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  • Dgsorder5a 2006 Annexi

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    Sagar Anchan
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    This document contains a template for reporting marine casualties or incidents involving seafarers. The report requests information about the seafarer involved, including name, sex, age, date of birth, and certification details. It also requests next-of-kin details. Key details about the incident are also collected such as the date and time, nature of the accident including any damages or casualties, and the location. Ship details including name, flag, tonnage, and owner are also collected. Finally, information is requested about any Indian recruitment or placement services involved.

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    dgsorder5A_2006_annexI

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    This document contains a template for reporting marine casualties or incidents involving seafarers. The report requests information about the seafarer involved, including name, sex, age, date of birth, and certification details. It also requests next-of-kin details. Key details about the incident are also collected such as the date and time, nature of the accident including any damages or casualties, and the location. Ship details including name, flag, tonnage, and owner are also collected. Finally, information is requested about any Indian recruitment or placement services involved.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views1 page

    Dgsorder5a 2006 Annexi

    Uploaded by

    Sagar Anchan
    This document contains a template for reporting marine casualties or incidents involving seafarers. The report requests information about the seafarer involved, including name, sex, age, date of birth, and certification details. It also requests next-of-kin details. Key details about the incident are also collected such as the date and time, nature of the accident including any damages or casualties, and the location. Ship details including name, flag, tonnage, and owner are also collected. Finally, information is requested about any Indian recruitment or placement services involved.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 1

    ANNEXURE-I

    REPORT ON MARINE CASUALTY / INCIDENT

    1. Name of seafarer involved in


    Marine Casualty/Incident

    2. Sex

    3. Age

    4. Date of Birth

    5. CDC No.

    6. COC details, where applicable


    6a. Type of CBA or Article of
    agreement
    7. Next-of-kin details
    (a) Name
    (b) Relationship
    (c) Address, Tel no. & Email
    (d) Date of intimation to next-of-
    kin
    8. a) Date and time of causality
    b) Nature of accident / incident
    including Damages/casualties
    suffered (Use additional sheet if
    required) **

    9. Details of ship involved in marine


    casualty/ incident
    (a) Name of Ship & Official No.
    (b) Tonnage
    (c) Location of Ship
    (d) Flag
    (e) Coastal State(s) involved
    (f) Name of P& I Club
    (g) Name of Master
    (h) Nationality of Master
    (I) Details of Owners
    10. Details of recruitment &
    placement service in India
    (a) Name
    (b) Address, Tel. No., Fax &
    Email

    (c) License No.


    (d) Name and details of Managing
    Director/ Promoters

    Senders Name & Contact Details: -

    (**) Report must include date and time of incident, date seafarer joined the vessel and if seafarer of any
    other nationality was involved in the incident.

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