Stowaway Today

[Where the stowaway claims to have boarded]

[General physical and mental health; record any injuries or immediate medical needs] 4. Actions Taken by Crew Stowaway

[e.g., Routine inspection, security search, or tip from agent] Number of Stowaways Found: [Total Count] 3. Stowaway Information (Per Individual) Claimed Name/Alias: [Full Name] Claimed Nationality: [Country] Date of Birth/Age: [Approximate if unknown] [Where the stowaway claims to have boarded] [General

FAL 42/17 Annex 1, page 1 - International Maritime Organization Vessel Information Vessel Name/IMO Number: [e

[e.g., Engine room storage locker, steering gear flat, or cargo hold]

Relevant Port Authorities / Flag State / Shipowner / P&I Club From: Master of [Vessel Name] Date of Report: [DD/MM/YYYY] 1. Vessel Information Vessel Name/IMO Number: [e.g., MV Blue Horizon / 1234567] Flag State: [e.g., Panama] Current Position: [Latitude/Longitude at time of discovery] Last Port of Call: [Name and Departure Date/Time] Next Port of Call: [Name and ETA] 2. Incident Details Date/Time of Discovery: [Time and Date stowaway was found]