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DISEMBARKATION REPORT

NAME: __Yaroslav Pirozhenko_____________ RANK: __Deck Cadet___________________


VESSEL: _M.V. HILLE OLDENDORFF___________ DATE REPORTED: _22.08.2023_____________

DATE & PLACE OF EMBARKATION: _11.02.2023 MUNDRA, INDIA________________________


DATE & PLACE OF DISMBARKATION: 09.08.2023 PONTA DA MADEIRA, BRAZIL___________
REASON FOR SIGNING OFF: ______END OF CONTRACT________________________________
ADDRESS: _Galati, Romania____________________________________________________________
PHONE NUMBER:_+380665774350________DATE OF AVAILABILITY: ___MID OF OCTOBER__
Last ADR has been overviewed, past performance assessment obtained, career goals discussed, assess

the growth potential and record training and other development needs
CREW COMMENT:
A. ON ASPCM Ukraine: Excellent Good Average Poor
(4) (3) (2) (1)
1. Courteousness of Staff
2. Prompt response to queries and
Efficiency in attending your needs
3. Wage scale
4. Over-all Quality Service

SUGGESTIONS FOR IMPROVEMENT: __________________________________________


(Pls. specify Department) __________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

B. ON BOARD: Excellent Good Average Poor


(4) (3) (2) (1)
1. Officer’s Attitude
2. Rating’s Attitude
3. Food & Accommodation

SUGGESTIONS FOR IMPROVEMENT: ___________________________________________________


_____________________________________________________________________________
_____________________________________________________________________________

______________________________
Crewmember Signature
(For ASPCM Ukraine use only)
COMMENT SUMMARY REPORT

(General Manager / ___________________________________________________________

Crewing / Recruitment Manager) ___________________________________________________________

CM-UK-013 Page 1 of 1 Revision 5

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