Form 4
- Date and signature by master, authorized agent or officer
* e.g. wines, spirits, cigarettes, tobacco etc.
IMO CREW LIST ( FAL FORM 5)
Page No. | ||||||||||||
Arrival | Departure | |||||||||||
1.1 Name and type of ship
1.2 IMO number 1.3 Call sign |
2. Port of arrival/departure | 3. Date of arrival/departure | ||||||||||
4. Flag State of ship | 5. Last port of call | 6. Nature and No. of identity document (seaman’s passport) | ||||||||||
Convention on Facilitation of International Maritime Traffic | 7. No. 8. Family name, given names | 9. Rank or rating | 10. Nationality | 11. Date and place of birth | ||||||||
IMO FAL
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