FAL 42/17 Annex 1, page 1 - International Maritime Organization
[Where the stowaway claims to have boarded]
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]