name and signature(for the charterers/Shippers Receivers)

Counted Hrs by Days

3:00
0:00
0:00

1:00
20:00
0:00
0:00
0:00
0:00

0:00
0:00
0:00

0:00
0:00
0:00

0:00
1
 STATEMENT OF FACTS
Company Name 1.Agents 2.Vessel's name

M/V

3.Port 4.Owners/Disponent Owners 5.Vessel berthed

6.Loading commenced 7.Loading completed 8.Cargo

Messrs
1 1
9.Discharging commenced 10.Discharging completed 11.Cargo documents on board

1 1 1

12.Pilot on board for sailing, Vessel sailed 13.Charter Party

1
14.Working hours/meal hours of the port 15.Bill of Lading weight/quantity

1
16.Outturn quantity 17.Vessel arrived on roads

18.Pilot on board for berthing 19.Notice of readiness tendered

1
20. ETA to next port

Vessel Arrival and Departure Conditions

Draft Feet Bunkers Lubs and Fresh Water
Forward Amid Aft IFO MDO GO Fresh Water
Arrival
Departure
Next Port

DETAILS OF DAILY WORKING

Date Day Hrs Counted Not Counted No. of Quantity Remarks
At/From To X gangs load/disc.
12:00 15:00
15:00
15:00 16:00 x

16:00 17:00
1:00 21:00
Laytime Used:
Laytime Allowed:
Laytime Demurrage:
General remarks

Place and Date Name and signature(Master)

Name and signature(Agents) Name and signature(for the charterers/Shippers Receivers)

 LAYTIME CALCULATION
Company Name 1.Agents 2.Vessel's name

M/V

3.Port 4.Owners/Disponent Owners 5.Vessel berthed

6.Loading commenced 7.Loading completed 8.Cargo

Messrs
1 1
9.Discharging commenced 10.Discharging completed 11.Cargo documents on board

1 1 1

12.Pilot on board for sailing, Vessel sailed 13.Charter Party

1
14.Working hours/meal hours of the port 15.Bill of Lading weight/quantity

1
16.Outturn quantity 17.Vessel arrived on roads

18.Pilot on board for berthing 19.Notice of readiness tendered

1
20. ETA to next port

Charter Party Terms

Charter Party Contract Date
Port and Berth
Operation
Laycan
Notice of Readiness
Where
When
How
Laycan
Reversible or Not
Starts
Special Events Which do not count
as Laytime
Time Counting During Strike, Fource
Majeure, Other Comments
Loading or Discharging Rate 1000 Loading Quantit 1800
Demmurage 1500
Despatch 800
Laytime Allowed 31 day(s) 19 hrs 12 min
Laytime Starts
Laytime End

640 Dollars for Despatch

DETAILS OF DAILY WORKING

Date Day Hrs Counted Not Counted No. of Quantity Remarks
At/From To X gangs load/disc.

12:00 15:00
15:00
15:00 16:00 x

16:00 17:00
1:00 21:00

Laytime Used:
Laytime Allowed:
Laytime Demurrage:
General remarks
 STATEMENT OF FACTS
Company Name 1.Agents 2.Vessel's name

M/V

3.Port 4.Owners/Disponent Owners 5.Vessel berthed

6.Loading commenced 7.Loading completed 8.Cargo

Messrs
1 1
9.Discharging commenced 10.Discharging completed 11.Cargo documents on board

1 1 1

12.Pilot on board for sailing, Vessel sailed 13.Charter Party

1
14.Working hours/meal hours of the port 15.Bill of Lading weight/quantity

1
16.Outturn quantity 17.Vessel arrived on roads

18.Pilot on board for berthing 19.Notice of readiness tendered

1
20. ETA to next port

Vessel Arrival and Departure Conditions

Draft Feet Bunkers Lubs and Fresh Water
Forward Amid Aft IFO MDO GO Fresh Water
Arrival
Departure
Next Port

DETAILS OF DAILY WORKING

Date Day Hrs Counted Not Counted No. of Quantity Remarks
At/From To X gangs load/disc.
12:00 15:00
15:00
15:00 16:00 x

16:00 17:00
1:00 21:00
Laytime Used:
Laytime Allowed:
Laytime Demurrage:
General remarks

Place and Date Name and signature(Master)

Name and signature(Agents) Name and signature(for the charterers/Shippers Receivers)

 LAYTIME CALCULATION
Company Name 1.Agents 2.Vessel's name

M/V

3.Port 4.Owners/Disponent Owners 5.Vessel berthed

6.Loading commenced 7.Loading completed 8.Cargo

Messrs
1 1
9.Discharging commenced 10.Discharging completed 11.Cargo documents on board

1 1 1

12.Pilot on board for sailing, Vessel sailed 13.Charter Party

1
14.Working hours/meal hours of the port 15.Bill of Lading weight/quantity

1
16.Outturn quantity 17.Vessel arrived on roads

18.Pilot on board for berthing 19.Notice of readiness tendered

1
20. ETA to next port

Charter Party Terms

Charter Party Contract Date
Port and Berth
Operation
Laycan
Notice of Readiness
Where
When
How
Laycan
Reversible or Not
Starts
Special Events Which do not count
as Laytime
Time Counting During Strike, Fource
Majeure, Other Comments
Loading or Discharging Rate 1000 Loading Quantit 1800
Demmurage 1500
Despatch 800
Laytime Allowed 31 day(s) 19 hrs 12 min
Laytime Starts
Laytime End

640 Dollars for Despatch

DETAILS OF DAILY WORKING

Date Day Hrs Counted Not Counted No. of Quantity Remarks
At/From To X gangs load/disc.

12:00 15:00
15:00
15:00 16:00 x

16:00 17:00
1:00 21:00

Laytime Used:
Laytime Allowed:
Laytime Demurrage:
General remarks
 STATEMENT OF FACTS & LAYTIME CALCULATION TABLE
Company Name Agents Vessel's name

M/V

Port Owners/Disponent Owners Cargo

Messrs

Operation Shipper Receiver

Messrs Messrs

Discharging commenced Discharging completed Cargo documents on board

Bill of Lading weight/quantity Outturn quantity

Charter Party Terms for Laytme

L/D Quantity 2000

L/D Rate 1000
Laytime Allowed 01 day(s) 00 hrs 00 min
Demmurage Rate Daily 1500
Despatch Rate Daily 800

1200 Calculated Despatch

Vessel Arrival and Departure Conditions

Draft Feet Bunkers Lubs and Fresh Water
Forward Amid Aft IFO MDO GO Fresh Water
Arrival
Departure
Next Port

DETAILS OF DAILY WORKING

Date Day Hrs Counted Not Counted No. of Quantity Remarks
At/From To X gangs load/disc.
12:00 15:00

15:00
15:00 16:00 x
16:00 17:00

1:00 9:00
Laytime Used: 30 day(s) 12 hour(s):00 min.
Laytime Allowed: 01 day(s) 00 hour(s):00 min.

Laytime Despatch 31 day(s) 12 hour(s):00 min.

General remarks

Place and Date Name and signature(Master)

Name and signature

Name and signature(Agents) (for the charterers/Shippers Receivers)
days to allowed

diff for Dem or Desp.

1.5

Counted Hrs by Days

3:00

0:00
0:00
1:00

8:00
0:00
0:00
0:00
0:00

0:00
0:00
0:00

0:00
0:00
0:00

0:00
0.5

-1.5