FM-CMO-MMC 0207-04-02

UNDERTAKING/ PROMISSORY NOTE

KNOW ALL MEN BY THESE PRESENTS:

WE, ___________________________________ and ________________________________, Filipino, of legal age,

(MAKER) (CO-MAKER)
and presently residing at ___________________________________________________________________________ by
these presents, do hereby undertake and declare, That:

WHEREAS, ________________________________________ (Crew), of legal age, single/married, and presently

residing at ______________________________________________________________________________ was hired as
_____________________________ on board the vessel of Principal __________________________________________, by
MAGSAYSAY MARITIME CORPORATION, a corporation organized and existing in accordance with the laws of the
Philippines, and with principal offices and place of business at the Magsaysay Building, 520 T. M. Kalaw Street, Ermita,
Manila, hereinafter referred to as “COMPANY”;

WHEEREAS, to guarantee the faithful compliance by said Crew of the terms and conditions of this employment and
to serve as a deterrent against desertion from the said Vessel and in order to indemnify the COMPANY for the necessary
expenses it will incur by reason of failure to comply with the terms and conditions of his employment and/or his desertion;

NOW, THEREFORE, by virtue of the foregoing, we hereby undertake, promise, and bind ourselves jointly and
severally with each other to pay, indemnify, and/or reimburse the COMPANY the sum representing the cost of repatriation
and that of the replacement crew hired by the COMPANY, the penalty/fine that may be imposed on the COMPANY of the
government agency of the country where crew deserted and other related expenses incurred, by reason of Crew’s desertion
from the said vessel and/or failure to complete and comply with the terms and conditions of the employment contract.

IN WITNESS WHEREOF, we have hereunto set our hands this _______ day of __________________, 20___ in
Manila, Philippines.

MAKER (WIFE/FATHER/GUARDIAN) CO-MAKER (MOTHER/GUARDIAN)

CREW (SEAFARER)

WITNESSES
Fleet HR Director/Branch Manager Fleet HR Manager/ Fleet HR Officer/Branch Officer

ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES
CITY OF MANILA

BEFORE ME, a duly commissioned Notary Public, in and for City of Manila, Philippines, personally appeared the
following:

NAME GOVERNMENT ID NUMBER. DATE/PLACE ISSUED

known to me and me known to be the same persons who executed the foregoing instrument, an Undertaking, and they
acknowledged to me that the same is their own, free, and voluntary act and deed.

WITNESS MY HAND AND SEAL this _______ day of __________________, 20___ in Manila, Philippines.

Doc. No. __________;

Page No. __________;
Book No. __________;
Series of 20___