PASSENGER LIST

(IMO FAL Form 6)

Arrival Departure Page Number

1.1 Name of ship 1.2 IMO number 1.3 Call sign

1.4 Voyage number 2. Port of arrival/departure 3. Date of 4. Flag State of ship

arrival/departure

5. Family 6. Given 7. Nationality 8. Date 9. Place 10. Gender 11. Type of 12. Serial 13. Issuing 14.Expiry 15. Port of 16. Visa 17. Port of 18. Transit
name names of birth of birth identity or number of State of date of embarkation number if disembarkation passenger
travel identity or identity or identity or appropriate or not
document travel travel travel
document document document

19. Date and signature by master, authorized agent or officer