企业名称(盖章) serving company (stamp) | ||
供应船名vessel served: | ||
航次 voyage: | 国籍 nationality: | |
供应项目 service items: 物料供应 ship’s store; 生活用品供应;provision supply; | ||
供应时间 service time | 供应地点 service spot | |
船方评价 evaluation for the service : 优 excellent 良 favorable 中 acceptable 差 bad 具体意见(船长或大副手写): comments (writing by captain or chief mate):
签名signature: 盖船章vessel stamp 时间date: | ||
备注:此表一式两份,一份由物供企业在出港区闸口时交码头公司并转交厦门港口管理局,另一份由物供企业存档备查。 remark: this form should be in duplicate, one copy feed back to xiamen port authority by the terminals through which the service offered, the other copy maintain by serving company. | ||