Fishing Vessel Stowaway Declaration Report

Vessel Details

Vessel Name IMO Number Flag Port of Departure Date of Declaration

Stowaway Information

Name
Gender
Nationality
Date of Birth / Age
Language(s) Spoken
Document(s) Found

Circumstances of Discovery

Date & Time Found Place Found on Board Details of Discovery

Actions Taken

Actions Taken by Crew Authorities Notified Remarks

Responsible Officer

Name Rank Signature Date