CORAL SHIPREP - Offline Submission Form

Message Type:
Vessel Name:		IMO Number:
Call Sign		Federal Documentation or State Registration Number
Flag
Date/Time of Entry/Exit
Latitude		Longitude
True Course		Speed
	Destination and Estimated Time of Arrival
Port City		Port City - Other
Date/Time of Arrival
Country
	Intended Route Through Reporting Area
Direct RL Course		Way Points
Intended Speed

Vessel Draft
Classification Code		Classification Code - Other	Cat. of Haz. Cargoes
Defects/Deficiencies		Pollution Incident/Goods Overboard
	Contact Info
Name		Address
Phone #

Vessel Length		Vessel Gross Tonnage
Type of Ship		Type of Ship - Other
Number of Persons Onboard