Anglo-Eastern

Fleet Personnel Division

PRE-JOINING BRIEFING FOR OFFICERS/RATINGS FOR CREW MANAGEMENT VESSEL

NAME: M ft. '/ltN /( Cc1A1Jl) ~ NK: pt:) MIN(_ JOINING VESSEL Lu U'r DATE: /f- {/- '.l,O".)..."l.....

Every Officer/ Rating prior to joining a ship shall familiarize himself with the following : -
Kindly read / view and tick off the box on the side on completion, indicati~g your
having read and understood them in conjunction with Owners Briefing/Instructions
where applicable.

Discussed &
Understood

A. Company Policies: QHSE Policy, D&A Policy, Maintenance & Spare Parts policy,
Personnel Recruitment & Training policy, Cultural Awareness Policy, Security Policy,
Social Media Policy, Prevention of sexual harassment policy, Anti-Corruption Policy,
Control of Arms policy, Information Security policy
B. On-board Grievance Procedure- As Provided.
Complaint Handling Procedure as per flag explained.
AEI FPO 06 including the details of appropriate internal and external authorities
(which do not include Charterers, Shippers,
Receivers, Agents or Terminals) is explained.
C. Accountability & Job Responsibility: Go through Job responsibility as applicable
per owners SMS if available in AEMS office and shared by the owners.
D. Pennlts: Check applicable permit is issued before carrying out hazardous task.
E. General Safety discussed - Use of permits and
check list/ hazard guide / PPE check list/Common PSC detainable deficiency/
Participation in safety committee meeting/No Flip flops allowed onboard I Smoking
regulations to be strictly followed. Disciplinary action would be initiated for personnel
found breaching the safety norms.
F. Tenns and Conditions of Employment,
Applicable Collective Bargaining agreement to the vessel understood.
Work/ Rest Hours to be strictly complied.
Overtime:· Guaranteed overtime is only confirmed payment Gratis OT is not
Pay?ble. Any Extra OT to check with Owners I as per Owners instructions.
Sign offs- Encourage Contract Completion and Early Reliefs to be avoided.
Company provides Medical attendance; it should be used cautiously.
G. Harassment - Zero tolerance policy towards any kind of harassment at work place.
H. Seafarers Bill of Rights (MLC 2006) - Doubts if any, about CBA I TOE I MLC
Cook's certification as per MLC and DGS explained
I. Disciplinary Procedure - is based upon just culture policy where failure or error is
Used for promoting learning and improvements.
J. Garbage disposal procedure: No Garbage to be thrown overboard except for
food waste with prior permission from Duty Officer.
K. Shaping A Better Maritime Future starts with Us: Adhere to D&A Policy, Comply
Marpol Regulations, No smoking in undesignated areas, Follow permit system,
No wilful act (Endangering life, environment, Property & Reputation)
L. RPS Data Upload - Before reaching airport, please check RPS Data
M. Owners Briefing Completed using: CBT /Presentation/ Instructions/Power Point
provided by owners.

The briefing was done in person I on phone*.

Name of Briefing Signature
Officer

Name of Joiner fY) ,WM,N<... WAU{) >II/~, Signature \J~,A~

'"'",,
Form : AEI-FPD 44A Rev: 3 (Retention Period: 1 Year) Date: 01.10.2022
 Anglo - Eastern
PRE- JOINING DECLARATION

I have read, understood and agree unreservedly to comply with Anglo Eastern/ Owners policies with
regards to:
Company Policies
Quality, Health, Safety and Environment Policy
Drug and Alcohol Policy
Maintenance and Spare Parts Policy
Personnel Recruitment and Training Policy
Cultural Awareness Polley
Security Policy
Social Media Policy
Prevention of Sexual Harassment Policy.
Anti-corruption Policy
Control of Arms Policy
Social Media Policy
CEO's message regarding Marpol violations.
Company's policy regarding transit throu!,lh High Risk Area / Gulf of Aden
Date:•
Signature: •

1) I hereby declare that (D&A):

• I am not a habitual user of any drugs other than those which at times are prescribed to me by a
registered medical practitioner.
• I also declare that the medicines (if any) being carried with me on board, have been declared to
the company doctor during PEME and are wiih proper prescription and expiry dates.
• I will not take any drugs whilst on board unless prescribed by ship's medical officer or a medical
practitioner appointed by the Master or his agents.
• I agree without any reservations whatsoeverto submit myself to random testing for usage of
drugs, or misuse of alcohol which may be ordered by the Master or the eompany within the
scope of Company's drug and alcohol policy.
• I have been fully aware o1 the Company's policy on drug and alcohol abuse, have received copy
of same and undertake to abide by it.
• I have not at any time presently or in the past willfully or otherwise, consumed, traded, trafficked
or handled illegal drugs. - -
• I agree that possession, use and trafficking of Drugs and breach of the Company's Drug and
Alcohol Policy will be just cause for termination of my employment with my repatriation and my
reliever's joining expenses at my cost.
• I have never failed Drug and Alcohol Test.
• I agree to co-operate fully with U.S. Drug Enforcement Agency or any other agency, with regards
to implementation of provisions contained in the Sea Carrier Security Manual.- - -
2) I also hereby declare that
• I am not carrying any videos I pictures of child pornography on my laptops or storage device.
• I am not carrying any medication or have hidden a medical condition during medical.
• There is no legal case and visa restriction, which restricts from joining a ship.
• All my documents are genuine and are obtained through official channels.
• I am carrying my all original travel document and STCW certificates, required for my rank.
• I have not been charged any recruitment fee and not promised any extra benefits and facilities
such as shorter contract etc, other than what is mentioned in the contract.
• I will maintain 'Non Resident' status as defined under Income tax act 1961, during my
employment with the company,
• It will be my r~sponsibility to paX income tax_ as ~er i_n?ome tax act 1961, if applicable. 1indemnify
the eompany in case of any actron/loss against 11 ansing on account of my defaulVnon-
compliance, in this reE!ard.

The above declaration has been made by me truthfully without duress and my own free will on th' d
If any of the above declaration is proven false at a later date, then I agree to bear all cost 0 f is ay ·
repatriation and related expenses. my

Signed: e Date:• \O r \ \- ~i..'LPlace: e c~sg

Name: • f'{)frtA'-.)K o-tl\-uOl.l~ank:• N'\11-!.TG{<.._ Vessel:• Wu\

Form AEI FPO 13 Revision 3 PaQe 1 of 1 (Retention Period: - 1 Year) Date: - 01 .10.2020

L
 Please sign and fill across " • " marks and tick against " { " marks wherever applicable
Anglo-Eastern
Fleet Personnel Division (India)
Pre depa cklist
n: To be com lete cer / crew &
Seafarer I office staff must check all the task.

~::::::~:::~============11·•
Name of Officer/ Crew

IJoiningVessel
,.;..;;~:.JE:.U(;!=~.l,41.~J.!.,!z:::z;~ ~__.J 1,,.;,-.~ = '
[u c.A l l0ate
1,;,,;;,.....g,,~~~-=~
I i·• / 0
,
fl -
.Un.;2.. I
c_!!!!!!nn
1 o be completed by 5 eat.! rar:-
byFP~

1 am carrying with me:-

D All Orig inal STCW certificate as D
Passport D Indian CDC
perAEI-FPO3

Flag license or CDC D Medical Record book and D

Certificate of competency /watch D
Yellow Fever
keeping certifteate & DCE
Union dues payment /card D USO 100 dumg traveling for D
Uniform, Full Blues, peak cap D
immigration/ emergency tel call
(Officers & Cadets for New
bulding)

2 1<eceIved from omce :- u

,. ung,nal Employment IU "Medicals reports u "O&A-declarauon

contract
D *Visa copy of Joining port D *CEO declaration
*Guarantee & Air Ticket D
and /OKTB copy (MARPOL)
D Un form/ Boiler Suits/ safety D
*Flag CRA Signed D Form 06 -Briefing notes/
Comolaint Hand lino orocedure shoes
D Pocket cards x4 and travel D
Access to TOE/ CSA D Hand over notes for Senior
officer card

D Ship's mail (,mp docs in D

Certificate of courses completed D Training log fornext rank or
TAR forCadet/JE handbag)
prior joining

Briefing c.o.m pleted: •

Induction Brief.,g (for Vessel Manager
3 *Pre-joining *OWner's briefing/ briefmg (For M, CE) D
D new joiners/ promoters) D
briefing D CBT In person /Telephonic
/strike out one l
D
• Nomination of Beneficiary Form (AEI-FPD 14)dully filled In and signed
4
D
*Ail claims submitted. No outstanding claims will be settled on board.
5
D
No significant change in known heath concilion since completion of pre-joining medicals.
6
D
It is understood that I will be required to carry warm clothing in person if joining is in cold climate area.
7
It is understood that If I am not carrying aUoriginal documents as per ,u: I FPO 3 including employment contract or any
8 D
deficiency in my personal documentaion (including spelling errors etc),will result in the termination of my
contract with full repatriation cost.
Notes: Above document which Is marked• should be attached to this form

Ann in workina condition and shown how to check Eminration clearance.

s 111ned by j oiner : •
To be completed by Office Staff
' . '
FPE

*Documentation Check Fonn (AEI-FPD 03)completed and al documents wil remain valid for duration of assignment+ !",NO
1
month. D
2 Collecleci last service pagels of CDC as required. D
Authentication of COC / CDC earned out fornew joiner/ ex-6taff on obtaining new COC
3 D
Joining paper file updated .scanned copies ot AEl.f'PD03, passport, pages, etc.
4 D
Checked in office by FPA/FPE:
Verified by Manager, after completion of all formalities:
. .
Form. AEI-FPD 17 Rev1s1on 3 Page 1 of 1 (Retention Period:_ 1 Year) Date: 31 _01 _2020
 SEA LIN K MAN AGf.MEN T SYSTEM OC-07

MLC DECLARATION FORM

Yes No
All items contained in my employment contract have been
I.
exolained to me and I am aware of them.
A full sample agreement incorporating all terms and conditions to
2. apply (including the CBA) has been provided to me prior to
entering the lU!rcement.
I was given adequate time to review the contract and seek advice
3.
on the terms and conditions in the asrreement
I freely entered into the agreement with a sufficient understanding
4.
of my ri~hts and responsibilities.
I was given an original set of my Seafarers Employment
5. Agreement, which I must carrv with me on board.
l No fees or other charges for my recruitment or placement or for
6. providing employment to me have incurred directly or indirectly,
in whole or in part.
No joining advances or any other exploitation incurred with regard
7.
to the employment
The company's Complaint procedure has been explained to me and
8. I am fully aware of the process to be followed and the record to be
used.
The terms and conditions of employment and any particular
9. conditions applicable to the job for which I am engaged have been
explained to me.

• By ticking the YES box you indicate that the documented statement is correct.
• By tickin~ the NO box you indicate that the documented statement is NOT correct
• If any statement is answered NO you may enter your remarks below.

• r()~'JIP,.N t<. CtA-0 C>t'"R..'I . Vessel to join

Seafarer's N ame I Rank

MLC Declaration Form / Rev. 00

Page I of I
 SEALIN K MAN AGEMEN T SYSTEM OC-04

DRUGS AN D ALCOHOL POLICY

(PRE-EMPLOYMENT DECLARATION)

N AME:• M A'-ffi,-1 Jl.... ~ A f t YRAN K: • ('() A:1115 Cs,,

.VESSEL TO JOIN :• l,u<..A- / DATE: • ID,. r, - M? 1

1. It is hereby confirmed that I have been informed that in accordance with International
Requirements, the Managers of the above named vessel have established and are strictly
enforcing onboard a "DRUG & ALCOHOL POLICY" the main points of which are as
follows:

a. Pre-employment screening.
b. Prohibition of drugs onboard.
c. The Company has banned the possession, distribution and consumption of all
alcoholic drinks (spirits) on board managed Vessels.
d. The only Alcoholic drinks allowed on board are those kept by the Master for courtesy
purposes and are not to be consumed by any seafarer on board.

2. It is understood that the "DRUGS & ALCOHOL POLICY" is aiming to:

a. Protect the safety, health and well being of the individual seafarer and the crew as a
whole. -
b. Protect the safety of the vessel, the public and the environment.
c. Support the principle that Officers and ratings should not be impaired when
performing scheduled duties. -
d. Ensure that all crew members will be able to respond at any time to an emergency
~i11,tati_o!!_.
3. It is furthermore understood that the implementation of this "DRUG & ALCOHOL
POLICY" is mandatory. Breaeh of the Poliey will result in the immediate termination of
my employment contract, reporting to the competent Authorities, and my
disembarkation for that matter to my expense and without compensation.

SIGN ATURE,• \-_ ) \~ .

Drug & Alcohol Policy / Rev. 00

Page I of I
 SEALINK MANAGEMENT SYSTEM

MASTER/ CUJ.EF ENGJNEER'S FAMILIAJUZ.i\TION CHECKLIST

Vessel : Master Chief Familiarised by Signature

Engineer (name/position)
Safety, Health &
Environmental
Protection
Quality Assurance
requirements
Communications
Crewing
Drugs & Alcohol
Navigation 1! N O !,•'?
Operations matters
~-;;L,a:1q •,•,....~ ,

Maintenance & Repairs

Purchasing

Seafarer' s Name/ Rank: • N)Pt'1f')"l K 6-t M.uHA'.f<-J f lY) PrS T6ll<_

Signature: • \___,\

Date: • \t'I r l\ ,-:U,')..,L

Master I Chief Engineer's Familiarization Checklist/ Rev. 00

Page I of3
 SEALINI< MANAGEMENT HYl!TEM

Surety, Hcnllh & 1£nvlronmcntal Quality A11uranc:e C(,mm ••latllJH

t>rol""I'~- UanuJrom , nf •
Policy ISM Policy ,_Departure n:prn1
--- - - D
- - --Control Documentation
---- - - -
- -

Designated Person Ashore

(struL-turc/ policy manual
/procedures / ncc1 instruL-tions I
Arrival rL'J)C/rt D
----
_?RP/ SOPEP)_ _
-- --
Controlled Documentation N oon report
Sufcty Orgunisution on board Transmittul Porm
-- -
- - On Board Library / Register Emergency rnpomc
Safety Committee meeting/ minutes communication
system -- -- --
---
Non-Conformance forms Commurucatiorui procedure
Safety Drills programme & reporting

Corrective & Preventive Action Fle~1 Instructions Manual

Accident & Incident reporting system - --

Emergency Response - ERP & SOPEP Internal Audits

External Audits
Oil record books
Master's/ Chief Engineer's filing
Garbage disposal / Log Book system

Bunkering Process

Work Permits

•w ~._
Safety, Health & Environment Protection
procedure
Fleet Instructions

Shipboard Occupational Health and

Safety Program
Safe working practices, on-board
programmes for the prevention of
occupational accidents, injuries and
diseases
Medical Care Person
First Aid Provider
Risk assessment program

Master/ Chief Engineer's Familiarization Checklist/ Rev. 00

Page 2 of'3
 SEALIN K MAN AGEMEN T SYSTEM

Crewing Drugs & Alcohol N avigation

On board familiarisation of newly joining Charts and nautical publications
seafarers (safety familiarisation check Drugs & Alcohol policy correction system
list)
Appraisal of seafarers Medical Screening Passage planning ['.]
Declaration of compliance to Preparation for sea - checklist
On board training system & requirements
D&Apolicy
Allowable limits of on board
alcohol consumption (2 Preparation for arrival - checklist
Identification of training needs
units/week)
Navigational equipment - Use &
Handling -over process form to be used On board distribution of alcohol maintenance
Pilot on board - safe embarkation
Random testing - exchange of information -
Crew list - frequency of reporting
responsibilities

Licence & Training certificates and Navigational instructions -

checklists
Medical records kept on board
On board complaints procedure
Seafarers condition of employment
nroccdure
MLC 2006 requirements

Maintenance And Repairs Purchasing

Operations Matters
Maintenance monitoring Requisition form for spares
Reporting
Requisition form for
Current C/P terms, communication with Master's reporting stores I supplies
Charterers
Hold preparation for loading/cargo Chief Engineer's reporting Frequency of regular storing
worthiness
Fleet Instructions Manual - Acknowledgement of
Cargo Handling Care Section F Receipt of board
Verification of quality/
Responsibilities of Master
Voyage Performance D and C/Eng during DD/repairs
specification of products
received

Loss Prevention/ Delivery of Cargo Monthly maintenance report

Main Engine & Generators
Stevedores Damages reports

Filing system
Megger Test report

Lub oil Analysis for M/E

·0 ~
Technical Survey reports

Contractors reports D
Defect reporting system D

Master/ Chief Engineer's Familiarization Checklist/ Rev. 00

Page 3 of3
 OC-02
SEALIN K MAN AGEMEN T SYSTEM

~tLECUON ,4.N D E~GAGEMEN T CH}:CK LIST

I N AME: I RAN K: IMN:

Tick Remarks
Ref. SELECTION
YES/NO
1 APPLICATION/EMPLOYMENT FORM
COMPLETED YES/NO
2 OUALIFICATIONS CHECKED YES/NO
3 EXPERIENCE SUITABLE YES/NO IF YES, PLEASE SPECIFY:
4 ANY OUTSTANDlNG TRAINING NEEDS?

YES/NO REFEREE:
s REFERENCES
YES/NO
6 MEETS ENGLISH LANGUAGE
REOUIREMENTS YES/NO
7
VALIDATION CHECKED FOR: LICENSE-
SEAMAN BOOK- PASSPORT-CERTlFICATES
YES/NO
8 MANAGEMENT APPROVAL

Tick Remarks
Ref. EN GAGEMEN T
YES/NO
1 MEDICAL EXAMINATION CARRJED OUT
YES/NO
2 VACCINATJON CARRIED OUT (if required)
YES/NO
3 PHOTOCOPIES OF SEAFARER'S RECORDS
YES/NO
4 VISAS OBTAINED !if required)
YES/NO
s "WHOM IT MAY CONCERNED" LETTER
GIVEN YES/NO
6 TRAVEL ARRANGEMENT MADE
YES/NO
7 TICKETS YES/NO
8 AGENTS ADVISED YES/NO
9 MASTER ADVISED YES/NO
10 EXISTING PERSONAL RECORD UPDATED
YES/NO
CONTRACT SIGNED (one coov to Master\
11 YES/NO
12 PRE-ENGAGEMENT BRIEFING CARRIED OUT
YES/NO
13 MANAGEMENT SYSTEM REQUIREMENTS
EXPLAINED & FAMILIARlSATION
COMPLETED YES/NO
14 DRUGS & ALCOHOL DECLARATION SIGNED

CREW COORDINATOR:

•
Selection & Engagement Checklist / Rev.1-00
Page I of I
 SEALINK MANAG EMENT SYSTEM OC-01

I mmorn I
N EW APPLICAN T IN FORMATIO N SHE ET
PERSON AL
RANK, •
fY)~'fbR, DA~ ,o~ r,-u, ,-1
AGE:
(FIRST)
I' .... -- .~!'."~Bl,,~
NAME,
• IV) A-v~s~<.. / TELEPHON E:
PRESENT ADDRESS, •
TELF.PHON E:
PERMAN ENT ADDRESS, . A ,,4.3 Pifl~Ar()ouNr Cot.F l-o~G317i C,p.-1,Hn>A, U•r .
DATE OF BIRTHc .
1?> · ,,. 1'!86 I PLAcs oF m RTH, • IY') ~u-,
TINc
SSS NDc

CI VILSTATUSc .
fYlftti:.tff"T],
SPOUSBc . HEIGHT, •
Cl<Th fwAuo>111f. Y
rs 'I r..,.., WEIGHT, . <\S'
FATHERS, NAME, . s~- °""e.~-5·,... c..~ ~ " ' IMOTIWR~ NAMEc • ~~.:>R"-'
LICEN CE
I DATE ISSUED EXPIRY DATE
LI CENSE NO. RANK
PHILIPPINE
I DATE ISSUED EXPIRY DATE
LI CENSE NO. RANK
PAN AMA
LI BERI A I LICBNSB NO. RANK IDA TE ISSUED EXPIRY DATE

TRAVEL DOCUMEN TS
EXPIRY DATE
PASSPORT NUMBER DATE ISSUED
EXPIRY DATE
SEAMAN'S BOOK NO. DATBI SSUBD
EXPIRY DATE
USA VISA DATE ISSUED

EDUCATION
TO I GRADE
HIGH SCHOOL I FROM
FROM TO j GRADE
COLLEGE
FROM TO JGRADE
VOCATIONAL
TRAIN IN G CERTIFICATES
DATE VALID ENGLISH LANGUAGE CPMMAN
CERTIFICATE DATE VALID CERTIFICATE FL UENT
ISSUED UNTIL MODERATE
ISSUED UNTIL
SPEECH
SRC ARPA
SATCOMIGMDSS WRJITEN
SOLAS

WATCH KEEPING
STCW ADV SOLAS

ALLOTMEN T
AMOUNT BANK BRANCH SA NUMBER
ALLOTEE(S) ADDRESS

I.
2.
3.
DEPEN DEN TS
AGE I NAME IDC I "110N SHJP I AGE
NAME I RELATIONSHIP I
I. I
3. I
2.
4. I
SIIlP EXPERIEN CE
TYPE OF TYPE OP GROSS MANNING PERIOD SE.RVED
RANK REMARKS
VESSEL REGISTRY VESSEL ENGINE TONNAGE AGENTS FROM TO

I.
2.
3.
4.
5.
6.
7.
I do hereby certify that all the infonnation contained herein is all true and correct. Any misrepresentation will be sufficient gro d fi
disqualification and/or dismissal. •. • _. 0.. .,._._'t; un or
Signature: ~ . Date: lo • 1 \ ' )..O'l-'L

Informa tion Sh eet / R ev.00

Page I of I ·
 Anglo-Eastern
NOMINATION OF BENEFICIARY

SEAFARER NAME MA'fAt-lt<.. U-f Pt\JCl>lft~'/

RANK
l"()k::.1"2
I CREW ID I
VESSEL
w<A
DATE OF SEA

In the event of my death or mental Incapacity for any reason during the period of my employment under
the aforesaid Seafarer Employment Agreement ("SEA"), I nominate the following person(s) to receive any
compensation or benefits entitled to me, including any balance of wages due, In the proportion(s) given.
All communications in this respect should be conducted with and all my personal effects and belongings
handed-over to the person(s) nominated hereunder.

Relationship Address and contact details Proportion

Name of nominated person

I hereby affirm that I have informed my declared nominee(s) and next of kin to contact the company
immediately per the details provided to me in case of any emergency.
• I understand that payment of any compensation or benefits entitled to me will be made as per the terms
and conditions of my SEA and the CBA applicable according to this Nomination of Beneficiary.
I understand that this Nomination of Beneficiary is applicable to my employment on the subject vessel
under the aforesaid SEA only. (A separate Nomination of Beneficiary shall be required for each
employment on each vessel engaged for through the company.)
I understand that any change to this Nomination of Beneficiary must be made by me in writing to the
company, duly witnessed, in similar form to this.
I understand it is my sole responsibility to inform my next of kin and the declared nominee(s) of my
Nomination of Beneficiary and the company and the vessel owners, operators, managers, charterers,
insurers and any connected persons or parties shall not be responsible for any demands, objections or
claims whatsoever from my next of kin, the declared nominee(s) or any other persons whosoever
disputin~ the Nomination of Beneficiary made by me.

I declare that this Nomination of Beneficiary is made by me voluntarily, according to my wishes and sole
responsibility, of my own free will, without any undue influence or coercion.

Signed by
Seafarer

Place
w~~- I Date
I \o , 1 \ , 2,,o :2-o'2--·
Witnessed by
(name&
signature)

Form : AE-FPD Revision:1 Page 1 of 1 (Retention Period: - 1 Year) Version Date:21.06.2022

 •I
ANGLO-EASTERN
QHSE MANAGEMENT
M.V.
SAFETY AND SECURITY FAMILIARIZATION FOR
NEW JOINING CREW

No.:bfa2X Date: 04 Jan 16 Rev1s1on: o Prep: Master Appr: Suptd Page 1of 2
Act1011: File
I (ANNEX) I
To: Masters of All Ships (Sent as blind copy to avoid bulk printing/ filing)
[QA of AESM SIN / GLA / ANT will directly send this message to the ships under their
management]
Cc: Branch Offices / Auditors
From: PKC - QA
Ref: SQ/MSG/055AS/10

Re: MARPOL and 9th~r ~nvirgnm!lnj~_I r~la_

t!l,d vig_lalign§

Message from Chief Executive Officer

Seafarers are being arrested and companies face heavy fines as a result of Marpol violations. Port
state authorities everywhere are taking a hard line on ships suspected of any violation, including
inaccurate, fraudulent or wrongful log-book entries. In recent years, crew-members have been
criminally prosecuted and incarcerated for violations in many countries, including USA, Western
Europe, ·Australia and Asia. -

It is our policy to operate ships in a safe and efficient manner so as to prevent pollution. We do not
accept lack of or malfunctioning equipment or misconstrued attitudes onboard as grounds for non-
compliance and if you face any such issue yeu must immediately take it up with youF Technical
Superintendent or DPA. The company pledges to conduct an unbiased investigation into any report of
Environmental non-compliance and we commit that all personnel will be protected against adverse
aetien er retaliation from the company for reporting nen-eempliance of any environmental regulatiens or
refusinQ to carry out any illeQal activities.
I wish to remind each and every seafarer on board any ship under management about our strict
environmental protection policies - and our commitment - and expectation from each of you - to comply
with and even exceed all r~ulations, in spirit as well as in deed.

The Master and Chief Engineer must discuss our environmental policy and the shipboard procedures
with every person on board and with every new-joining crew and strongly emphasize to all staff that we
want total commitment from everybody to follow all reQulations to protect the environment.

Bjorn Hojgaard
GEO

AESM
 ANGLO-EASTERN
QHSE MANAGEMENT
M.V.
SAFETY AND SECURITY FAMILIARIZATION FOR
NEW JOINING CREW

No.:BMX Date: 04 Jan 16 Revision: O Prep: Master Appr: Suptd Page 2 of 2

This message from the CEO is fully understood by me and I agree to abide with the environment
protection policy of the company.

\o- \1 • 2.-0')..'L-
Date
Signature of Crew Member

AESM
 Jojner's COVID-19 Consent I Declaration

I understand that any crew member testing positive prior boarding a vessel can cause
serious repercussions not only for myself but for the entire crew change process. Such
disruptions can jeopardize the return of the staff who are planned to return home and also
the ones with me joining the ship foremployment. lam aware that in India, DG Shipping is
recording details of people testing positive overseas prior crew changes.

I am aware that such disruptions also have a financial implication as the company will also
be liable to pay all costs and expenses incurred by in connection with any event of breach,
including all costs and expenses of cleaning and disinfecting any premises or vehicle, and of
providing medical treatment, accommodation and transport for the crew and other incidental
or ancillary costs relating thereto, including where any crew is required by authorities to
remain ashore for any inquiry or investigation.

I haYft been briefitd / understand the above and d@clara that·

I have maintained body temperature records for myself twice daily for the last 14 days
prior to the joinin!;! date.

DI was in strict quarantine ever since I have undertaken the Polymerase Chain Reaction
(PCR) test.

DI will remain strictly quarantined at home/room after the PCR test, till I board the plane. I
can be checked for this by a video call by the company.

DI have no symptoms of fever or flu and have not had contact with any known orsuspect
case of COVID-19, in the 14 days precedinQ to my joinin!;!.

DI will strictly follow all precautions including use of PPE (mask, sanitization, gloves, body
suits etc.) durin!;! travel by flight.

D I will remain in strict hotel room quarantine at destination port and will not step out of the
hqt~I.

I will maintain social distancing &keep wearing mask for 14 days after joining the vessel

DI will inform the company to cancel my joining if there are any flu symptoms or breach of
above quarantine prior departing. - ·

DI agree that if there is breach of quarantine before/after departing then the company can
take aisciplinary action against me and report to the relevant authorities.

o I am aware of the benefits of the Covid 19 vaccnations and hereby give my consent to
take any available vaccination arran!;!ed at any port. -

Date: e \0' I I · ')..-0 ~l-

NameofJolner:e N'\l't'-fAt-l\Z.. C>!Au0,n1t-R-"1
Vessel:~
Si11nature: e u~
Ult.A- /
 @ ANGLO-EASTERN
Fleet Personnel Division (India)

Seafarer's claim form

(To be completed and submitted by seafarer prior joining vessel)

Name of the Seafarer:- Rank Joining Vessel

N)P, A-Nt<. u<.A--

Instructions:
All claims are in accordance with applicable TOE.
Travel Fare is capped for Max USD 200 per contract ( Ref TOE 5.15)
No claims will be entertained after joining the vessel.
Joining fare by taxi not to exceed INR 2000 per contract ( Ref TOE 7.3)
Verified and approved amount will be payable onboard after joining the vessel.
Claims for Attendinn Courses / Seminars : Please fill the non shaded section \
Course attended Company Days Rate Amount Travel Date Return Travel Travel Fare
v...,,,_
GH used. Spenl (in USO) Due Dale (ComfJlef• ICIJKk.;;,ee,rf
Trfnl

Y/N

Y/N

Y/N

Y/N

Y/N
Official Use :- Total Traininq Allowance Approved USO Fare IN R
Claimed
Fare USO
Approved

Other claims if anv :- (Attach suooortinal

Reason Amount Claimed Ofr,ceUse
~/Chedcamount)

INR USD

INR USD

Total Amount INR USD

BANK DETAILS (To ba filled if the details need to ba uodated as in Seafarer's records )
IFSC Code (Mandatory Field) Bank Ne

Account Holder's Name Relationship:

Bank Name/Address:

Claimed By Name Signature

Verified By Name Signature

Approved By Manager Name Signature

Form: AEI-FPD 36 Revision: 1 Page 1 of 1 Version Date: 01.03.2017