| VESSEL ARRIVAL REPORT AT ....................... |
| 1. Name of Ship | 2. Official No.: | 3. Voyage No.: |
| 4. Description | 5. Nationality | 6. Port of Registry: |
| 7. Grt: | 8. Nrt: | 9. Draft Fore. | 10. Draft Aft. | 11. Length: 12. Beam |
| Date: | 13. Arrival | 14. Boarding: | 15. Estimated Dep | 16. Last Port of Call: |
| | | 17. Next Port of Call |
| Time: | | | | |
| 18. Inward Cargo Tons | 19. Description |
| |
| 20. T/Ship Cargo Tons | 21. Description |
| |
| 22. Pass. In: | 23. Pass. I/T | 24. Mail Carried: | 25. Containers In | 26. Containers Intransit |
| | Bags | @ 20′ | @ 40′ | @ 20′ | @ 40′ |
| 27. Dangerous/Hazardous Cargo on I.M.O. Lists |
| 28. Ships Owner or Company |
| 29. Agent | 30. Masters Name |
| 31. Masters Declaration | |
| I declare the above particulars to be true | Signature of Master: |
| | |
| 32. Crew List Attached: | 33. Passenger List Attached: | 34. Maritime Dec. of Health |
| Yes/No | Yes/No | Yes/No |
| 35. Unmanifested Cargo: Yes/No | Other Documents | |
| General Remarks: |