Seaport Arrival Embarkation Document

Vessel Name:

IMO Number:

Flag:

Arrival Date:

Arrival Time:

Berth No.:

Port of Arrival:

Port of Departure:

Master and Vessel Details

Master's Name:

Nationality:

Contact Number:

Agent Name:

Agent Contact:

Crew List Summary

Crew Onboard	Crew Signed On	Crew Signed Off	Passengers Onboard

Cargo Information

Cargo Description	Quantity	Unit	Remarks

Declaration

I hereby declare that the above information is correct and true to the best of my knowledge.

Date:

Master's Signature