Form F06-02

Issue Date: 01.09.05

Issue No: 02
CREW LIST Rev. Date: ---
MAGNUS CARRIERS Rev. No: 00
CORPORATION Page: 1/2

Ship’s Name. Port (if not at sea). Date.

Seaman’s Signed on
No Name. Rank.
Book number. date.
1

10

11

12

13

14

15

16

17

18

19

20

21

22

24

25

26

27

28
 Form F06-02
Issue Date: 01.09.05
Issue No: 02
CREW LIST Rev. Date: ---
MAGNUS CARRIERS Rev. No: 00
CORPORATION Page: 2/2

Crew Signed on.

Seaman’s Signed on
No Name. Rank.
Book number. date.
1

10

Crew Signed off.

Seaman’s Signed off
No Name. Rank.
Book number. date.
1

10

Master Ship’s
Stamp.
X

Name & Signature