C 1 VACATION & RELIEF PLANNER FORM C-1: Instructions. 1. 2. 3. 4. 5. 6. 7. 8.

The importance of compiling this form accurately cannot be too strongly emphasised, as it enables us to meet, where feasible, individual requests and to arrange suitable replacement for all personnel. The purpose of this form is to assist in planning timely crew reliefs for your vessel. It must be submitted every month, listing ALL Company personnel. Enter all names and other data in order of "expiry of contract" dates, starting with those crewmembers that are due off next. Rank, name, contract dates on and off are all self-explanatory. 'Leave Request' should be used only if the leave date does not correspond with the 'expiry of contract' date. That is, requests to shorten or extend contracts. The Master's and Department Head's approval is required both for early leave requests and for extensions of contract. Masters and all crewmembers should note that all re quests for early relief and extension of contract require approval by the Company. Where feasible, the Company will try to arrange for crewmembers to return to vessels belonging to the same owner. This form is completed: When: 9. Distribution as follows: Copy Original By: The Master Monthly Office Ship's file

Fort Anne Quality Services Vessel: Rank: AB AB OS OS OILER COOK Name: DELA CRUZ ROUEL COLON TRONDILLO AURELIO PAMUGAS RIZALITO DELA CRUZ GERBEL CATBAGAN RUBENS DICEN RODOLFO BLEXEN
Commencement of Contract Expiry of Contract Relieving Date Requested

C1 - VACATION & RELIEF PLANNER Date: 31.03.2007

No. of Leave Days Requested Remarks

02.10.2006 17.01.2007 17.01.2007 17.01.2007 17.01.2007 27.04.2007

01.07.2007 16.09.2007 16.09.2007 16.09.2007 16.09.2007 26.01.2008

END OF JULY 07 OCT. 07 END OF OCT. 07 END OF OCT. 07

60 90 90 TO BE CONFIRMED 90

Master:

D. MOCANU

Issue 1: Rev.0 Issued 28 Feb 01

Original: Office Copy: Vessels file