Annex 2 – Embarkation form – Master – attach to final voyage report
GENERAL INFORMATION
Details Notes
Name of ship IMO number Call sign
Name of master
Place and date of embarkation of security team
INFORMATION ABOUT THE SECURITY TEAM MEMBERS Attach crew list with the following information:
Name of maritime security guard Date of birth
Address Nationality Passport number
INFORMATION ABOUT THE WEAPONS
Weapons Details Notes
Type of weapons
Serial numbers
Attach photo of weapon serial numbers
Do the weapons match the statement from the ship manager and PMSC?
Yes/No
INFORMATION ABOUT THE AMMUNITION
Ammunition Details Notes
Ammunition type (Calibre, FMJ/soft-point)
Number of bullets
INFORMATION ABOUT THE HELMET CAMERAS
Details Notes
Brand and type of the helmet cameras
Number of helmet cameras
THE MASTER DECLARES THAT:
Yes/No Notes UKMTO and MSCHOA are aware of the fact that there is an
armed security team on board in accordance with the Merchant Shipping Protection Regulation and the provisions of BMP5.
Outside of the high-risk area, the weapons will be stored in the weapons locker in accordance with Art. 3.2 BBK
I will immediately make a report to the Public Prosecutor’s Office concerning any incident at sea involving the use of force and I will also inform the Coast Guard and the Human Environment and Transport Inspectorate.
I will immediately make a report to the Coast Guard and the Human Environment and Transport Inspectorate about where and when the armed security team disembarks.
I have completed this form correctly to the best of my knowledge.
Name Date Signature
