Security Declaration for Ship Stores
Ship Name:
IMO Number:
Flag State:
Port of Arrival:
Date of Arrival:
Berth/Terminal:
Details of Ship Stores
Description
Quantity
Unit
Location on Board
Remarks
Security Declaration
I, the undersigned, hereby declare that, to the best of my knowledge and belief, the above ship stores have been securely stowed and have not been tampered with from the last port until arrival at this port.
Master/SSO Name:
Signature
Date:
Stamp