This form is for use with Maritime Security Chart –Q6099 & Q6111.

INITIAL REPORT
1 Ship Name

2 Flag

3 IMO Number

4 INMARSAT Telephone Number

5 Time & Position

6 Course

7 Passage Speed

8 Freeboard

9 Cargo

Destination and
10
Estimated Time of Arrival

Name and contact details

11
Of Company Security Officer

Nationality of Master
12
and Crew

Armed / unarmed security

13
team embarked

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