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IMO CREW LIST

( IMO FAL Form 5 )


ARRIVAL DEPARTURE

1. Name of ship 2. Port of arrival / departure 3. Date of arrival / departure

4. Nationality of ship ( Flag ) 5. Last port of call / Next port of call 6. Nature and no. of identify document

7. No. 8. Family Name, Given Name 9. Rank 10. Sex 11. Nationality 12.Date and place of birth Passport Passport exp. Seaman book Seaman book
Date exp.

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13. Date and signature by master, authorized agent of officer

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IMO Convention on Facilitation of International Meritime Trafic


IMO FAL
Form 5

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