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GRIPSHOLM SHIPPING S.A.

SHIP MANAGEMENT

MONTHLY CREW LIST


Ship : _______________________

Date : ______________________
Port : ______________________

Position

Name

Date of
birth

Nationality

Contract

Vacations

expires

wanted

Total Crew

For supplementary information from the Master :


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New crew members since last crew list :


Position
Name
Submit at the end of EVERY month.
1 Copy - GRIPSHOLM SHIPPING S.A. ; 1 Copy - Ships File No. 9

Home address
GRIP FORM - 06
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Off-signed since last crew list :


Position
Name

Promotions / Demotions :
Name

Port / Date

Effective date

Reason for off-signing

Promoted / Demoted to

General remarks (List changes in home-addresses and phone of crew members presently on board.)
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______________________________

Date

Submit at the end of EVERY month.


1 Copy - GRIPSHOLM SHIPPING S.A. ; 1 Copy - Ships File No. 9

_____________________________

Master

GRIP FORM - 06
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