STOWAWAY QUESTIONNAIRE
PHYSICAL CHARACTERISTICS
SIFA ZA KIMWILIPERSONAL DETAILS (to be completed by each individual stowaway)
MAELEZO BINAFSI (kukamilishwa na kila aliyepenyeza ndani kwa siri)

HeightUrefu(cm)__________________________________

Full name
Jina kamili_________________________________________________________________________________

WeightUzito(kg)__________________________________

GenderJinsia_________________________________________________________________________________

Hair
Rangi ya nyweli__________________________________

Nationality
Utaifa_________________________________________________________________________________

Eyes
Rangi ya macho__________________________________

Home addressAnuani ya nyumbani_________________________________________________________________________________

Any marks / special characteristics(scars / tattoos, etc)

Place of birth
Mahali pa kuzaliwa_________________________________________________________________________________

Alama yoyote mwilini/Sifa maalum(Makovo,Michoro, n.k)

Date of Birth / Age
Tarehe ya kuzaliwa/Umri_________________________________________________________________________________
Languages spoken
Lugha unazozungumza_________________________________________________________________________________IDENTIFICATIONKITAMBULISHOType of ID (Aina ya kitambulisho) Passport (Pasipoti)
Seaman’s card (Kitabu cha Seaman) Other (Nyengine)

ID card (Kitambulisho cha taifa)
None (hakuna)

Number (Namba ya kitambulisho)_________________________________________________________________________________
Affix photo here
Bandika picha hapa

Place of issue (Mahali kilipotolewa)_________________________________________________________________________________
Date of Issue (tarehe kilipotolewa)_________________________________________________________________________________
Date of expiry (Tarehe ya kumalizika muda wake)_________________________________________________________________________________
If you know of anyone with a telephone in your home country please provide their name andnumber.
(Kama unamfahamu mtu yoyote nchini kwenu, tafadhali mtambulishe kwa majina na namba yake yasimu.)_________________________________________________________________________________EMBARKATIONKUANZA SAFARI
When did you get on
board the ship?(Ulipanda meli lini?)______________________________________________________________________________
Where did you get on
board? [name of port]?Ulipandia meli wapi?(Jina la bandari)_________________________________________________________________________________
What time of day did
you get on board?(Saa ngapi ulipanda meli?
_________________________________________________________________________________

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How did you get onboard?(ulipanda meli kwa njia gani?)_________________________________________________________________________________

STOWAWAY QUESTIONNAIRE
Where did you hide
once on board?(Ulijificha wapi baada ya kupanda meli?)
Where were you
discovered on board?(Ulipatikana wapi baada ya kupanda meli)_________________________________________________________________________________
What were your reasonsfor coming on board?(Ni sababu gani zilizoskusababisha kupanda meli?)_______________________________________________________________________________OTHER PERSONAL DETAILSMAELEZO MENGINE BINAFSI(*if identification still in issue) (*kama kitambulisho baado ni tatizo)
Father’s name / birthplace (Jina la baba/ mahali alipozaliwa)_________________________________________________________________________________
Mother’s name / birthplace (Jina la mama/ mahali alipozaliwa)_________________________________________________________________________________
If married, provide details of spouse (name, address, nationality)
Kama umeowa/umeolewa, tafadhali toa maelezo ya mwenza wako (jina, anwani ,utaifa)_________________________________________________________________________________OTHER QUESTIONSMASWALI MENGINE(*if identification still in issue) (*kama kitambulisho baado ni tatizo)
What is the capital of your country? (Mji mkuu wa nchi yako ni upi?)_________________________________________________________________________________
What languages are spoken in your country? (Ni lugha zipi zinazozungumzwa nchini kwenu?)_________________________________________________________________________________
Describe your country’s flag (Eleeza bendera ya nchi yako)_________________________________________________________________________________
What is the currency of your country? (Ni aina gani ya pesa mnatumia nchini kwenu?)_________________________________________________________________________________
What is the name of your president / prime minister / head of state?
(Jina la raisi/Waziri mkuu/kiongozi wa nchi yako ni nani?)_________________________________________________________________________________Name any radio stations in your country(Taja kituo chochote cha redio kinachopatikana nchini kwako)_________________________________________________________________________________
What school / college did you attend? (Shule/ chuo kipi ulisomea?)_________________________________________________________________________________

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