IMO CREW LIST
(IMO FAL Form 5)
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 arrival/departure
4. Flag State of ship
5. Last port of call
6. No.
7.
Family name, given
names
8. Rank or rating
9. Nationality
10. Date and
place of birth
11. Nature and number of
identity document
12. Date and signature by master, authorized agent or officer
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