ALLOTMENT INFORMATION SHEET

MAERSK

CREW INFORMATION
APM ID SSS No. x x

Rank PhilHealth No.

TIN No.
Name x x x
(optional)
Civil HDMF No.
Date of Birth
Status (optional)

ALLOTTEE INFORMATION (PHP) - For Payment of Home Allotment

Name of Account Relationship to
Holder the Crew
Bank Home Address

Other Mobile No.

Account
Home Phone No.
Number
Branch
Name
Allotment Split 80% of Basic 100% of Basic
(Mark with X) Salary salary

CREW BANK INFORMATION (PHP) - For Payment of Net Wages

Name of Account
Holder
Bank

Other
Account
Number
Branch
Name

Name
Date: ___________________

IMPORTANT INSTRUCTIONS:
1. PHOTOCOPY of SSS ID, Philhealth ID, TIN ID(if there's any) and HDMF ID (if there's any) must be attached to this form. If IDs are not available, the Proof of Membership will suffice.

2. PHOTOCOPY of PASSBOOK or BANK TRANSACTION or ATM Card (front and back) for PESO account must be attached to this form.

3. CUT OFF DATE FOR ALLOTMENT : For crew departing home to join vessel between 1st and 15th of the month, allotment will be arranged in the current month. For crew departing home from 16th of the month onwards,
allotment will only be arranged in the following month after signing-on.

4. For Married crew, we recommend that you leave your allotment to your LEGAL SPOUSE

5. This form must be submitted to your respective Crew Operator BEFORE DEPARTURE.

6. A non editable pdf copy of this page should be submitted to the Manning Office who will send the same to Global Marine Payroll.

7. Your payslip will detail the rate of exchange used to convert your USD earnings into PHP remittances as per MLC 2006 A2.2-2

8. Confirm electronic signature of this document is acceptable as proof of completion under RA 8792 of the Philippines Ch. II/7&8

FOR MAERSK-FILIPINAS CREWING INC. PERSONNEL ONLY

Received by: Date received:
UNIQUE MAERSK ID & SIGNATURE