Seafarer Engagement Confirmation Letter

The Shipping officer,

Merchant Shipping Secretariat.

Colombo
Sri Lanka

We hereby declare and affirm that we entered into the Sri Lanka Crew Agreement (CA) at Colombo

Further confirm that as Owners/Crewing the terms and conditions stipulated

Agent, we agree with in

the CA and the same was executed after having thoroughly verified the details of the seafarer
mentioned below and accepted by us .

Fur Name . -.9:*t-g.r.h.i....Q.*.1,e.h...$.La.l-.h-: ... .... .

""""" """ ""t"

Rddress....Y .?...?3.,....L.:.Cv.t.:t.F..:..,...3.:.:*-.:.,r-..S.:t.---!,.:-:-*-:........-........

Date of Birth...l.L:...I?.:...1..1.3.,9 wages (Basic):..'.'...1.L.:..'9:-P.'

cDC Number.......9..9..1..9.1..9..?....,................... rotal wages:.........€9.9...yS.9......"."..'.

passport Number:.'..*....:.*..-q..9..?.*9............ Allotment:.....'.....9-.q9'.'Y:-5-..'...'.....'.'.

Last ship Date of,Dischrre"..,.l..J..:..9-?....8.9.*.* contract period:.........1..!:...1..1..1....f..:..:"H...'

Rank .o-3.

g'"'.1 Lc- -
contact detairs -Residence No ..........I-............Mobire..9-1.l..L1.1..1.9.*.3....8marr...P.:.15.:-:i.r.:.:.h..g.e
q%& '"
os-o7"ro^e !gocI
Payment Receipt

Owner/Agent Seafarer
Si gn a tu re :..."........... i..it Signatu re.......

r.r.rn"...N-i.9.!:.:..r.....p..-".S.s:..3. Na me"'.......S :..Q..'...S.r.s*..h.'

/1
D e s i g n a t i o n :... .(* f .. -...*........{L.e. :..:..1. t' SERAYA SIIiPPING (PVT) LTD
No. 17F 2i2.
Company Seal Stanely Tirii :rr.a t.qib rra l.lawatha,
Nugegor:4, Sr t Lanka.
Tel: 0094i I 281 5582 / 00941 1 281 5583

Acknowledged anl'accePted

05.07.2022
Page 1 of L
Assistant Shipping officer