Articles of Agreement For Employment of Seafarers: Original/Photocopy Copy No.: / 5
Articles of Agreement For Employment of Seafarers: Original/Photocopy Copy No.: / 5
Articles of Agreement For Employment of Seafarers: Original/Photocopy Copy No.: / 5
: /5
EMPLOYMENT OF SEAFARERS
(Please fill up in capital letters in black ballpoint or by computer) This agreement is made between employer/employers agent and seafarer as detailed below in accordance with collective bargaining agreement-sector wise, i.e. NMB (INDIA)/INSA-MUI/others* . as per terms and conditions stated overleaf: (*Delete/add as applicable)
1. Details of employer: 1 Name: 2 Postal address & e-mail: 7. Details of seafarers: 1 Name: 2 Nationality / INDos no.: 3 Date/place of birth: 4 Postal address & e-mail:
3 Telephone / Fax no.: 4 Contact person: 2. Details of employer's agent: 1 Name: 2 Postal address & e-mail:
3 Telephone / Fax no.: 4 Contact person: 3. Details of ship: 1 Name: 2 Port of registry / trade: 3 Official / IMO no.: 4 G.T. / Power (Kw / BHP): 5 No. of crew including master: 4. Details of employment: 1 Rate of monthly wages on board: 2 Rate of monthly PF / gratuity: 3 Amount of monthly allotment: 4 Capacity / Rank employed: 5 Reason for signing-off: 6 Paid off on date Place. 7 PF contribution due 8 Gratuity (SWFS) due.. 5. Signature with date & stamp of employer/employers agent: 1 Signed-on ashore: 2 Signed-off ashore:
5 Telephone / Fax no.: 6 CDC no. / Place of issue: 7 CDC date of issue / expiry: 8 Passport no. / Place of issue: 9 PP date of issue / expiry: 8. Details of next of kin: 1 Name / Relationship: 2 Postal address & e-mail:
3 Telephone / Fax no.: 9. Details of certificates: 1 COC grade / no.: 2 Place of issue: 3 Date of issue / expiry: 4 Limitations (if any): 10. Details of special ship type endorsement (if applicable): 1 Type of endorsement: 2 Level / Certificate no.: 3 Place of issue: 4 Date of issue / expiry: 11. Signature of seafarer with date: 1 Signed-on ashore: 3 Signed-off from ship:
4 Signed-off ashore:
6. Signature with date & stamp of master: 1 Signed-on ship: 2 Signed-off from ship:
12. Signature with date & stamp of shipping master: 1 On receipt of record of 2 On receipt of record of commencing employment: concluding employment:
Place:. . Place:. . Place:. Place: Remarks (if any) with signature & date by seafarer / employer / employers agent / shipping master / SPFO / SWFS:
2. 3.
4.
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7.
The five original and three photocopies will ultimately remain with persons/bodies as detailed below: .1 .2 .3 .4 .5 .6 .7 .8 Master on board the ship Seafarer Shipping Master (on concluding employment and settlement of wages) Employer/employers agent - photocopy of 3/5 and Shipping Master on commencing employment SPFO (Seamens Provident Fund Orgn.) on concluding employment-Photocopy SWFS (Seafarers Welfare Fund Society) on concluding employment-Photocopy Employer/Employers Agent-Photocopy
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