出入境船舶卫生检疫查验所需表格
![出入境船舶卫生检疫查验所需表格](https://img.360docs.net/img08/111rjp5zpug1x57ynct042gsma4bo04l-81.webp)
- 1、下载文档前请自行甄别文档内容的完整性,平台不提供额外的编辑、内容补充、找答案等附加服务。
- 2、"仅部分预览"的文档,不可在线预览部分如存在完整性等问题,可反馈申请退款(可完整预览的文档不适用该条件!)。
- 3、如文档侵犯您的权益,请联系客服反馈,我们会尽快为您处理(人工客服工作时间:9:00-18:30)。
中华人民共和国出入境检验检疫
Entry-Exit Inspection and Quarantine of the P.R.C.
国际航行船舶入境检疫申报书
Entry Quarantine Declaration for International Voyages 本申报书由代理或船方在入境前申报编号No
附录C 入境船舶检疫申报书
QUARANTINE DECLARATION FOR ARRIV AL
────────────────────────────────────────船名(航次)Name of Ship 国籍Nationality
本港是否采购食品?Will any food be taken at this port?否NO □;是YES □.
本港是否采购饮用水?Will any fresh water be taken at this port?否NO □;是YES □.
如果有,请填写《船舶购置食品、饮用水报告单》。If yes,please fill the “FOOD AND WATER FROM LOCAL SUPPLIER”.
2.本港是否有船员离船Will any crew sign off at this port?否NO □;是YES □.
有船员离船,是否携带以下特殊物品?If yes,anything below will be taken from the ship?
动物产品Animal products □动物尸体标本Animal carcasses and specimen □
土壤Soil □血液或血液制品Blood or blood products □
生物产品Biological products □
3.伴侣动物Pets/Birds:无NO □;有YES □.
如果有,请填写下表。If yes,please fill the form below.
4.本港是否有船舶废弃物移下?Will any vessel waste be discharged at this port?否NO □;是YES □.
5.垫舱物料dunnage:无NO □;有YES □.
船长签名/Signature and stamp 日期/Date
AN APPLICATION FOR DISCHARGING BALLAST WATER
1 、本申请书与《压舱水申报单》一并使用。
Used together with “Ballast Water Reporting Form”.
2、本表一式两份,经批准后,一份交船方,另一份由检验检疫机构存查。
The application is in duplicate, after approval one sent on board the ship and the other filed by the . Inspection and Quarantine Authorities.
3、船舶排放压舱水一旦发生污染等情况,应立即向检验检疫机构报告并接受调查处理。
In case of marine pollution, a report shall be made immediately to Inspection and Quarantine Authorities and the ship shall be prepared for investigation and settlement.
本表用于申报本港购买食品、饮水之用,如未购买,请填写“无”:
For provisions purchased from local supplier. Fill NIL if there’s on purchase.
船舶购置食品、饮用水报告单
FOOD AND WATER FROM LOCAL SUPPLIER 船名Name of ship
船长签字日期
Signature of master . Date
附:船方收到的购货发票或复印件
Note: A copy of invoice shall be presented