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  • Beneficiary Form

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    Calmcoin “Istan”
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    The document is a beneficiary/next of kin form for an employee of OSM Crew Management. It collects personal information about the employee such as name, nationality, date of birth, and contact details. It also collects details about designated beneficiaries for pension and insurance benefits, the employee's next of kin, and any dependent children. The employee signs the form to confirm the provided information.

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    The document is a beneficiary/next of kin form for an employee of OSM Crew Management. It collects personal information about the employee such as name, nationality, date of birth, and contact details. It also collects details about designated beneficiaries for pension and insurance benefits, the employee's next of kin, and any dependent children. The employee signs the form to confirm the provided information.

    Copyright:

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

    Beneficiary Form

    Uploaded by

    Calmcoin “Istan”
    The document is a beneficiary/next of kin form for an employee of OSM Crew Management. It collects personal information about the employee such as name, nationality, date of birth, and contact details. It also collects details about designated beneficiaries for pension and insurance benefits, the employee's next of kin, and any dependent children. The employee signs the form to confirm the provided information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Approved by: Managing Director

    OSM Crew Management


    Effectivity Date: 03 Aug 2021
    Document Title: Beneficiary / Next of Kin Form Revision No.: 01
    Document ID: CRW - 29 Pages: 1 of 1  Global  Local

    EMPLOYEE DATA RECORD


    Employee No. Nationality: Date of Birth: Marital Status:
    Name: (Last, First, Middle)
    Place of Birth:
    Mailing Address:
    Email Address: Contact Numbers:

    BENEFIT FOR IMMEDIATE FAMILY MEMBERS ONLY:


    Designated Beneficiaries:
    (Person(s) who will benefit from the Pension Fund plan and Insurance Cover (as per
    CBA Conditions in case of loss of life)
    Date of Birth:
    Address:
    Contact Numbers:

    NEXT OF KIN DETAILS:


    Next of Kin:
    (Designated person to be contacted for Seafarer’s matters)
    Relation with the Seafarer:
    Date of Birth:
    Address:
    Contact Numbers:

    ( ) NUMBER OF DEPENDENT CHILDREN


    1. Name: Date of Birth:
    Age: Sex:
    2. Name: Date of Birth:
    Age: Sex:
    3. Name: Date of Birth:
    Age: Sex:
    4. Name: Date of Birth:
    Age: Sex:

    __________________________________
    SIGNATURE OVER PRINTED NAME OF INSURED

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