Form 13 - Ship Pre-Arrival Report

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SHIP PRE-ARRIVAL REPORT
This form is to be lodged with the Department of Immigration and Border Protection at the same time the Report Of Crew (Form 3B) and/or Report Of
Passengers (Form 2B) is made. Timeframes for reporting are defined in the Customs Act 1901 and the Customs Regulations 2015. Those vessels
reporting to the Department of Immigration and Border Protection via Advanced Passenger Processing (APP) are still required to lodge a Passenger
or Crew Report to the Department of Immigration and Border Protection.
PART ONE: We request this information in order to assess vessels and crew for the risk they may present in relation to a range of Commonwealth laws. This information may be disclosed to a number
of agencies including the Department of Infrastructure and Regional Development, the Australian Federal Police, Australian Crime Commission, Attorney-General’s Department and the Department of
Foreign Affairs and Trade.
PART TWO: We require this information under Regulations 4.80 and 5.10 of the Maritime Transport and Offshore Facilities Security Regulations 2003. This information will be disclosed to the Depart-
ment of Infrastructure and Regional Development.
PART THREE: We require this information under the Navigation Act 1912, Protection of the Sea (Shipping Levy Collection) Act 1981, Marine Navigation Levy Collection Act 1989 and the Marine Navi-
gation (Regulatory Functions) Levy Collection Act 1991. This information may be disclosed to the Australian Maritime Safety Authority.
PART ONE – SHIP PARTICULARS
Name of Ship:
Country of Registration:
Port of Registration:
IMO number:
Call Sign:
Previous Name/s:
Official Number:
Estimated Date of Departure:
Port of Arrival:
Estimated Date of Arrival:
Estimated Time of Arrival:
Name of Local Ship’s Agent:
Name of Ship’s Owner:
Name of Ship’s Operator:
Name of Ship’s Charterer:
Number of Crew
:
Number of Passengers:
Stowaways on Board?
Firearms/Weapons (not cargo)
(Incl. Master)
on Board
Yes
No (If yes provide details)
Yes
No (If yes provide details)
Net Tonnage:
Gross Tonnage:
PART TWO - SHIP SECURITY REPORT
ISSC Number:
ISSC Issued by:
ISSC Expiry Date:
Current Ship Security Level
(1,2 or 3):
Last ten ports of call
in order
, and the security level that the ship operated at while in those ports:
(including Australian ports)
(most recent first)
PORT & COUNTRY
DEPARTURE
SECURITY
PORT & COUNTRY
DEPARTURE
SECURITY
DATE
LEVEL
DATE
LEVEL
1.
6.
2.
7.
3.
8.
4.
9.
5.
10.
Were there any special or additional security measures
undertaken at any of the above ports?
Yes
No (If yes provide details)
Did the ship engage in any ship to ship activity at any of the above ports?
Yes
No (If yes provide details)
Next four ports of call
in order:
(including Australian ports)
PORT & COUNTRY
ARRIVAL
PORT & COUNTRY
ARRIVAL
DATE
DATE
3.
1.
4.
2.
PART THREE – SHIP SAFETY REPORT
CERTIFICATE
EXPIRY DATE
CERTIFICATE
EXPIRY DATE
Marine Navigation Levy
Safety Radio
Protection of the Sea Levy
Safety Equipment
P&I Club Certificate of Entry
I.O.P.P.
Safety Construction
Loadline Certificate
DECLARATION
I declare that all the particulars contained in this report are complete, exact and true to the best of my knowledge.
NAME:
COMPANY:
DATE:
TIME:
*Completed by Authorised Operator /Agent / Master
(*strike out whichever is not applicable)
FORM 13 (JUL15)

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