PANAMA格式船长报告(关于疾病治疗).docVIP

SHIP MASTER REPORT FORM * REPUBLIC OF PANAMA Date of report: _____________________________________________________________ Ship’s identity and navigation status Name: ___________________________________________________________________ Owner: ___________________________________________________________________ Name and address of on-shore agent: __________________________________________ _________________________________________________________________________ Position latitude, longitude at onset of illness: __________________________________ Destination and ETA expected time of arrival :___