ИМО генеральная (общая) декларация. Форма N 1 (ИМО ФАЛ) (англ.)

                                                               IMO FAL

                                                                Form 1

                       IMO GENERAL DECLARATION

------------------T-------------T-T-------T-T---------T--------------¬

¦                 ¦             ¦ ¦Arrival¦ ¦Departure¦              ¦

+-----------------+-------------+-+-------+-+---------+--------------+

¦1. Name and description of ship¦2. Port of arrival / ¦3. Date -     ¦

¦                               ¦departure            ¦time of       ¦

¦                               ¦                     ¦arrival /     ¦

¦                               ¦                     ¦departure     ¦

+-----------------T-------------+---------------------+--------------+

¦4. Nationality of¦5. Name of   ¦6. Port arrived from / Port of      ¦

¦ship             ¦master       ¦destination                         ¦

+-----------------+-------------+------------------------------------+

¦7. Certificate of registry     ¦8. Name and address of ship's       ¦

¦(Port, date, number)           ¦agent                               ¦

+-----------------T-------------+------------------------------------+

¦9. Gross         ¦10. Net      ¦                                    ¦

¦tonnage          ¦tonnage      ¦                                    ¦

+-----------------+-------------+------------------------------------+

¦11. Position of the ship in the¦                                    ¦

¦port (berth or station)        ¦                                    ¦

+-------------------------------+------------------------------------+

¦12. Brief particulars of voyage (previous and subsequent ports      ¦

¦of call: underline where remaining cargo will be discharged)        ¦

+--------------------------------------------------------------------+

¦13. Brief description of the cargo                                  ¦

+-----------------T-------------T------------------------------------+

¦14. Number of    ¦15. Number of¦16. Remarks                         ¦

¦crew (incl.      ¦passengers   ¦                                    ¦

¦master)          ¦             ¦                                    ¦

+-----------------+-------------+------------------------------------+

¦      Attached documents       ¦                                    ¦

¦     (indicate number of       ¦                                    ¦

¦           copies)             ¦                                    ¦

+-----------------T-------------+------------------------------------+

¦17. Cargo        ¦18. Ship's   ¦                                    ¦

¦Declaration      ¦Stores       ¦                                    ¦

¦                 ¦Declaration  ¦                                    ¦

+-----------------+-------------+------------------------------------+

¦19. Crew List    ¦20. Passenger¦21. Date and signature by           ¦

¦                 ¦List         ¦master, authorized agent or         ¦

¦                 ¦             ¦officer                             ¦

+-----------------+-------------+------------------------------------+

¦22. Crew's       ¦23. Maritime ¦                                    ¦

¦Effects          ¦Declaration  ¦                                    ¦

¦Declaration <*>  ¦of Health    ¦                                    ¦

¦                 ¦<*>          ¦                                    ¦

L-----------------+-------------+-------------------------------------

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<*> For official use.