Notice of Detention to the Master

The undersigned duly authorized officer of the herewith notifies you that

The ship:	callsign:
IMO number:	Gross tonnage:
Port of Registry:	flag State:
Type of ship:	Date on which keel was laid:
Owner:	Master:
Agents:	Class/RO:
Berthed at:

has been detained in accordance with the provisions of article of the ( ), on account of:

	One or more of the criteria for detention set out in Annex X of Council Directive 2009/16/EC of 23 April 2009 (Official Journal of the European Communities No L 131)
	Crew members being unable to provide proof of professional proficiency for the duties assigned to them as mentioned in article 12 of Council Directive 2008/106/EC of 19 November 2008 (Official Journal of the European Communities No L 323)
	Master or crew unable to comply with operational requirements as contained in the Conventions mentioned in article of the Port State Control Act
	Other deficiencies which, individually or together, are clearly hazardous to safety, health or environment
	The fact that the Port State Control Officer was obstructed in the execution of his duty

For further details see the Report of Inspection forms A & B enclosed to this notice for the master.

In accordance with the provisions of article of the Port State Control Act it is prohibited to shift the ship without the prior consent of the Port State Control Officer, or to proceed to sea without a proper Notice of Release of ship from detention.

Place

Date

The above mentioned officer: