SERVICE PERSONNEL FORM

Quality Management System

ISO 9001:2008

AARHUS-SPF012 Rev. 0008/31/2011

New Business Enquiry - Questionnaire

Client name: Vessel type: Client contact: Project reference: Contact details (Tel./Email): Date:

Minimum criteria required to produce full Crew Management proposal

SECTION 1: General Particulars of the Vessel Ref Item: Comments: (please identify as appropriate) : 1.1 Vessels name 1.2 Vessels previous name(s) 1.3 Official No. 1.4 IMO No. 1.5 Call Sign 1.6 Vessel/Class/Cargo 1.7 Vessel flag/Port of Registry 1.8 Year/where built 1.9 Owner/Operator 1.1 Size (Grt) 0 1.1 Main Eng. Type and 1 (kw) 1.1 Classification Society 2 1.1 P & I Club 3 Phone: Fax: 1.1 Vessel Contact E- Mail: MMSI No.: 4 Details

SECTION 2: Crew Details Ref Item: : 2.1 Crew compliment (refer to Section No.3) 2.2 Tours of duty 2.3 Rates of pay required including bonuses, overtime and any special payments (i.e. ITF/National Union/other) 2.4 Terms and Conditions of Employment & where

Comments: (please identify as appropriate)

SERVICE PERSONNEL FORM

Quality Management System
ISO 9001:2008

AARHUS-SPF012 Rev. 0008/31/2011

2.5 2.6 2.7 2.8 2.9

Contract of Employment is to be established (jurisdiction) onshore or offshore Union Agreements / Name of Union (if applicable) Vessel trading area Nominated port of engagement/ disengagement Company specific training requirements ITF blue card requirements (is Company an IMEC member)

Please attach Training Matrix for Officers and Ratings for our guidance

SECTION 3: Crew compliment (identify as appropriate) Rank No. Nationality (preferred/optional) Master Chief Officer 2nd Officer 3rd Officer Chief Engineer 1st Engineer 2nd Engineer 3rd Engineer 4th Engineer Senior Electrical Officer Electrical Officer Deck Cadet/DeckTrainee Engine Cadet/Engine Trainee Bosun Fitter Pumpman AB OS Oiler Wiper GP1 GP2 Chief Cook Messman 2nd Cook Steward Fireman

SERVICE PERSONNEL FORM

Quality Management System
ISO 9001:2008

AARHUS-SPF012 Rev. 0008/31/2011

Machinist Welder
Other (please insert) Other (please insert) Other (please insert)

SECTION 4: Crew Uniforms Description Cover all (Boiler Officers Suit) Crew Officer's Slack Officer's Polo Parka/Winter Jacket Trousers Marine Blue Cardigan w/ Stripes
Officers Crew Officers Crew Officers Crew Officers Crew Officers Crew

QTY

Description
T-Shirts Apron Cook's Polo Cook's Slacks Safety Shoes Others pls. specify:
Officers Cook Cook Cook

QTY
Crew

Messman Messman Messman Crew

Officers