Application for 20AA Permission to Enter an Australian NonProclaimed First Port of Entry and/or Subsequent Port of Call.

(NB: Must be submitted no less than 10 working days prior to arrival in Australia) ABN 24113085695

Ships Particulars and Arrival Information for Non - Proclaimed First Ports of Entry. Name of the ship. Type of ship. Name of the ships Master. IMO/Lloyds Number & Radio Call Sign. Country of Registry. Number of Crew & Passengers. MV.
Captain. IMO/Lloyds No. Call sign.

Crew.

Passengers.

Last overseas port of call. First intended port of entry in Australia. Time and date of arrival in the first port of entry. Time and date of departure from the first port of entry. Next port of call after the first port of entry in Australia. Terminating port in Australia and departure date.

: :

hrs. hrs.

/ / / / /

Please indicate the type of port entry permission you are applying for. 1. 20AA permission to enter an Australian non-proclaimed first port of entry. OR 2. Permission to enter a subsequent port of call, which is not proclaimed as a first port of entry. Please indicate below the ships ports of call and arrival dates while in Australia.
1 port 4 port 7 port 10 port
th th th st

/ / / /

/ / / /

2 port 5 port 8 port 11 port

th th th

nd

/ / / /

/ / / /

3 port 6 port 9 port 12 port

th th th

rd

/ / / /

/ / / /

Briefly describe the particular type of activity the ship will be undertaking at the non-proclaimed ports of entry [eg. tourism, shore excursions, joint military exercises, taking on and/or discharging cargo if cargo related what type of cargo].

Agents contact details in Australia. Name of ships agent. _____________________________________ Address in Australia. Phone Number. ________________________ Fax Number. ___________________________ Email. __________________________________ Signature. Master, Owner, or Agent of the above-mentioned ship. Signature. ____________________________________________ Date. ____________ / _____________ / ___________ Printed Name. ________________________________________ Rank/Position. _______________________________