02) PAX-list (Crew List) v1.4

Crew & Passenger List - General information
Name of ship * IMO number *

Free text Only numbers allowed
MSC MICHELLE 9897016
Version 1.4
How to use this Excel-sheet

This excel-template enables you to report all persons on board of the vessel to the official authorities of the Netherlands.
You always must report all persons on board at a certain moment. At least on arrival, but also at every change in crew or p
When there is a change, please send a new excel-sheet containing all persons on board in the new situation.
You can register up to 50 persons on each sheet in this template. If you need to register more people you must use the larg
You can obtain this template from your local ship agent who can download it from My Portbase.
This template has five separate sheets. Please fill out the correct sheet for each type of person on board.
* GENERAL - The fields on this sheet are necessary to check if the supplied excel-data-file matches the chosen ship in the
* CREW - To report all crew members on board of the ship. Please also specify job title.
* PASSENGERS - To report all passengers on board, including family of crew or persons rescued on sea.
* CREW OTHER SHIP - To report crew from other ship
* STOWAWAYS - To report stowaways
Please pay attention to the following:

- Fields marked with * are mandatory
- Please note the extra fill out instructions for specific fields.
These are described in the comments you see when you move your mouse over the column header
- If you fill in the dates manually, please fill in the dates according to the format of your regional settings
- If you use copy/paste to fill in the dates, please note that the dates must comply to DDMMYYYY
- In case you have to specify a certain value, you can pick the right value from the drop down list by pressing the down-arro
- When copying data, always use the Excel-option "Paste Special" - "Values" (from the menu of right mouse click)
- You can not insert or delete rows. To delete a person, select the values you want to delete and press <Delete>
- There are no blanc rows allowed because PCS will stop importing data at the first blanc row
Additional information on specific requested information

-> GENERAL - IMO number - Specify the exact IMO number of the ship. This number must be exactly the same as register
-> ALL sheets - Family name - Specify the family name as mentioned on the reported travel document.
-> ALL sheets - Given name - Specify the given names as mentioned on the reported travel document.
-> ALL sheets - Nationality - In case a person is stateless, use the option "Stateless".
-> ALL sheets - Travel Document issuing country - The country or political entity issuing the travel document.
When left empty this may result in a higher risk profile which may cause an inspection.
-> ALL sheets - Travel Document expiry date - The expiry date of the travel document. When left empty this may result in a
-> ALL sheets - Transit Indicator - Only for persons who do not embark or disembark. Has not to be provided for passenger
Possible values: no = person will not leave the vessel during visit
off = person will leave the vessel temporarily during visit
on = person has left the vessel but is on board again
-> CREW - Travel Document - Specify Passport or ID Card/Seaman's book and if available Visa.
-> CREW - Rank - Select from drop down list. If type of rank is not available, please specify "Other". This may result in a hig
-> STOWAWAYS - Travel document - For stowaways this might be unknown.
# 000000Sensitivity: Internal
al information
Port of call *
Free text
ROTTERDAM
(small, xls format)
d of the vessel to the official authorities of the Netherlands.

ment. At least on arrival, but also at every change in crew or passengers.
aining all persons on board in the new situation.
late. If you need to register more people you must use the larger template.
o can download it from My Portbase.
rect sheet for each type of person on board.

k if the supplied excel-data-file matches the chosen ship in the Port Community System
lease also specify job title.
ng family of crew or persons rescued on sea.
ove your mouse over the column header

ding to the format of your regional settings
e dates must comply to DDMMYYYY
e right value from the drop down list by pressing the down-arrow
ecial" - "Values" (from the menu of right mouse click)
t the values you want to delete and press <Delete>
orting data at the first blanc row
of the ship. This number must be exactly the same as registered in the Port Community System.
entioned on the reported travel document.
entioned on the reported travel document.
e the option "Stateless".
ry or political entity issuing the travel document.
k profile which may cause an inspection.
e of the travel document. When left empty this may result in a higher risk profile which may cause an inspection.
ot embark or disembark. Has not to be provided for passengers of Cruise ships. Optional for crew.
n will not leave the vessel during visit
n will leave the vessel temporarily during visit
n has left the vessel but is on board again
eaman's book and if available Visa.
s not available, please specify "Other". This may result in a higher risk profile which may cause an inspection.
ght be unknown.
Crew List
Name of ship: MSC MICHELLE
Family name * Given name(s) * Gender
Free text (max. 70) Free text (max. 70) Only values from
list allowed
Buonocore Salvatore Male
Radenovic Marko Male
Lucic Dusan Male
Ognjenovic Ninko Male
Pravilovic Dusan Male
Tomicic Slobodan Male
Vujacic Nikola Male
Krstevski Jovan Male
Maslovaric Marko Male
Krivokapic Dragan Male
Haq Nidaul Male
Setiyawan Dedi Male
Fais Ahmad Male
Mardianto Dwi Male
Mahfud Fuadi Male
Ivovic Ljubomir Male
Jumenang Asnapi Male
Muhammadong Mustawil Male
Macura Zoran Male
Sutisno Ade Male
You can register up to 50 crew in this template. If you need to register more crew you must use the larger template
Port of call: ROTTERDAM
Nationality * Date of birth * Place of birth (1) Travel document
type *
Only values from list allowed Valid date Free text (max. 35) Only values from list
allowed
Italy 2/13/1967 Meta Passport
Montenegro 3/5/1980 Bar Passport
Montenegro 8/30/1990 Kotor Passport
Montenegro 8/30/1994 Niksic Passport
Montenegro 2/26/1954 Cetinje Passport
Montenegro 9/9/1995 Podgorica Passport
Indonesia 4/6/1983 Jakarta Passport
Indonesia 9/27/1981 Kebumen Passport
Indonesia 12/5/1987 Jakarta Passport
Indonesia 7/3/1991 Bogor Passport
Indonesia 10/10/1986 Bangkalan Passport
Indonesia 1/1/1961 Bawean Passport
Indonesia 1/19/1972 Tarere Passport
Croatia 3/5/1967 Split Passport
Indonesia 10/21/1979 Patokbeusi Passport
rew you must use the larger template. You can download this larger template from My Portbase.
(1) Travel document (1) Travel document (1) Travel document (2) Travel document
number * expiry date * issuing country * type
Free text (max. 35) Valid date Only values from list allowed Only values from list
allowed
YA4564931 2/19/2023 Italy
P77SB4632 1/17/2029 Montenegro
B35DB9063 4/3/2028 Montenegro
P96ZS8778 2/23/2025 Montenegro
K45EH3337 2/7/2028 Montenegro
K05EN6595 1/12/2028 Montenegro
A99GN5868 11/15/2029 Montenegro
S73ZP7039 12/23/2023 Montenegro
J68HN5853 4/18/2028 Montenegro
R51ZA1542 2/26/2028 Montenegro
C6789155 4/7/2025 Indonesia
B8532243 12/13/2022 Indonesia
C1975273 11/22/2023 Indonesia
C4275240 7/19/2024 Indonesia
C3651796 5/15/2024 Indonesia
A49KS6828 9/12/2027 Montenegro
B9990155 4/5/2023 Indonesia
C5791893 11/19/2024 Indonesia
242687931 4/11/2027 Croatia
C7808731 4/7/2026 Indonesia
My Portbase.
number expiry date issuing country type
allowed
(3) Travel document (3) Travel document (3) Travel document Embarks at port
number expiry date issuing country of call? *
Free text (max. 35) Valid date Only values from list allowed Only values from
list allowed
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Disembarks at Transit indicator Job title or rank *
port of call? *
Only values from Only values from list allowed Only values from list allowed
list allowed
No Master
No Chief Mate
No Second Mate
No Third Mate
No Chief Engineer
No Second Assistant Engineer,

Second Engineer
No Third Assistant Engineer,
Third Engineer
No Fourth Assistant Engineer,
Fourth Engineer
No Electrical Officer
No Bosun
No Able Seaman
No Able Seaman
No Able Seaman
No Ordinary Seaman
No Ordinary Seaman
No Fitter
No Oiler
No Oiler
No Cook
No Steward
Passenger List
Family name * Given name(s) * Gender
list allowed
# Sensitivity: Internal
You can register up to 50 passengers in this template. If you need to register more passengers you must use the la
Nationality * Date of birth * Place of birth (1) Travel document
type *
allowed
more passengers you must use the larger template. You can download this larger template from My Portbase.
allowed
emplate from My Portbase.
allowed
list allowed
Disembarks at Transit indicator *
port of call? *
Only values from NOT required for cruise ships
list allowed Only values from list allowed
Crew Other Ship List
Family name Given name(s) Gender
list allowed
You can register up to 50 crew other ship in this template. If you need to register more crew other ship you must u
Nationality Date of birth Place of birth (1) Travel document
type *
allowed
ster more crew other ship you must use the larger template. You can download this larger template from My Portbase.
allowed
larger template from My Portbase.
allowed
list allowed
Disembarks at Transit indicator
port of call? *
Only values from Only values from list allowed
list allowed
Stowaway List
Family name Given name(s) Gender
list allowed
You can register up to 50 stowaways in this template. If you need to register more stowaways you must use the lar
Nationality Date of birth Place of birth (1) Travel document
type
allowed
more stowaways you must use the larger template. You can download this larger template from My Portbase.
allowed
mplate from My Portbase.
allowed
list allowed
Disembarks at Transit indicator
port of call? *
Only values from Only values from list allowed
list allowed

02) PAX-list (Crew List) v1.4

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02) PAX-list (Crew List) v1.4

Uploaded by

Copyright:

Available Formats

Crew & Passenger List - General information

Name of ship * IMO number *

MSC MICHELLE 9897016

How to use this Excel-sheet

Please pay attention to the following:

Additional information on specific requested information

(small, xls format)

d of the vessel to the official authorities of the Netherlands.

rect sheet for each type of person on board.

ove your mouse over the column header

Buonocore Salvatore Male

Radenovic Marko Male

Lucic Dusan Male

Ognjenovic Ninko Male

Pravilovic Dusan Male

Tomicic Slobodan Male

Vujacic Nikola Male

Krstevski Jovan Male

Maslovaric Marko Male

Krivokapic Dragan Male

Haq Nidaul Male

Setiyawan Dedi Male

Fais Ahmad Male

Mardianto Dwi Male

Mahfud Fuadi Male

Ivovic Ljubomir Male

Jumenang Asnapi Male

Muhammadong Mustawil Male

Macura Zoran Male

Sutisno Ade Male

Italy 2/13/1967 Meta Passport

Montenegro 3/5/1980 Bar Passport

Montenegro 8/30/1990 Kotor Passport

Montenegro 8/30/1994 Niksic Passport

Montenegro 2/26/1954 Cetinje Passport

Montenegro 10/27/1990 Kotor Passport

Montenegro 4/20/1995 Kotor Passport

Montenegro 9/9/1995 Podgorica Passport

Montenegro 10/29/1980 Kotor Passport

Montenegro 8/10/1968 Kotor Passport

Indonesia 4/6/1983 Jakarta Passport

Indonesia 9/27/1981 Kebumen Passport

Indonesia 12/5/1987 Jakarta Passport

Indonesia 7/3/1991 Bogor Passport

Indonesia 10/10/1986 Bangkalan Passport

Montenegro 5/29/1961 Kotor Passport

Indonesia 1/1/1961 Bawean Passport

Indonesia 1/19/1972 Tarere Passport

Croatia 3/5/1967 Split Passport

Indonesia 10/21/1979 Patokbeusi Passport

YA4564931 2/19/2023 Italy

P77SB4632 1/17/2029 Montenegro

B35DB9063 4/3/2028 Montenegro

P96ZS8778 2/23/2025 Montenegro

K45EH3337 2/7/2028 Montenegro

K05EN6595 1/12/2028 Montenegro

A99GN5868 11/15/2029 Montenegro

S73ZP7039 12/23/2023 Montenegro

J68HN5853 4/18/2028 Montenegro

R51ZA1542 2/26/2028 Montenegro