Stowaway Incident Declaration Form for Shipping Companies
Vessel Details
Vessel Name
IMO Number
Flag State
Name of Shipping Company / Owner
Incident Details
Date of Stowaway Discovery
Place (Port/At Sea) Where Discovered
Circumstances of Discovery
Stowaway Details
Number of Stowaways
Description (Nationality, Age, Gender, etc.)
Actions Taken
Measures Taken Upon Discovery
Authorities Notified (Port, Flag State, Others)
Additional Information
Remarks / Comments
Declaration
Name of Person Completing the Form
Rank/Position
Date
Signature