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IMO crew list
1. IMO CREW LIST
Page No.
Arrival Departure
1.1 Name and type of ship 2. Port of 3. Date of arrival/departure
1.2 IMO number arrival/departure
1.3 Call sign
4. Flag State of ship 5. Last port of call 6. Nature and No. of
identity document
7. No. 8. Family name, 9. Rank or 10. Nationality 11. Date and place (seaman’s
given names rating of birth passport)
Convention on Facilitation of International Maritime Traffic
IMO
FAL
Form 5
12. Date and signature by master, authorized agent or officer