Arrival		Departure	Page Number
	
	1.1.	Name of ship	1.2.	IMO number	
	1.3.	Call sign	1.4.	Voyage number	
	2.  Port where report is made 	3.  Flag State of ship	
	4.  Name of master	5.  Port of loading/Port of discharge	
B/L No.*	6.  Marks and Numbers	7.  Number and kind of packages; description
of goods, or, if available, the HS Code	8.  Gross weight	9.  Measurement	

					

					

					

					

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