Record of complaints & pursue
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Date and Time of call:     *   

Ship details
IMO number:      
Ship name:     *   
Type :      

Where is the ship now?     *   
How long will it be at this port?      
Where is its next port?      

Seafarer’s details
Family name:     *   
Given name/ Seaman name:     *   
Rank / Position:      
Nationality of seafarer:     *   

Owner details
Name:     *   
Tel:      *   
Address:     *   

Scale and urgency of problem
Does this problem affect just the caller?      
How many crew are affected?      
What nationalities are involved?      

Contact details Seafarer’s
Telephone / Mobile:     *   
SMS only?     *   
OK to use these numbers to contact SF?     *   
Seafarer’s email address:     *   

Nature of problem: Tick and givebrief notevebrief note

Ataached Zip File(just zip file):