Ship’s Stores Declaration Form
Please complete the Ship’s Stores Declaration Form to accurately report all stores on board. Ensure all information is correct and complete before submission.
Vessel Name
*
IMO or Registration Number
*
Flag
*
Port of Arrival
*
Voyage Number or Reference
ETA (Estimated Time of Arrival)
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Date of Declaration
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Master’s Name
*
First Name
Last Name
Stores On Board
*
Remarks or Additional Information
Submit Declaration
Should be Empty: