FACILITATION OF TRAVEL AND TRANSPORT STANDARDIZED FORMS OF DOCUMENTS RESOLUTION A.136 (V) adopted on 26 October 1967

INTER-GOVERNMENTAL MARITIME CONSULTATIVE ORGANIZATION

Distr. G.LNBRAL A.V/Res.136 26 October 1967 Original: ENGLISH

IMCO ASSEMBLY - 5th session Agenda item 14

F.L\CILITL.TION OF TRAVEL 1'1.ND TBllNSPO.RT STANDARDIZED FORMS OF DOCUMENTS

RESOLUTION A.136(V) adopted on 26 October 1967

THE ASSEMBTX,

HAVING CONSIDERED Resolutions 4 and 5 of the International Conference on Facilitation of Maritime Travel and Transport,

HAVING IN MIND its Resolution A.78(IV) requesting the Secretary-General to convene as appropriate a meeting of the Working Group and to take necessary steps to implement, in particular, Resolution 5 of the Conference,

NOTING ;."ITH S!..CCISFACTION that a meeting of the Working Group has taken place and that at that meeting the attached model forms were proposed,

NOTING ALSO ~he recommendation of the Working Group to the Secretary-General that the ~ttached model forms together with their Report be brought to the attention of the Assembly, Contracting Governments and governments which participated in the Conference, so as to enable governments to consider the possibility of using forms conforming as far as possible and practicable to the attached model forms,

RECOGNIZING that a widespread acceptance by governments of the Convention on Facilitation of International Maritim~ Traffic is an essential condition for achieving effective facilitation in this field,

FACILITATION OF TRAVEL AND TRANSPORT STANDARDIZED FORMS OF DOCUMENTS RESOLUTION A.136 (V) adopted on 26 October 1967

- 2 -

A.V/Res.136

INVITES governments to consider adopting forms conforming to the attached model forms~

REQUESTS the Secretary-General to continue his work towards the establishment of forms and procedures suitable for universal use,

RECOMMENTIS that governments which have not yet accepted the Convention on Facilitation of En t e r-na'td ona.L Mari time Traffic consider doing so as soon as possible.

FACILITATION OF TRAVEL AND TRANSPORT STANDARDIZED FORMS OF DOCUMENTS RESOLUTION A.136 (V) adopted on 26 October 1967

(Name of shipping line, agent, etc.) GENERAL DECLARATION ,-

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/Arrival I Departure 1. Name and description of ship 2. Port of arrival/ departure ,3. ~ate~time of arrival/dep.

4. Nationality of ship 5. Name of master 6: Port arrived from/Port of destination

. .. r,. Certificate of registry (Port; date; number) 8. Name and address of ship's agent

9. Gross register tons 10. Net register tons

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

14. Number of crew (incl. master) 15. Number of passengers 16. Remarks

Attached documents ( indicate number of copies)

l7. Cargo Declaration 18. Ship's Stores Declaration

19. Crew List 20. Passenger List 21. Date and signature by master, authorized agent or officer

-· 22. Crew's Effects Declaration 23. Maritime Declaration

of Health*

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For official use

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1967 CO FAL rm 1

*Only on arrival

FACILITATION OF TRAVEL AND TRANSPORT STANDARDIZED FORMS OF DOCUMENTS RESOLUTION A.136 (V) adopted on 26 October 1967

CARGO DECLARATION

- ......... lP_age No. n Arrival ~-?_rture. _

2. Port where report is made

S/L No.•

IL Name of ship

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3. Nationality of ship r Name of maste, 5. Po,t of loading/Po,! of discharge . I

6. Marks and Nos. !7· Number and kind of packages; description of goods ,8. Gross weight 9. Measuremen · t · ·1· . . . . . . . . . . . - - - - - - - - - - - - - - - - - - -- - , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - :

l-1967 ~. IMCO FAL Form 2 10. Date and signature by-master, authorized agent or officer

FACILITATION OF TRAVEL AND TRANSPORT STANDARDIZED FORMS OF DOCUMENTS RESOLUTION A.136 (V) adopted on 26 October 1967

--------:-: --:---------------------~J;ITIIP~s~s I oxe s Dt:C[ARA I IUN (Name of shipping line, agent, etc.)

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Arrival Departure Page No.

i 1. Name of ship I 4. Nationality of ship

2.· Port of arrival/departure 3. Date of arrival/departure

S. Port arrived from/Port of destination

6. Number of persons on board 7. Period of stay • Place of storage

9. Name of article 10. Quantity 1. For official use

.. - .... - ... - - - - - - - - - - - - - - - - -- - - - -- - --- - - - -- - - - - - -- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - -

12. Date and signature by master, authorized agent or officer

FACILITATION OF TRAVEL AND TRANSPORT STANDARDIZED FORMS OF DOCUMENTS RESOLUTION A.136 (V) adopted on 26 October 1967

!Page No.

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1. Name of ship i2. Effects which are dutiable or subject to prohibitions or restrictions

3. Nationality of ship

4. No 5. Family name, given names 6. Rank or rating

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7. Signature

• Date and signature by master, authorized agent or officer

FACILITATION OF TRAVEL AND TRANSPORT STANDARDIZED FORMS OF DOCUMENTS RESOLUTION A.136 (V) adopted on 26 October 1967

. CREW LIST

n . !Page No. Arrival O Departure

11. Name of ship 12. Port of arrival/departure i3, Date of arrival/departure I I

4, Nationality ! !

5. Port arrived from

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17. No. 8. Family Name; given names

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9. Rank or rating 10. Nationality 11. Date and place of birth _

- - - - - ·- - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - -------------------------- ---------- ---------- ----------- - • • - - • - - - - • -·. - - - - - - •• • • • • ••• - • • •• • r • • - - • - •

--------------------------

. Nature and No. of iden­ tity documen (seaman's passport)

12. Date and signature by master, authorized agent or offic-er-

FACILITATION OF TRAVEL AND TRANSPORT STANDARDIZED FORMS OF DOCUMENTS RESOLUTION A.136 (V) adopted on 26 October 1967

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PASSENGER LIST

!Page No. f-1 Arrival f]~epo.rture

/2. Port of arrival/departure ,3. Date of arrival/departure I I

1,------------------.,.-----------t-------------L-- -··---------' 1, Name of ship

4. Nationality of ship

5. Family name, given names 6. Nationality

------------------------------------------ 7. Date and place of birth f 8. Port of em- 9. Port of dis-

barkation embarkation - - - - - - - - - ---- - - - - - - - - - - . - - - - - - . - - - - - - - - - -

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FACILITATION OF TRAVEL AND TRANSPORT STANDARDIZED FORMS OF DOCUMENTS RESOLUTION A.136 (V) adopted on 26 October 1967

FACILITATION OF TRAVEL AND TRANSPORT STANDARDIZED FORMS OF DOCUMENTS RESOLUTION A.136 (V) adopted on 26 October 1967