Appendix – Form of Stowaway Details Referred to in Recommended Practice 4.6.2 of the Convention on Facilitation of International Maritime Traffic 1965, As Amended
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Statutory Documents - IMO Publications and Documents - Resolutions - Maritime Safety Committee - Resolution MSC.312(88) – Revised Guidelines on the Prevention of Access by Stowaways and the Allocation of Responsibilities to Seek the Successful Resolution of Stowaway Cases – (Adopted on 2 December 2010) - Annex – Revised Guidelines on the Prevention of Stowaway Incidents and the Allocation of Responsibilities to Seek the Successful Resolution of Stowaway Cases - Appendix – Form of Stowaway Details Referred to in Recommended Practice 4.6.2 of the Convention on Facilitation of International Maritime Traffic 1965, As Amended

Appendix – Form of Stowaway Details Referred to in Recommended Practice 4.6.2 of the Convention on Facilitation of International Maritime Traffic 1965, As Amended

SHIP DETAILS Date of birth:
Name of ship: Place of birth:
IMO number: Claimed nationality:
Flag: Home address:
Company: Country of domicile:
Company address: ID-document type,
e.g., Passport No.:
  ID Card No. or
Seaman's Book No.:
Agent in next port: If yes,
Agent address: When issued:
  Where issued:
Date of expiry:
IRCS: Issued by:
INMARSAT number:  
Port of registry: Photograph of the stowaway:
Name of master: Photograph if available
 
STOWAWAY DETAILS
Date/time found on board:
Place of boarding:
Country of boarding:
Date/time of boarding:  
Intended final destination:  
Stated reasons for boarding the ship footnote General physical description of the stowaway:
Surname:  
Given name:  
Name by which known:  
Gender:  
First language: Other languages:
Spoken: Spoken:
Read: Read:
Written: Written:
Other details:  

1) Method of boarding, including other persons involved (e.g., crew, port workers, etc.), and whether the stowaway was secreted in cargo/container or hidden in the ship:

   

2) Inventory of the stowaway's possessions:

   

3) Statement made by the stowaway:

   

4) Statement made by the master (including any observations on the credibility of the information provided by the stowaway):

   
   
Date(s) of interview(s):
Stowaway's signature: Master's signature:
   
Date: Date:
Parent topic: Annex – Revised Guidelines on the Prevention of Stowaway Incidents and the Allocation of Responsibilities to Seek the Successful Resolution of Stowaway Cases
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