Anglo - Eastern

Fleet Personnel Division (lndia)

Seafarer's claim form
be ted and submitted b seafarer
Name of the Seafarer;- ROBINCE PAZHADATH Rank- TREO Joining Vessel- IVORY RAY
OUSEPHKUTTY

lnstructions:
. All claims are in accordance with applicable TOE.
. Travel Fare is capped for Max USD 200 per contract ( Ref TOE 5 15 )
. /Vo claims will be entedained after joining lhe yesse/
. Joining fare by taxi not to exceed INR 2000 per contract ( Ref TOE 7 3)
. For any queries, please reply to wage accounting team e-mail
Verified and approved amount will be payable onboard after joining the vessel,

Course attended Cornpany Days Rate Amount Travel Oaie Return Travel Trave{ Fare Office Use
GH used. Spent (in USD) Due Date (Complete Veify Suppoding
Trip) /Check amount

OCTCO & GTFC 29n0t2023 651

YES
5
tr
tr

n
Fare tNR 651
Ciaimed
Fare USD
Approved n
Reason Amount Claimed Office Use
(Veify Suppofting /Check amount)

SCHEI\GEN VISA INR 24OO USD

T
TRAVEL FOR JOINING VESSEL IVORY RAY INR 18OO USD
n
Total Amount INR 42OO USD
tr
BANK be filled if the details need to be as in Seafarer's
IFSC Code (lVlandatory Field) SAIVE AS SEAFARER'S RECORDS Bank A/c SAIME AS SEAFARER'S RECORDS

Account Holder's Narne SAII4E AS SEAFARER'S RECORDS Re)afionsh)p: -

Bank Name/Address: SAIME AS SEAFARER'S RECORDS

Claimed By Name ROBINCE PAZHADATH OUSEPHKUTTY Signature

Verified By Name Signature

@*4u
Approved By Manager Name Signature

Form :AEI-FPD 36 Revision : 1 Page 1 of 1 (Retention Period:- 1 Year) Version Date'.2A.12.2017