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Fal Form 4

The document is a Crew's Effects Declaration for the ship ELKADER TN374, registered under the Algerian flag with IMO number 8693279. It lists the crew members along with their ranks and any effects that are ineligible for relief from customs duties and taxes. The declaration is signed by the master or authorized agent, confirming the information provided.

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Aissa Khouder
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57 views1 page

Fal Form 4

The document is a Crew's Effects Declaration for the ship ELKADER TN374, registered under the Algerian flag with IMO number 8693279. It lists the crew members along with their ranks and any effects that are ineligible for relief from customs duties and taxes. The declaration is signed by the master or authorized agent, confirming the information provided.

Uploaded by

Aissa Khouder
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CREW'S EFFECTS DECLARATION

(IMO FAL Form 4)

Page Number

1.1 Name of ship ELKADER TN374 1.2 IMO number 8693279

1.3 Call sign 7T2591 1.4 Voyage number

2. Flag State of ship ALGERIAN

3. 4. Family name 5. Given 6. Rank 7. Effects ineligible for relief from 8. Signature
No. names or customs duties and taxes or subject
rating to prohibitions or restrictions
01 KHOUDER AISSA CAPT
2 NASRI MONGI S-CAP
3 KACI AMER RAMDANE C-MEC
4 BENLEFKI DAOUD S-MEC
5 TALHI ZOUBIR MAT
6 ROUMANI KOUIDER MAT
7 DRICI OMAR MAT
8 BOUAZIZ BECHIR MAT
9 HLAOUI SAMIR MAT
10 SELMI YACINE MAT
11 ASSADI HABIB MAT
12 NAFKHA NAFKHA MAT
13 DAHMANI RAFIK MAT
14 SEGHIER SDI MOHAMED MAT
15 BENOUDA MOUSTAFA MAT
16 BOUKLIKHA MILOUD ELEVE/
ST

17 MECHEKKEF YOUCEF CONT


18 RAHALI MOHAMED observate
ALI ur

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

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