Last Updated: 1 December 2016

[EXP 10,700] FORM D DECLARATION TO BE SIGNED BY ALL MASTERS OF VESSELS ARRIVING AT A PORT WITH EXPLOSIVES AS PART OF THEIR CARGO, OR MORE THAN 22.5KG NOT BEING PART OF THEIR CARGO(Regulation 53)

I, Master of the vessel arrived at the port of do hereby declare that the following is a true and accurate statement of the explosives on board as required by the Explosives Act 1937

TotalTo be carried past the portTo be landed at the port
DescriptionNo of packagesWeightNo of packagesWeightNo of packagesWeight

Dated at this day of 20.

Master of the vessel