OWNER/CO-OWNER/MANAGING OWNER/CAPTAIN’S
&
SEAFARER/CREW MEMBER/ORDINARY SEAMAN’S
AGREEMENT
This AGREEMENT, dated is between:
Owner:
Managing Owner:
Captain:
Owner/Managing Owner/Captain’s Place of Birth (City & Country):
Owner/Managing Owner/Captain’s Date of Birth:
Owner/Managing Owner/Captain’s Full Physical Address:
Owner/Managing Owner/Captain’s Country of Origin:
Owner/Managing Owner/Captain’s Passport Number:
Owner/Managing Owner/Captain’s Passport Expiration Date:
By signing below the Owner/Managing Owner/Captain acknowledges that the above information
is true and correct.
Owner/Managing Owner/Captain’s Signature: Date:
Co-Owner:
Co-Owner’s Place of Birth (City & Country):
Co-Owner’s Date of Birth:
Co-Owner’s Full Physical Address:
Co-Owner’s Country of Origin:
Co-Owner’s Passport Number:
Co-Owner’s Passport Expiration Date:
By signing below the Co-Owner acknowledges that the above information is true and correct.
Co-Owner Signature: Date:
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AND
Seafarer/Crew Member/Ordinary Seaman’s Printed Name:
Seafarer/Crew Member/Ordinary Seaman’s Place of Birth (City & Country):
Seafarer/Crew Member/Ordinary Seaman’s Date of Birth:
Seafarer/Crew Member/Ordinary Seaman’s Country of Origin:
Seafarer/Crew Member/Ordinary Seaman’s Passport Number:
Seafarer/Crew Member/Ordinary Seaman’s Passport Expiration Date::
By signing below the above listed Seafarer/Crew Member/Ordinary Seaman acknowledges that
the above information is true and correct.
Seafarer/Crew Member/Ordinary Seaman’s signature:
Date:
CAPACITY in which Seafarer/Crew Member/Ordinary Seaman is to be utilized:
The capacity in which you are utilized is as an Seafarer/Crew Member/Ordinary Seaman (The
lowest ranking personnel in the deck department. An Seafarer/Crew Member/Ordinary Seaman
generally helps out with work that Able Bodied Seamen (ABS) performs as directed by the
Owner/Managing Owner/Captain.
On this vessel VESSEL NAME  a Seafarer/Crew Member/Ordinary Seaman works under the
direction of the Owner/Managing Owner/Captain, completing tasks such as working mooring
lines, operating deck gear, standing anchor details, working cargo, maintenance and repairs. A
Seafarer/Crew Member/Ordinary Seaman also stands a navigational watch, generally as a
lookout or helmsman. Other tasks include but are not limited to; standing lookout, and generally
cleaning duties, as well as bottom cleaning and assisting in maintenance and repairs..
Schedule/Hours of work:
VESSEL NAME  crossing the Ocean requires constant vigilance. The hours of work shall
be limited to a normal day time schedule as needed with the exception of Watches. Watches
shall be conducted on hours shifts around the clock. This schedule is subject to
modification as the situation dictates at the discretion of the Owner/Managing Owner/Captain.
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