Ship/Port Interface Security Declaration
1. Name of Ship
2. IMO Number
3. Port Facility
4. Date
5. Time (From - To)
6. Berth/Location
Security Levels
Ship Security Level
Port Facility Security Level
Security Measures Agreed
Activity
Responsibility
Agreed?
Access control to ship and shore
Handling of cargo
Delivery of ship's stores
Monitoring restricted areas
Handling of unaccompanied baggage
Other
Additional Details
Ship Security Officer
Signature
Date
Port Facility Security Officer
Signature
Date