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OFFICE FORMS MANUAL Office Crew Forms

OC-003 D&A Policy Declaration Form


Issue 2 Revision 0 Date: 30-06-2023 Page 1 of 1
File: To remain in office file Frequency: When needed

D&A POLICY DECLARATION FORM

NAME: JOHN CARLO G. AROMIN RANK: ABLE SEAMAN

VESSEL TO JOIN: MV AGIOS NEKTARIOS DATE: JUNE 14, 2024

1. It is hereby confirmed that I have been informed that in accordance with International
Requirements, the Managers of the above-named vessel have established and are strictly
enforcing onboard a “DRUG & ALCOHOL POLICY” the main points of which are as follows:

a. Pre-employment screening.

b. Prohibition of drugs onboard.

c. Controlled distribution and consumption of alcohol on board.

d. The Company has banned the possession, distribution, and consumption of all alcoholic
drinks (spirits) on board managed Vessels, other than those distributed by the Master.

e. The only Alcoholic drinks allowed on board are those kept by the Master for courtesy
purposes and are not to be consumed by any seafarer on board. However, two cans of beer
per week may be distributed to crew which are served opened during meals

2. It is understood that the “DRUGS & ALCOHOL POLICY” is aiming to:

a. Protect the safety, health and wellbeing of the individual seafarer and the crew.

b. Protect the safety of the vessel, the public and the environment.

c. Support the principle that Officers, and ratings should not be impaired when performing
scheduled duties.

d. Ensure that all crew members will be able to respond at any time to an emergency.

3. It is furthermore understood that the implementation of this “DRUG & ALCOHOL POLICY” is
mandatory. Breach of the Policy will result in the immediate termination of my employment
contract, reporting to the competent Authorities, and my disembarkation for that matter to my
expense and without compensation.

SIGNATURE:

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