HYDROGRAPHIC NOTE AND NAVIGATIONAL EXPERIENCES
   
Name of ship: *
Date of observation or experience: (dd/mm/aaaa) *
Name of sender (Captain or Pilot): *
Subject (observation or experience reported)
*
Charts affected:
General locality:
Latitude:
º    ' ''
Longitude
º    ' ''
Publication affected
Former Reference Notice (if it exists):
Details of information Reported:
Responsible Authority:
Electronic Mail: *
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