Form 5
- Date and signature by master, authorized agent or officer
IMO PASSENGER LIST ( FAL FORM 6 )
| 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 | ||||||||||||||
| Convention on Facilitation of International Maritime Traffic | 5. Family name, given names | 6. Nationality | 7. Date and place of birth | 8. Type of identity document | 9. Serial number of identity document | 10. Port of embarkation | 11. Port of disembarkation | 12. Transit passenger or not | ||||||
IMO FAL
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