IMO CARGO DECLARATION

(IMO FA L Form 2)

x

Arrival

Departure

Page Number

1.1 Name of ship
M almo

1.2 IMO number

8116738

1.3 Call sign

4LVR

1.4 Voyage number

112432

2. Port where report is made
Świnoujście

3. Flag State of ship
Tanzania

4. Name of master
Rolewski Damian

5. Port of loading/Port of discharge
Trelleborg

B/L
No.*

6. M arks and Numbers

7. Number and kind of packages; description

of goods, or, if available, the HS Code

8. Gross weight

9. M easurement

HOLD 1

3000 packages of tv

2000t

14x13x15

HOLD 2

1000 packages of AGD goods

1500t

12x16x10

HOLD 3

1500 pqckages of furniture

1000t

16x10x12

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

10.05.2014
Rolewski Damian

*

Transport document number. Also state original ports of shipment in respect to goods shipped on multimodal
transport document or through bills of lading.