Coastal Passage Plan

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Vessel Registration*

International

South African

Vessel Flag*

Where is your vessel registered.

Name of Vessel*

Port of Entry into South Africa*

The port at which you cleared into South Africa

Clearance Entry Date*

The date that the vessel was cleared in to South Africa

Departure Port*

Departure Date*

Destination Port*

Estimated Arrival Date*

Skipper's Name*

First Last

Skippers Phone*

Skippers Email*

Skippers Qualification*

Skippers Certification No*

Next Of Kin Name*

First Last

Required in case of an emergency

Next Of Kin Phone*

Crew on Board*

Other than the skipper.

Crew Details

Name Next of Kin NOK Contact No