Rev Dt: 04-Aug-2016
JAD CONSTRUCTION LIMITED Revision No: A1
FAL FORM - NIL LIST
Document No: JAD-SMS-7X-8
VESSEL NAME DELTA VICTORY IMO NUMBER 8764810
GRT 674 NRT 202
PORT OF ENTRY WARRI DATE OF ENTRY
I, MASTER OF DELTA VICTORY HERE BY DECLARE THAT ONBOARD THIS VESSEL THERE ARE
No Arms and ammunitions
No Stowaways
No Animals
No Drugs and Narcotics
No Passengers
No Kroo Boys
No Mail or Parcels
No Bonded Stores
Vessel: DELTA VICTORY
Master
Date
Sign