SANMAR SHIPPING S.A.

Rebate Request Form :

Date :

From :

To : Suez Canal Authority

Attn : Director of planning & Research Dept.

1/ Vessels Particulars

Name : Type :

Ex names :

Callsign : Year built

Dwt : SCNT :

Last transit :

Capacity in cu.m ( for Lpg & Lng )

Capacity in cu.ft ( for reefer ) :

Max draught :

Transit draught :

Beam :

Design speed :

Design fuel consumption ( IFO ) :

Design fuel consumption ( DO ) :

Cargo kind :

Cargo quantity :

TPC :

2/ Voyage Calculation

Actual speed :

Last port of origin :

First port of destination :

Distance in N.Miles via Suez :

Distance in N.Miles via Cape or Panama :

Difference in distance :

Weather conditions in days via Suez:

Weather conditions in days via Cape or Panama :

Duration in days via Suez :

Duration in days via Cape or Panama :

Bunkering ports :

Daily bunker consumption ( IFO ) :

Daily bunker consumption ( DO ) :

Daily bunker price ( IFO ):

Daily bunker price ( DO ) :

Daily time charter - $

S.C Tolls - $ :

Other charges - $ :

Panama tolls - $ :

Other charges - $ :

Cargo intake via Suez - ton :

Cargo intake via Cape - ton :

Freight per ton :

Cargo lost value - $ :

Total cost via Suez - $ :

Total cost via Cape or Panama - $ :

Difference in cost - $ :

Suggest rebate - % :

Date of sailing :

Date of ETA deviation :

Date of ETA Suez Canal :

The granted rebate will be released upon receiving the following documents :-

Bill of lading and cargo manifest if any

A statement signed by the master and owners/operators that the vessel made her voyage without any stoppage at

intermediate port for cargo operations.

Certificate from port authorities of origin state : coming from - date of arrival - nature and quantity of cargo discharged ( or

in ballast )

These documents must be submitted after transit within six (6) months maximum , no reduction is to be enjoyed after this

period

The validity of reduction is 60 days from the first date of SCA response to the rebate request. However, when the 60 days

expire , no rebate is to be enjoyed. Therefore, if this period ( 60 days ) is exceeded, a new rebate request form shall be

submitted to SCA to reconsider the case, provided that the request is received by SCA before the ship arrives to the

deviation point.