Port Facility Access Request Form for Vessels
Vessel Information
Vessel Name
IMO Number
Flag
Gross Tonnage
Length Overall (LOA)
Draught
Agent Information
Agent Name
Contact Number
Email
Port Call Details
Estimated Arrival Date & Time
Estimated Departure Date & Time
Berth Requested
Purpose of Visit
Persons On Board
Number of Crew
Number of Passengers
Security & Additional Information
Last Port of Call
Next Port of Call
Remarks/Additional Information