RPSL NO VALIDITY Annexure - I
Original / Photocopy *Copy No
RPSL - MUM - 002 2-Mar-13
ARTICLES OF AGREEMENT FOR EMPLOYMENT OF SEAFARERS (Please fill up in capital letters in black ballpoint or by computer) Online Submission No: between ship owners/ ship owners agent and seafarer as detailed Dated This agreement is made below in accordance with collective bargaining agreement-sector wise, indicated below and M.S. Act 1958,(as amendment) & regulation 2.1 of Maritime Labour Convention 2006, & as per terms and conditions stated Applicable recognized Collective Bargaining Agreement I. 1. NMB (INDIA):. Details of Ship owner II. 1. Name 2. Telephone / Fax no.: DIRECTORATE OF SHIPPING SERVICES 03192 230480 / 03192-230480 2.INSA-MUI: 3. Others:. 4.Postal address & e-mail: ANDAMAN NICOBAR ADMINISTRATION PORT BLAIR - 744 101 E-mail:[email protected] 4.Postal address & e-mail: NO.15, VALLIAMMAL ROAD, VEPERY CHENNAI 600 007 E-mail:Note : i) Tick applicable CBA ii) specify CBA details for others .iii) Also refer clause: 6 of terms & conditions .
3. Contact person CAPT RAJINDRA KUMAR Details of Ship owners/ Agent 1. Name ABS MARINE SERVICES PVT LTD RPSL/MUM/002 Valid Till 14-Feb-14 III 2.RPSL no 3. Telephone / Fax no 91-44-42914141 / 91-44-42914145 4. Contact person Details of ship: (Place of work) MV RANI LAKSHMI 1.Name: IV 2. Port Of Registry MUMBAI Details of seafarers: 1 Name: 2 Nationality 3 Date & place of birth: 4.INDOS No: 6.CDC No: Place of issue: Issue Date: 8.Next of Kin (NOK): Name: V Relationship: e-mail: Tel.No: 9.Details of competency certificates: COC grade / no: Place of issue: Date of issue: Limitations (if any): 11.Details of Medical certificate: Issuing Authority: Details of employment: 1.Capacity/Rank employed: 2.Engagement Period:
3.Paid Annual leave/Month
J VENKATESH
[email protected]
429 2 x 662 14 8. Trade & Area Of Operation
3. Offical No 2955 6. GT 4. IMO 9214434 7. Power (KW/BHP) 5. Crew Including Master
IN & ARROUND A & N WATERS
5.Communication Details: Postal Address
e-mail Tel. No 7.Passport No:
Expiry Date:
Mobile No Place of issue:
Issue Date: Expiry Date:
8 a. NOKs Postal Address:
Mobile No: 10. Details of special ship type endorsement (if Applicable):
Type of endorsement: Level / Certificate no: Date of Expiry:
Place of issue: Date of issue: Date of expiry:
Approval No:
Issue Date:
Expiry Date:
7.Monthly Allotment Availed (Yes/No): If Yes fill the following
4.Hours of Rest
5.Amount of monthly basic wages RS
Months Days Hours
Min of 2.5 Days Min 77hrs pw
and
Allotment Amount in Rs.: No of Months: Name of Beneficiary Relationship: Address:
Emoluments as applicable 6.Rate of monthly PF: VI
VI
8. Rate of monthly gratuity 9.Total PF contribution due at the time of sign off 10.Total Gratuity (SWFS) due at the time of sign off: 11.Reasons for sign off: 12.Means of payment of wages at the time of sign off By Bank transfer By DD 13. Repartsation Details: i) On expiry of contract: ii)On medical grounds: iii)Others (See note7) Additional term & condition of Employment (where applicable)
Phone No: Mobile No: Paid off on Date: Place: By Cash
VII
(Any additional Employment Condition shall be not be less than that provided in the recognized CBA)
VIII IX
Confirmation of the Agreement by the seafarer.
I confirm that I have freely entered this agreement with sufficient understanding of my rights and Responsibilities, and I have been given an opportunity to
Confirmation of the ship owner or ship owners agent I confirm that the seafarer has been informed of their rights and duties under this agreement prior to or in the Process of the seafarers Signature: 1.Signature with date & stamp of shipowner / shipowners agent: 2.Signature for seafarer with date: 1 Signed On ashore 2 Signed off ashore 1 Signed - on ashore 2.Signed - on ship
Place: Date: 3 Signed - off ship
Place: Date: 4.Signed - off ashore
Place: Place: Place: Date: Date: Date: 5.Remarks (if any) with signature & date by ship owner / ship owner agent / shipping master/:
Place: Date:
UM - 002
/5
gaining agreement-sector and conditions stated
MV BAMBOOKA MV BARATANG MV CHOULDARI MV SHOMPEN MV HUTBAY MV JOLLY BUOY MV KAMORTA MV KATCHAL MV LONG ISLAND MV ONGE MV PILOMILLOW MV RANGAT MV STRAIT ISLAND MV WANDOOR MV NORTH PASSAGE MV RANI CHANGA MV RANI LAKSHMI
MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI
smarine.com
de & Area Of Operation
ROUND A & N WATERS
pplicable):
Expiry Date:
he following
ven an opportunity to
ess of the seafarers
- on ship
- off ashore
2913 2911 2919 2906 2914 2915 2904 2907 2905 2908 2909 2917 2910 2916 2912 2956 2955
449 449 449 421 449 449 430 427 430 427 427 449 449 449 449 429 429
9219226 9219159 9219161 8985373 9219202 9219185 8985385 9266683 8985397 9266669 9266671 9219147 9219214 9219197 9219238 9214446 9214434
2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662
14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14
MV BAMBOOKA MV BARATANG MV CHOULDARI MV SHOMPEN MV HUTBAY MV JOLLY BUOY MV KAMORTA MV KATCHAL MV LONG ISLAND MV ONGE MV PILOMILLOW MV RANGAT MV STRAIT ISLAND MV WANDOOR MV NORTH PASSAGE MV RANI CHANGA MV RANI LAKSHMI
MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI MUMBAI
2913 2911 2919 2906 2914 2915 2904 2907 2905 2908 2909 2917 2910 2916 2912 2956 2955
449 449 449 421 449 449 430 427 430 427 427 449 449 449 449 429 429
9219226 9219159 9219161 8985373 9219202 9219185 8985385 9266683 8985397 9266669 9266671 9219147 9219214 9219197 9219238 9214446 9214434
2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662 2 x 662
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
