OMIKRON MARITIME SERVICES JSC

OP-01-07 DECLARATION OF CONSENT FOR GDPR

Developed by: Approved by: Issue No: Issue Date: Revision No: Revision Date: Section: Page:

SQS Manager Managing Director 01 Sep 2019 00 - OP-01 1/1

Full Name MESUT YAZGU

Date of Birth (DD/MM/YYYY) 26/01/1990
Postal Address KAYNARCA NEIGHBORHOOD, SAZLI STREET ,ALMERA C APARTMENT NO17/13
PENDIK/ISTANBUL

E-mail Address yzgmesut@gmail.com

A. I, the undersigned seafarer, hereby acknowledge and confirm that I have been duly informed of the
provisions of national and European law, and of the rights established concerning the protection of my
personal data.
B. Having done so, I hereby acknowledge and, without any reservation, agree in a lawful, fair and
transparent manner to process my personal data already provided or that will be provided in the future to
the manning agents for recruitment and employment purposes, including payroll/allotments, insurance
and social security, training, flag endorsements, travel arrangements and claims handling.

Specifically, I hereby freely consent, without any reservation, to:

1. Process my personal data, including but not limited to: name, photo, date and place of birth, postal
addresses, e-mail, IP address, telephone numbers, family status, passport and other identification
documents, employment history and work performance records (CV, appraisal reports, video/audio
interview recordings, professional references), bank account details of the beneficiaries/allottees, next of
kin’s contact and other personal details, tax and social security identification numbers, school degrees,
certificates of competence and training, as well as any other information included in the employment
contract;
2. Process any special types of data that refer to my ethnic origin, religion, criminal records, health, medical
records and examinations;
3. Pass my personal data on to third parties: manning agents, vessel’s managers/owners, flag state, training
centers, visa agents, travel agents, foreign embassies and public authorities, port agents, medical clinics,
P&I Clubs, insurance companies, and banks based in my country of origin, Europe or third-party countries
that jurisdictions may not provide equivalent protection with national and European law; and
4. Store my personal data on a database for as long as rights/obligations/claims arising from the recruitment
and contract of employment and/or any other contractual relationship remain in force.

Place: ISTANBUL/TURKEY Date (DD/MM/YYYY): 04.12.2020

Full Name: MESUT YAZGU

Signature:
WITHDRAWAL OF CONSENT FOR SEAFARERS
I hereby withdraw my consent given above, and acknowledge that it shall not affect the lawfulness of any
process conducted before the withdrawal.
Place: ISTANBUL/TURKEY Date (DD/MM/YYYY):

Full Name: MESUT YAZGU Signature: