{
  "url": "https://openlegislation.uk/eu-directive-2010-65/annex/appendix",
  "json_url": "https://openlegislation.uk/eu-directive-2010-65/annex/appendix.json",
  "legislation": "eudr/2010/65",
  "legislation_title": "Directive 2010/65/EU of the European Parliament and of the Council of 20 October 2010 on reporting formalities for ships arriving in and/or departing from ports of the Member States and repealing Directive 2002/6/EC (Text with EEA relevance)",
  "legislation_url": "https://openlegislation.uk/eu-directive-2010-65",
  "path": "annex/appendix",
  "kind": "appendix",
  "number": null,
  "heading": null,
  "text": "SHIP PRE-ARRIVAL SECURITY INFORMATION FORM FOR ALL SHIPS PRIOR TO ENTRY INTO THE PORT OF AN EU MEMBER STATE\n(1974 International Convention for the Safety of Life at Sea (SOLAS) Regulation 9 of Chapter XI-2 and Article 6(3) of Regulation (EC) No 725/2004)\nParticulars of the ship and contact details\nIMO number\nName of ship\nPort of registry\nFlag State\nType of ship\nCall sign\nGross tonnage\nInmarsat call numbers (if available)\nName of company and company identification number\nCSO name and 24 hour contact details\nPort of arrival\nPort facility of arrival (if known)\nPort and port facility information\nExpected date and time of arrival of the ship in port (ETA)\nPrimary purpose of call\nInformation required by SOLAS Regulation 9.2.1 of Chapter XI-2\nDoes the ship have a valid International Ship Security Certificate (ISSC)?\nYES\nISSC\nNO — why not?\nIssued by (name of Administration or RSO)\nExpiry date (dd/mm/yyyy)\nDoes the ship have an approved SSP on board?\nYES\nNO\nSecurity level at which the ship is currently operating?\nSecurity Level 1\nSecurity Level 2\nSecurity Level 3\nLocation of ship at the time this report is made\nList the last 10 calls at port facilities in chronological order (most recent call first):\nNo\nDate from (dd/mm/yyyy)\nDate to (dd/mm/yyyy)\nPort\nCountry\nUN/LOCODE\n(if available)\nPort facility\nSecurity level\n1\nSL =\n2\nSL =\n3\nSL =\n4\nSL =\n5\nSL =\n6\nSL =\n7\nSL =\n8\nSL =\n9\nSL =\n10\nSL =\nDid the ship take any special or additional security measures, beyond those in the approved SSP?\nIf the answer is YES, indicate below the special or additional security measures taken by the ship.\nYES\nNO\nNo\n(as above)\nSpecial or additional security measures taken by the ship\n1\n2\n3\n4\n5\n6\n7\n8\n9\n10\nList the ship-to-ship activities, in chronological order (most recent first), which were carried out during the last 10 calls at port facilities listed above. Expand table below or continue on separate page if necessary — insert total number of ship-to-ship activities:\nWere the ship security procedures specified in the approved SSP maintained during each of these ship-to-ship activities?\nIf NO, provide details of the security measures applied in lieu in the final column below.\nYES\nNO\nNo\nDate from (dd/mm/yyyy)\nDate to (dd/mm/yyyy)\nLocation or longitude and latitude\nShip-to-ship activity\nSecurity measures applied in lieu\n1\n2\n3\n4\n5\n6\n7\n8\n9\n10\nGeneral description of the cargo aboard the ship\nIs the ship carrying any dangerous substances as cargo covered by any of Classes 1, 2.1, 2.3, 3, 4.1, 5.1, 6.1, 6.2, 7 or 8 of the IMDG Code?\nYES\nNO\nIf YES, confirm Dangerous Goods Manifest (or relevant extract) is attached\nConfirm a copy of the ship’s crew list is attached\nYES\nConfirm a copy of the ship’s passenger list is attached\nYES\nOther security-related information\nIs there any security-related matter you wish to report?\nYES\nProvide details:\nNO\nAgent of ship at intended port of arrival\nName:\nContact details (Tel. No):\nIdentification of person providing the information\nTitle or Position (delete as appropriate):\nMaster/SSO/CSO/Ship’s agent (as above)\nName:\nSignature:\nDate/time/place of completion of report",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eudr/2010/65/annex/appendix",
    "retrieved_at": "2026-11-01T14:42:06.574533+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}