PACC SHIPPING PHILS., INC.

NEWLY SIGNED OFF CREW CLEARANCE SLIP

Last Name Given Name Middle Name

Rank : __________________________ Date Arrival Manila : __________________________
Last Vessel : __________________________ Port of Discharge : __________________________
Telephone No. 1 : __________________________ Telephone No. 2 : __________________________
Current Address : _____________________________________________________________________________________
MARINA SRN : __________________________ E-Mail Address : __________________________
Availability Date : __________________________ Facebook Account : __________________________

PERSON TO SEE PURPOSE SIGNATURE DATE

COMPAS Movement Update:

Evaluation of docs:
VESSEL PIC:
MISMO sea service update:

Sick / Injured crew Post-medical request

Finished contract Un-finished contract

Submitted docs: YES NO

DEPARTMENT HEAD
Any other concerns:

Crew Signature: Noted By Date:

REMARKS: Do you have any health complaint? If yes, please state complaint.
(PIC/DH):

______________________________________________________________________ ______________ __________ _____________

FOR CREWING DEPARTMENT USE ONLY

REMARKS / DOCUMENTS FOR RENEWAL (Verified in COMPAS / as attached)

Evaluated by: ______________________________ (Vessel PIC) Date: ______________________________

TO BE FILLED UP BY SEAFARER:

I do hereby to request to remit my remaining final wage to the following details and less any advance/s:
Account Name:

Account Number (PHP/USD):

Bank Name and Branch:

Any additional instruction/s:

Evaluated by: ______________________________ (Finance Department) Date: ______________________________

I certify that all above information and details are correct and true: _____________________________________ (signature over printed name and date)

FOR PRESIDENT USE ONLY

Orig: 201 File

Copy: Crew___________________________

OPS-24 (Revision 11 01 Aug 2022)