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AD202402185770F1
AD202402185770F1
AD202402185770F1
(CHAPTER 133)
20-FEB-24
IMMIGRATION REGULATIONS
CREW LIST
I certify that the above information is, to the best of my knowledge and belief, true in every particular
Dated this day of 20
___________________________
*Master/Owner/Charterer/Agent
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* Delete whichever is inapplicable
Note: If the spaces provided are insufficient, use an additional sheet drawn in the same format and with the
heading "Form 22 - Continued".
IMM 22 (11/99)
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