NOTICE OF ARRIVAL

In accordance with the Port Law 1981 (SB 1981), Articles 5 and 15 paragraph.1, ships smaller than 50 gross tonnage have the obligation to notify the Maritime Authority Suriname (MAS) when they navigate the Suriname and Corantijn river coming from the outer buoy. Information should be provided using one of the following means:

VHF channel 12 or 16, or
Telephone: 597 474575/597 231585 (Corantijn-Nickerie), or
Cellular phone: 597 8168461

Please note that the MAS should be reported regarding all movement of your vessel in port and at departure through VHF or phone.

On this page you will find all necessary forms:

Notice of arrival form
Maritime health declaration form
Crew list form

NOTICE OF ARRIVAL FORM

Ship particulars and contact details
This document is issued in accordance with the Convention on Facilitation of International Maritime Traffic (FAL), 1965.
Dit document wordt verstrekt in overeenstemming met het Verdrag inzake het Faciliteren van het Internationale Zeeverkeer, 1965.

Name of Ship

Call sign

Registration Number

Port of registry

Ship’s type

Bruto Registered Ton (BRT)

Nationality

Agent of ship at intended port of arrival

Agent’s name

Address

Email Address

Mobile Number

Fax number

Port and port facility information

Port of arrival

Arrival date

Arrival time

Last port of call

Port of facility arrival

Departure date

Departure time

Next port

Additional information

Type of cargo

Number of crew

Number of passengers

Loading (select Yes or No)

Discharging (select Yes or No)

Comments

Information to be summitted at the Maritime Authority Suriname not later than two (2) days at arrival in port.

MARITIME DECLARATION OF HEALTH FORM

Maritime Declaration of Health form (Maritieme Gezondheidsverklaringsformulier)

Submitted at the port of

Date

Name of Ship

Registration/IMO Number

Arriving from

Sailing to

Nationality (flag of vessel)

Master’s name

Gross tonnage (ship)

Tonnage (inland navigation vessel)

Agent of ship at intended port of arrival

Valid Sanitation Control Exemption / Control Certificate carried on board?

Issued By

Sanitation Control Date

Re-inspection required

Has ship/vessel visited an affected area identifed by the World Health Organization?

Port and date of visit WHO

List ports of call from commencement of voyage with dates of departure, or within past thirty days; whichever is shorter

Upon request of the competent authority at the port of arrival, list crew members, passengers or other persons who have joined ship/vessel since international voyage began or within past thirty days, which ever is shorter, including all ports/countries visited in this period (add additional names to the attached schedule):

Name person

Joined from

Number of crew members on board

Number of passengers on board

Health questions

Has any person died on board the ship during the voyage otherwise than as a result of accident?

Is there on board or has there been during the international voyage any case of disease which you suspect to be of an infectious nature?

Has the total number of sick passengers during the voyage been greater than normal/expected?

How many sick persons?

Is there any ill person on board now?

If yes, state particulars of medical treatment or advice provided:

Are you aware of any condition on board which may lead to infection or spread of disease?

Has any sanitary measure (e.g quarantine, isolation, disinfection or decontamination) been applied on board?

If yes, specify type, place and date

Have any stowaways been found on board?

If yes, where did they join the ship (if known)

Is there a sick animal or pet on board?

Note: In the absence of a surgeon ,the master should regard the following symptons as grounds for suspecting the existence of a disease of an infectious nature :

Fever, persisting for several days or accompanied by (!) prostration (!!) decreased conciousness; (!!! ) glandular swelling; (!V) jaundice; (V) cough or shortness of breath; (V!) unusual bleeding; or (V!!) paralysis.

With or without fever: (!) any acute skin rash or eruption (!!) severe vomiting (other than sea sickness); (!!! ) severe diarrhoea; or (!V) recurrent convulsions.

Signed (Master)

Countersigned (Ship’s Surgeoan (if carried))

Comments

NOTICE OF ARRIVAL

NOTICE OF ARRIVAL FORM

MARITIME DECLARATION OF HEALTH FORM

CREW LIST FORM