STATEMENT OF CONSENT

By signing this statement of consent, I acknowledge and accept that (A) SIA „LAPA Ltd”,
registration number: 40003043603, legal address: 31-k-1, Cesu street, Riga, LV-1012,
Republic of Latvia. Contact information: +371 67332887, lapa@lapa.lv (referred to as
“Data Controller”) and/or (B) the owners of any vessel on which I may be assigned from
time to time and/or (C) the Management companies and/or any direct or indirect parent or
subsidiary or associated or affiliated company of the Management company ((B) and (C)
together referred to as “Companies”) may each individually process my personal data, my
sensitive personal data, data of my next of kin and my minor children’s data (including any
of my personal data that is provided to any of the Companies at a later date) for the
following purposes:
a) providing services, including but not limited to my identification, the
identification of the position and qualification, determining work experience,
employing on Latvian and foreign ships, the preparation and execution of the
contract of employment, finalising visas, airline tickets, and other travel
documents, confirming health status, administrating settlements, drawing up
professional documents, arranging the necessary documents and formalities of
the flag state, port and border control needs, settling insurance formalities;
b) business planning and analytics – statistics and business analysis, planning
and accounting, increasing efficiency, ensuring data quality, preparing reports,
purposes of risk management activities;
c) provision of information to any government administration of the Republic of
Latvia or foreign and the subjects of operational activity in the events and
amount set in external normative acts.
I understand that my personal data will be stored in the Data Controller’s database and
otherwise processed for the above purposes, in connection with, and during the period of
my current and/or future employment and thereafter for such further period (if any) as is
necessary to fulfil the above-mentioned purposes. I also understand that the above-
mentioned processing activities may involve the transfer of my personal data, including my
sensitive personal data, from the Data Controller to any of the other Companies. This may
involve the transfer of my personal data to jurisdictions whose data protection laws do not
provide equivalent protection to my home country subject to the Companies taking
appropriate measures to ensure that my personal data is kept secure at all times.
I have been well-informed on the right to request the access and rectification or erasure of
my personal data or restriction of processing or to object to processing; as well as the right
to data portability, the right to lodge a complaint with a supervisory authority, the right to
withdraw this consent at any time. This withdrawal of consent shall not affect the legal base
of processing commenced before its withdrawal.
This consent does not have a date of expiration.
The consent is given of my own free will.
Date and place:________________, Riga, Latvia.

Signature: _____________________ Name, surname:

Revision No.1 – 24.05.2018