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Shore Pass
BI form for shore pass
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: BI FORM 2014-10-019 Rev 0
BI FORM 2014-10-019 Rev 0
This document may be reproduced and is NOT FOR SALE
SHORE PASS
This document may be reproduced and is NOT FOR SALE
SHORE PASS
Last Name
Last Name
First/Given Name
First/Given Name
Middle Name
Middle Name
Citizenship/Nationality
Citizenship/Nationality
Vessel
Vessel
Date of Arrival [DD-MMM-YYYY e.g. 01 JAN 1990]
Crew/ Passenger Manifest No.:
_______________________________________
Crew/ Passenger Manifest No.:
_______________________________________
Signature over PRINTED NAME of Immigration Officer
Signature over PRINTED NAME of Immigration Officer
NOTE: This form should be surrendered to the Immigration Officer on duty prior to departure.
BI FORM 2014-10-019 Rev 0
Date of Arrival [DD-MMM-YYYY e.g. 01 JAN 1990]
NOTE: This form should be surrendered to the Immigration Officer on duty prior to departure.
BI FORM 2014-10-019 Rev 0
This document may be reproduced and is NOT FOR SALE
SHORE PASS
This document may be reproduced and is NOT FOR SALE
SHORE PASS
Last Name
Last Name
First/Given Name
First/Given Name
Middle Name
Middle Name
Citizenship/Nationality
Citizenship/Nationality
Vessel
Vessel
Date of Arrival [DD-MMM-YYYY e.g. 01 JAN 1990]
Crew/ Passenger Manifest No.:
Date of Arrival [DD-MMM-YYYY e.g. 01 JAN 1990]
Crew/ Passenger Manifest No.:
_______________________________________
_______________________________________
Signature over PRINTED NAME of Immigration Officer
Signature over PRINTED NAME of Immigration Officer
NOTE: This form should be surrendered to the Immigration Officer on duty prior to departure.
NOTE: This form should be surrendered to the Immigration Officer on duty prior to departure.
