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Attachment 19.1 IMO General Declaration FAL Form 1

This 3 sentence summary provides key information from the general declaration document: The document is a general declaration form containing shipping details such as the name and type of ship, call sign, voyage number, ports of arrival and departure, flag state, master name, certificate of registry, agent contact details, tonnage, brief voyage details, cargo description, crew and passenger numbers, and attached documents including cargo declaration, stores declaration, crew and passenger lists. The form is to be signed and dated by the master, authorized agent or officer.

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0% found this document useful (0 votes)
51 views

Attachment 19.1 IMO General Declaration FAL Form 1

This 3 sentence summary provides key information from the general declaration document: The document is a general declaration form containing shipping details such as the name and type of ship, call sign, voyage number, ports of arrival and departure, flag state, master name, certificate of registry, agent contact details, tonnage, brief voyage details, cargo description, crew and passenger numbers, and attached documents including cargo declaration, stores declaration, crew and passenger lists. The form is to be signed and dated by the master, authorized agent or officer.

Uploaded by

w1012599
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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NTM 148 Version 6

Attachment 19.1
17 January 2021

GENERAL DECLARATION
(IMO FAL Form 1)

Arrival Departure
1.1 Name and type of ship 1.2 IMO number

1.3 Call sign 1.4 Voyage number

2. Port of arrival/departure 3. Date and time of arrival/departure

4. Flag State of ship 5. Name of master 6. Last port of call/Next port of call

7. Certificate of registry (Port; date; number) 8. Name and contact details of ship's agent

9. Gross tonnage 10. Net tonnage

11. Brief particulars of voyage (previous and subsequent ports of call; underline where remaining cargo will be
discharged)

12. Brief description of the cargo

13. Number of crew 14. Number of passengers 15. Remarks

Attached documents
(indicate number of copies)

16. Cargo Declaration 17. Ship's Stores


Declaration
18. Crew List 19. Passenger List 20. The ship's requirements in terms of waste and
residue reception facilities

21. Crew's Effects Declaration (only 22. Maritime


on arrival) Declaration of
Health (only on
arrival)

23. Date and signature by master, authorized agent or officer

For official use

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