IMO CREW LIST

(IMO FAL Form 5)

1. Name of ship : 2. Port of Arrival / Departure : 3. Date & Time of Arrival / Departure : F

4. Flag of ship : 5. Port Arrived from / To next Port : 6. Nature and No. 7. Seaman's Book /

8. Call sign : 9. IMO Number : of Identity document Passport

(Seaman's Book / Passport) Expiry date

10. No 11. Family name, given names Sex 12. Rank 13. Nationality 14. Place and Date of birth (Need or No Need)?

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

12. Date and signature by Master, authorized agent or officer

IMO Convention on Facilitation Of Maritime Traffic

IMO FAL