Professional Documents
Culture Documents
Rank
Full name
Nationality
Passport No: / Seaman book
no
Full style Address with
State / Country
Questions
Temperature log:
Temperature
Day Date 1000 hrs (LT) 1500 hrs (LT)
1
2
3
4
5
6
7
8
9.
10
11
12
13
14
OFC04 App2 (11/2020)
Verification details
I hereby declare that during my travelling to vessel by plane/car/train I do confirm that have fully
understand that need to comply with applicable standard health protection measures and precautions to
prevent the spread
of the coronavirus (COVID-19), such as proper hand washing, coughing etiquette, appropriate social
distancing & mandatory to use face mask at all time and use antiseptic liquids.
_______________________ ________________________
Date: Date:
The personal data contained in this form will be used solely for the purpose of compliance with
legal/statutory requirements of port and other authorities. The personal data will be sorted and processed
by the operator in accordance with any applicable data privacy laws.
Joiners must hand carry below items with them while leaving home for joining vessel and
expense will be reimbursed to them with supporting receipts:
1. During visit to Office / clinic / Embassy (if required) / while joining please use single transport.
2. NOT to meet other joiners Socially
3. Strictly maintain Social distance until arrive onboard
4. If any Hotel stay at seaport, should NOT go out from the room.
Taxi
Medical
1. Difference between one person of same group and the other should be 30 mins at Medical and
COVID test centre.
2. Take selfie photo of you sitting and maintaining safe distance with others at COVID center and
Doctor Clinic
3. Minimize your time at Medical Centre and COVID Centre
Important Note
• Share photos of documents and yours with the MO Personnel on the WhatsApp group created
• Please ensure that you wear the PPE at all times and it should be clearly seen in your selfies
• DO NOT go for any shopping inside the Airport. Always be seated, next to your designated boarding
Gate
Remarks: Any deviation from above has to be approved in writing from FPD Manager by respective
Office Manager.
_______________________ ________________________
Date: