ИМО декларация о личных вещах экипажа. Форма N 4 (ИМО ФАЛ) (англ.)

                                                               IMO FAL

                                                                Form 4

                   IMO CREW'S EFFECTS DECLARATION

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¦  ¦    ¦            ¦     ¦ ¦ ¦ ¦                  ¦ ¦Page No.      ¦

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¦  ¦1. Name of ship        ¦2. Effects which are    ¦                ¦

¦  ¦                       ¦dutiable or subject to  ¦                ¦

¦  ¦                       ¦prohibitions or         ¦                ¦

¦  ¦                       ¦restrictions <*>        ¦                ¦

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¦  ¦3. Nationality of ship ¦ ¦ ¦ ¦                  ¦                ¦

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¦  ¦4.  ¦5. Family   ¦6.   ¦ ¦ ¦ ¦                  ¦7. Signature    ¦

¦  ¦No. ¦name, given ¦Rank ¦ ¦ ¦ ¦                  ¦                ¦

¦  ¦    ¦names       ¦or   ¦ ¦ ¦ ¦                  ¦                ¦

¦  ¦    ¦            ¦ra-  ¦ ¦ ¦ ¦                  ¦                ¦

¦  ¦    ¦            ¦ting ¦ ¦ ¦ ¦                  ¦                ¦

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¦  ¦    ¦            ¦     ¦ ¦ ¦ ¦                  ¦                ¦

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¦  ¦    ¦            ¦     ¦ ¦ ¦ ¦                  ¦                ¦

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¦  ¦    ¦            ¦     ¦ ¦ ¦ ¦                  ¦                ¦

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

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<*> E.g. wines, spirits, cigarettes, tobacco, etc.