imm-syndicate

Imo Number

Ship Name *

Flag

Type

Where is the ship now?

How long will it be at this port?

Where is its next port?

Family name *

Given name/ Seaman name *

Rank / Position *

Nationality of seafarer *

Name

Tel

Address

How many crew are affected?

Number

What nationalities are involved?

Nationalities

Telephone / Mobile *

SMS Or Whatsup *

OK to use these numbers to contact Seafarer?

Seafarer’s email address *

Email Verification Code *

Tick and give brief note

Owed wages

Medical

Loss of life

Repatriation

Criminal

Breach of contract

Agreement

Name

Phone

Registered Before