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Rev. No.

: 1
Ocean Jade Shipping Date : 1st Jan. 14
CMM CHECKLISTS Pre. by : SOT
App. by : DPA

CMM CL 18 NOTICE OF DISCIPLINARY HEARING Page 1 of 1

Vessel Date Time handed over


Master Head of Department

TO:

Rank / Name ………………………………………..

Herewith you are advised that you were in breach of your Contract Conditions viz (spec. Article

/Clause)

………………………………………………………..
…………………………………………………………………………………………………………………………
…………………………………………………
In that you have (give full details) ……………………………………………………………………….........
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
………………………………………………………………………………………………………....
By taking the above into consideration, you are kindly requested to attend an official Disciplinary
Hearing of your case on ………………… (Date / time) at ……………...(state location).
During this meeting an evidence of the above mentioned breach of contract will be presented and
explained to you in detail. You will be given an opportunity to dispute the evidence, present own
evidence(s) and/or to make a statement in defense or mitigation.
You are furthermore advised that you have the right to have a friend to speak for you (present
you)
during the hearing. If you want to make use of this offer please revert to the Master or Head of
Department with the name of the friend to ensure in his availability for the scheduled hearing.

………………………………… ………………………………
Signed Master Signed Head of Department

…………………………………
Signed crewmember (for receipt)

- Original will be given to a crewmember, first copy to ship’s Personnel Superintendent and the second copy will be filed in
dedicated file onboard and retained for a period of three (3) years.
- The form shall be written by hand and in block capital letters.

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