Imperial Port Authority Declaration Form 1138THX
The Imperial Port Authority (IPA) is tasked with monitoring and safeguarding the traffic between Imperial space and the surface of planets, moons, asteroids, and civilian stations within the Empire. The IPA has jurisdiction, under Imperial Law, to prevent the entry of restricted items into Imperial territory and as such are permitted to board any suspicious vessel and examine any suspicious individual. The IPA requires that all non-military, non-citizen personnel fill out an IPA Declaration Form 1138THX before gaining clearance to land on Imperial planets, moons, asteroids, and civilian stations.
Code: Select all
Last Name:
________________________________________
First Name:
________________________________________
Classification, model, and name of your vessel:
(For example: Freighter, YT-510, Baroque)
________________________________________
ID number of your vessel:
________________________________________
Are you traveling alone? (Y or N): _____
If no, please list the names, races, and occupations of your fellow passengers:
________________________________________
What is the name of the faction you are affiliated with (if none, write Freelance):
________________________________________
What is your job title?:
________________________________________
What is your final destination?:
City Name: _____________
Planet Coordinates: ___________
Planet: _____________
System: ____________
Sector: ____________
Galactic Coordinates: _____________
System Coordinates: ______________
What is the purpose of your visit?:
________________________________________
Are any of the following currently aboard your vessel?
Ryll (Yes or No): _____
Death Sticks (Yes or No): _____
Electronic Lock Breakers (Yes or No): _____
Military Droids (Yes or No): _____
Weapons (Yes or No): _____
Raw Materials (Yes or No): _____Failure to declare any of these items or omission of declaration can be grounds for refusal and prosecution.
