Advance Notice Arrival

Ship particulars and contact details

Name:

IMO Number:

Port of registry:

Flag State:

Type and Gross Tonnage:

Call sign:

Name of Company:

Inmarsat call numbers:

Name and 24 hours contact details of the Company Security Officer:

Port and port facility information

Port of arrival and port facility where the ship is to berth:

Primary purpose of call:

Estimated date and time of arrival of the ship in port:

Information required by SOLAS, regulation XI-2/9.2.1

Is the ship provided with a valid International Ship Security Certificate:	Yes No
Interim International Security Certificate:	Yes No
Continuous Synoptic Record:	Yes No

Provide ISSC number:

Issuing authority:

Date issued:

Expiry date:

Current security level:

Does the ship have an approved ship security plan on board?

Yes No

Location of the ship at the time the report is made.

Provide the last ten calls at port facilities at which ship conducted ship/port interface.

Date arrival (dd/mm/yyyy)	Port, Country, port facility and UNLOCODE	Security level	Special or additional security measures

Did the ship carried out ship-to-ship activities during above period?

Yes No

if YES, provide details:

Provide a general description of cargo on board of the ship:

Is AIS working properly?

Yes No

Is the ship carrying any dangerous substances as cargo?

Yes No

If YES, attach a copy of Dangerous Goods Manifest (IMO FAL Form 7):

Provide details of the owner, charterer and ship management company as applicable, and who is responsable for appointing crew and employment of the ship. Are details carried on board?

Yes No

Attach a copy of the ship´s Crew List (IMO FAL Form 5):

Attach a copy of the ship´s Passenger List (IMO FAL Form 6):

Is there any security-related matter you wish to report:

Yes No

if YES, provide details:

Person that provides the information.

Name:

Title:

This report is dated at:

Send by e-mail to:

captam@prodigy.net.mx;proteccion@puertodetampico.com.mx;
sgproteccion@puertodetampico.com.mx

E-mail who's fill this document:

Additional e-mail: