NOTIFICATION OF PROPOSED RESEARCH CRUISE
PART A:  GENERAL

1.

	NAME OF RESEARCH SHIP	CRUISE NO.	
2.	DATES OF CRUISE
	From	To	
3.	OPERATING AUTHORITY:	
	
	TELEPHONE:
	               	
	TELEFAX:	
	                 	
	TELEX:	
		
4.	OWNER (if different from no. 3)
	
5.	PARTICULARS OF SHIP:	
		Name:	               	
		Nationality:	                 	
		Overall length: (in metres)	               	
		Maximum draught: (in metres)		
		Net tonnage:		
		Propulsion e.g. diesel/steam:		
		Call sign:		
		Registration port and number    (if registered fishing vessel)		

6.	
CREW	
	
Name of master:		
	
Number of crew:
		
7.	SCIENTIFIC PERSONNEL	
	
Name and address of scientist in charge:		

	Tel/telex/fax no.:			
	No. of scientists:
		
8.	GEOGRAPHICAL AREA IN WHICH SHIP WILL OPERATE (with reference to latitude and longitude)

9.	BRIEF DESCRIPTION OF PURPOSE OF CRUISE

	
10.	DATES AND NAMES OF INTENDED PORTS OF CALL

	
11.	ANY SPECIAL REQUIREMENTS AT PORTS OF CALL

	NOTIFICATION OF PROPOSED RESEARCH CRUISE

1.	PART B:  DETAILS

1.

	NAME OF RESEARCH SHIP	CRUISE NO.
	
2.	DATES OF CRUISE

	From	To	
3.	a) PURPOSE OF RESEARCH

	b) GENERAL OPERATIONAL METHODS (including full description of any fish gear, trawl type, mesh size, etc.)

	
4.	ATTACH CHART showing (on an appropriate scale) the geographical area of intended work, positions
 of intended stations, tracks of survey lines, positions of moored/seabed equipment, areas to be fished

5.	a) TYPES OF SAMPLES REQUIRED (e.g., geological/water/plankton/fish/radionuclide)

	b) METHODS OF OBTAINING SAMPLES (e.g., dredging/coring/drilling/fishing, etc. When using fishing gear, indicate fish stocks being worked, quantity of each species required, and quantity of fish to be retained on board).

6.	DETAILS OF MOORED EQUIPMENT	

Dates
Laying	
Recovery	
Description	
Depth	
Latitude	
Longitude	

7.	ANY HAZARDOUS MATERIALS (chemicals/explosives/gases/radioactives, etc.)
(Use separate sheet if necessary)
	
	a) Type and trade name
		
	b) Chemical content (and formula)	
		
	c) IMO IMDG code (reference and UN no.)
		
	d) Quantity and method of storage on board
		
	e) If explosives give dates of detonation		
	•	Method of detonation		
	•	Position of detonation		
	•	Position of detonation		
	•	Frequency of detonation		
	•	Depth of detonation		
	•	Size of explosive charge in kg.
		
8.	DETAIL AND REFERENCE OF
	
	a) Any relevant previous/future cruises

	b) Any previously published research data relating to the proposed cruise

9.	NAMES AND ADDRESSES OF SCIENTISTS OF THE COASTAL STATE(S) IN WHOSE WATERS 
THE PROPOSED CRUISE TAKES PLACE WITH WHOM PREVIOUS CONTACT HAS BEEN 
MADE

10.	STATE
	
	a) Whether visits to the ship in port by scientists of the coastal state concerned will be acceptable (Yes/No)

	b) Participation of an observer from the coastal state for any part of the cruise together with the dates and the ports for embarkation and disembarkation

	c) When research data from the intended cruise are likely to be made available to the coastal state and by what means

	

PART C.  SCIENTIFIC EQUIPMENT

Complete the following table			Coastal state
using a separate page for
each coastal state					Port of call

							Dates

Indicate ”YES” or ”NO”

	
DISTANCE FROM COAST	

List scientific work by function
e.g.
	
Water column including sediment sampling of the seabed	
Fisheries research within fishing limits	
Research concerning the natural resources of the conti-nental shelf or its physical characteris-tics	

Within 4 nm	

Between 
4-12 nm	

Between 
12-200 nm	

Magnetometry

Gravity

Diving

Seismics

Seabed sampling

Bathymetry

Trawling

Echo sounding

Water sampling

U/W TV

Moored instr.

Towed instr.

							

                                                                                                      
____________________________________________    	Dated________________________________                              	(On behalf of the Principal Scientist)			 

NB	IF ANY DETAILS ARE MATERIALLY CHANGED REGARDING DATES/AREA OF OPERATION AFTER THIS FORM HAS BEEN SUBMITTED, THE COASTAL STATE AUTHORITIES MUST BE NOTIFIED IMMEDIATELY