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  • Stowaways / Refugees Initial Report Form: A B C D E

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    This document is an initial report form for stowaways or refugees onboard a ship. It requests information in 12 categories: A) The name of the ship B) The flag and port of registry C) The name and address of the company D) The owner's agent in the next scheduled port E) The estimated date and time of arrival at the next port F) The estimated departure date and time from the next port G) The exact number of refugees/stowaways onboard H) Details of the rescue or discovery of the refugees/stowaways I) The health and state of the refugees/stowaways and any medical assistance needed J) A list

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    G 06

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    This document is an initial report form for stowaways or refugees onboard a ship. It requests information in 12 categories: A) The name of the ship B) The flag and port of registry C) The name and address of the company D) The owner's agent in the next scheduled port E) The estimated date and time of arrival at the next port F) The estimated departure date and time from the next port G) The exact number of refugees/stowaways onboard H) Details of the rescue or discovery of the refugees/stowaways I) The health and state of the refugees/stowaways and any medical assistance needed J) A list

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    Download as doc, pdf, or txt
    7 views2 pages

    Stowaways / Refugees Initial Report Form: A B C D E

    Uploaded by

    sailor21316
    This document is an initial report form for stowaways or refugees onboard a ship. It requests information in 12 categories: A) The name of the ship B) The flag and port of registry C) The name and address of the company D) The owner's agent in the next scheduled port E) The estimated date and time of arrival at the next port F) The estimated departure date and time from the next port G) The exact number of refugees/stowaways onboard H) Details of the rescue or discovery of the refugees/stowaways I) The health and state of the refugees/stowaways and any medical assistance needed J) A list

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    of 2

    SEKUR HOLDINGS INC.

    Date of Issuance : JUNE 2003


    Revision No.
    :0
    Chapter No.
    :7

    SQ&E Management System Manual


    Issued by
    : SQM
    Approved by : Managing Director
    Ch.7 Form No. G 6

    STOWAWAYS / REFUGEES INITIAL REPORT FORM


    A

    NAME OF SHIP :

    FLAG AND PORT OF REGISTRY :

    NAME AND ADDRESS OF COMPANY :

    OWNERS AGENT IN NEXT SCHEDULED PORT :

    ESTIMATED DATE AND TIME (SPECIFY GMT OR LOCAL TIME)


    OF ARRIVAL AT NEXT SCHEDULED PORT :

    ESTIMATED DATE AND TIME OF DEPARTURE FROM NEXT SCHEDULED


    PORT :

    EXACT NUMBER OF REFUGEES/STOWAWAYS ONBOARD :

    DATE, TIME AND EXACT LOCATION OF RESCUE OF


    REFUGEES/DISCOVERY OF STOWAWAYS :
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    STATE AND HEALTH OF REFUGEES/STOWAWAYS AND
    DETAILS OF ANY URGENT MEDICAL ASSISTANCE REQUIRED :
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    A LIST OF THE REFUGEES CITING THEIR FULL NAMES, FAMILY GROUP,
    DATES OF BIRTH, SEX, NATIONALITY, DOCUMENTS THEY ARE
    CARRYING :

    Page 1

    SEKUR HOLDINGS INC.


    Date of Issuance : JUNE 2003
    Revision No.
    :0
    Chapter No.
    :7

    SQ&E Management System Manual


    Issued by
    : SQM
    Approved by : Managing Director
    Ch.7 Form No. G 6

    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________
    ___________________________________________________________
    Masters Signature:

    Page 2

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