Request for LNG bunkering in Antwerp - Quay 526

Who completes this Form ?

The company / ship who asks permission for a LNG Bunkering in the port of Antwerp at Quay 526.

The request has to be sent to Fluxys as soon as possible, but at the latest 24 hours before the LNG bunkering.

If the deadline cannot be met during the business hours, the request can be made by calling our Dispatching : +32 2 282 70 07.

Please find here the checklist to complete and send to Toelatingen.HKD@portofantwerp.com.

Name of the ship

Name of the captain

Email

Phone number

Eni number

Ship type

Navigation type

Inland Seagoing

Ships call reference number

Supplier name

Supplier phone

Supplier email

Bunkering date

Start time

End time

Planned bunkering quantity

Dimensions of ship

Present cargo (including UN codes)

Last cargo (if tanks are empty; including UN codes)

Cleaned

Yes No

General conditions

I accept the standard terms and conditions of Fluxys SA