DECLARATION LETTER

Date: 25th January 2020 No: 2020-DL-0011

Manning Agency: SPEEDY GLOBAL INDONESIA
Crew Name: UMAM, FAISOL
Position: UTILITY CLEANER
Vessel: CELEBRITY SILHOUETTE
Principal/Line: ROYAL CARIBBEAN LTD

No Name of Document/Service Amount in USD

1 C1D Visa USD $160
(Crew Pay directly to US Embassy Bank Account for visa
application FEE and will be Reimburse onboard)

2 Medical (Crew Pay directly to Padma Bahtera LAB) USD $ 228

3 Airline Ticket USD $1000-1500
4 OPTIONAL Premium Service Fee USD $ 650
5 Marlin English Test USD $ 40
6 Hotel Travel Package USD $ 60

I have read and understand all of the above-listed are COST except for the Airline ticket is OPTIONAL and
I have agreed to them of my own free will.
I understand that in Speedy Global has committed for NO BRIBERY and given me a full explanation of the
Normal Services and the Premium Services as offered by Speedy Global. I understand that all Normal
Services are free of charge and that the Premium Services are optional at my discretion. I have been
given a signed copy of this form.
I understand that there is a refund policy in the event that I am not successful with one of the
stages of the process and I cannot be deployed to the Principal. The refund policy is:
- 75% refund if I fail the Medical
- 60% refund if I fail the Police Check
- 35% refund if I fail the Visa
- Nil after my Visa is issued
I have read the Speedy Global Services Document as found on the Speedy Global website:
http://speedy.global/mlc-compliant-manning-agent
PT. SPEEDY GLOBAL INDONESIA CREW

I Wayan Eka Satrya Dana UMAM, FAISOL

Manager Speedy Global Indonesia

PT. Speedy Global Indonesia

Jl.Raya Dalung No. 123 Lt.2, Dalung, Kuta Utara, Badung, Bali Indonesia Phone: 0361 9008474