STATEMENT OF FACTSCompany 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

Messrs1 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

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

116.Outturn quantity 17.Vessel arrived on roads

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

120. ETA to next port

Vessel Arrival and Departure ConditionsDraft Feet Bunkers Lubs and Fresh Water

Forward Amid Aft IFO MDO GO Fresh WaterArrivalDepartureNext Port

DETAILS OF DAILY WORKINGDate 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 FACTSCompany 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

Messrs1 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

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

116.Outturn quantity 17.Vessel arrived on roads

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

120. ETA to next port

Vessel Arrival and Departure ConditionsDraft Feet Bunkers Lubs and Fresh Water

Forward Amid Aft IFO MDO GO Fresh WaterArrivalDepartureNext Port

DETAILS OF DAILY WORKINGDate 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 FACTSCompany 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

Messrs1 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

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

116.Outturn quantity 17.Vessel arrived on roads

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

120. ETA to next port

Vessel Arrival and Departure ConditionsDraft Feet Bunkers Lubs and Fresh Water

Forward Amid Aft IFO MDO GO Fresh WaterArrivalDepartureNext Port

DETAILS OF DAILY WORKINGDate 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 CALCULATIONCompany 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

Messrs1 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

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

116.Outturn quantity 17.Vessel arrived on roads

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

120. 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

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

Special Events Which do not count as Laytime

Time Counting During Strike, Fource Majeure, Other Comments

###

640 Dollars for Despatch

DETAILS OF DAILY WORKINGDate 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 FACTSCompany 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

Messrs1 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

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

116.Outturn quantity 17.Vessel arrived on roads

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

120. ETA to next port

Vessel Arrival and Departure ConditionsDraft Feet Bunkers Lubs and Fresh Water

Forward Amid Aft IFO MDO GO Fresh WaterArrivalDepartureNext Port

DETAILS OF DAILY WORKINGDate 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 CALCULATIONCompany 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

Messrs1 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

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

116.Outturn quantity 17.Vessel arrived on roads

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

120. 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

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

Special Events Which do not count as Laytime

Time Counting During Strike, Fource Majeure, Other Comments

###

640 Dollars for Despatch

DETAILS OF DAILY WORKINGDate 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 TABLECompany 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 ConditionsDraft Feet Bunkers Lubs and Fresh Water

Forward Amid Aft IFO MDO GO Fresh WaterArrivalDepartureNext Port

DETAILS OF DAILY WORKINGDate 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(Agents)Name and signature(for the charterers/Shippers Receivers)

days to allowed

2

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