Ch.: 6.

1
RESOURCES AND PERSONNEL (CREW) Rev: 1
Date: 28 Feb’ 24
POLICY ACCEPTANCE, LIABILITY CLAUSE AND
C 005 Page: 1 of 4
RESPONSIBILITIES ACKNOWLEDGEMENT

SHIP: DATE:

I, , employed by the Company to

serve on board the ship as hereby declare that:
1. I have completed familiarization with Company’s SMS and policies which I have understood and with which I
will fully comply. I am aware that Company’s policies result in the continuous improvement in terms of safety,
security, health, quality and protection of the environment and I confirm my intention to work towards this
direction. I have also been briefed, have understood and fully accept the Company’s Code of Ethics.
2. I authorize any doctor, nurse, qualified medical technician, clinic, laboratory or medical facility appointed by
the Company, to collect blood, urine or breath samples from me for alcohol and drug screening, as required
during pre-employment and periodical examinations. This authorization is contingent on the release of the test
results if requested.
3. I authorize the release of medical information to the Company. This authorization is limited only to information
regarding results and evaluation of all alcohol and drug screening tests performed. The use of this
authorization is limited to assisting Management in making an employment or administrative decision.
4. I am aware of all my duties and responsibilities. In particular, I understand and accept to fully adopt and
implement all parts of policies/regulations related to my line of service and agree to proceed with any actions
under my responsibility to ensure that safety, security, health, quality, energy efficiency and the protection of
the environment are maintained. I am also aware of Company’s Travel Policy and Guide.
5. I am aware that the proper disposal of all oily wastes, including bilge and sludge, by the proper use of the
equipment on board ships or by discharging them ashore into appropriate reception facilities is of very high
importance. I am also aware that noncompliance with relevant SMS policies and procedures may render the
Company liable for breach of regulations and I will also be at risk of criminal prosecution, which could result in
my imprisonment. If I become aware of any problem that may lead to or allow a violation of Company’s
policies and procedures or international regulations, I shall immediately contact the DPA or the Company’s
Top Management.
6. I am aware of Company’s commitment to environmental protection which includes, but is not limited to, the
absolute and total prohibition of the use of “magic pipes” i.e., the surreptitious change to a ship’s waste-
handling equipment, which allows waste liquids to be discharged in contravention of pollution regulations.
7. I shall report immediately any use or suspicion of use of such prohibited practices (“magic pipes”) to the
Master or to the DPA or the Company’s Top Management. I am also aware that I am required and authorized
by the Company to immediately stop by any means necessary any violation, even if this is carried out by one
of my Superiors, without fearing that my career or employment may be jeopardized.
8. I am aware of the Company’s Open Reporting System and I understand that the Company’s policy prohibits
retaliation against or in any way treating adversely any subordinate, co-worker, employee or crew member for
their reporting of any safety, environmental, health or integrity violation.
9. I am aware that the Company does not provide any bonus for reducing operational, maintenance and repairs
budget for the machinery space systems, thus ensuring that employees will not sacrifice environmental
compliance in order to obtain a prescribed bonus.
10. I am aware that false entries in the Oil Record Book Part I, as well as in the Garbage Record Book and other
ship’s logs, is a violation of law and, if made by me, will result in my dismissal.
11. I have provided the Company with accurate personal information (identification card, contact details, address)
as well as with all certificates and licenses which I hold and which are genuine.
12. I will not disclose any information, photo or any other evidence regarding projects, reports, incidents or any
work carried for or on behalf of the Company, to anyone outside the employment of the Company, or anyone
 Ch.: 6.1
RESOURCES AND PERSONNEL (CREW) Rev: 1
Date: 28 Feb’ 24
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RESPONSIBILITIES ACKNOWLEDGEMENT

not involved with the aforementioned work. Furthermore, I will not divulge any information to anyone,
regarding confidential files/documents, which I may be asked to read or work on, for any work which I am
involved in.
13. I am aware of the Harassment and Bullying policy and I will refrain from any act, negative or hostile behavior
which creates feelings of unease, humiliation, embarrassment, intimidation, or discomfort to the recipient. I
shall report any harassment and bullying incident, including those affecting others, as per Company’s
reporting procedures.
14. I am aware of all potential consequences for deviating from or failing to comply with the above specified
policies and procedures.
15. I will not take any property (keys, ID cards, etc.) belonging to the Company from the ship, without first
receiving written permission to do so.
16. I will not photocopy, or copy any documents/reports/books/electronic data etc., without prior permission.
17. All items contained in my Seafarer’s Employment Agreement (SEA) have been explained to me and I am
aware of them.
18. A full sample SEA incorporating all terms and conditions to apply (including the Collective Bargaining
Agreement (CBA)) has been provided to me prior to entering into the Agreement.
19. I was given adequate time to review the SEA and seek advice on the terms and conditions contained in it.
20. I freely entered into the Agreement with a sufficient understanding of my rights and responsibilities.
21. I was given an original set of my SEA which I must carry with me on board (or a copy).
22. No fees or other charges for my recruitment or placement or for providing employment to me have incurred
directly or indirectly, in whole or in part.
23. No joining advances or any other exploitation has incurred with regard to my employment.
24. The Company’s Complaint procedure has been explained to me and I am fully aware of the process to be
followed and the record to be used.
25. The terms and conditions of employment and any particular conditions applicable to the job for which I am
engaged have been explained to me.

NAME/ PLACE SIGNATURE DATE

SIGNED
 Ch.: 6.1
RESOURCES AND PERSONNEL (CREW) Rev: 1
Date: 28 Feb’ 24
POLICY ACCEPTANCE, LIABILITY CLAUSE AND
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RESPONSIBILITIES ACKNOWLEDGEMENT

Information notice and consent form for candidate crewmembers

The Company hereby informs you about the processing of your personal data in the context of your employment
agreement, and in accordance with the provisions of Reg. (EU) 2016/679 on the protection of natural persons with
regard to the processing of personal data (henceforth “GDPR”) and on the free movement of such data, the provisions of
the applicable legislation in relation to personal data and shipping practice.

1. Data Processing and Data Retention

1.1 The Company processes your personal data collected either from you directly and/or from the Company and/or a
third party (e.g. recruiters, et. al.). More specifically, the Company processes personal, passport/ID and communication
information, banking, social security and tax data, information about your education and previous and current
employment, photo, information about your location (when you board a ship managed by the Company), your marital
status and family information, travel information, your communications with the Company, information about your next of
kin, health data (including, as the case may be, information relating to your results in psychometric tests), information
relating to background security checks, information about your entry/exit from the Company, e-mails that you send from
and receive in your corporate e-mail account, as well as any other personal data necessary in connection with the data
processing purposes described below.
1.2 The Company processes your personal data during your employment, while such processing will extend after the
completion of such employment, and to the extent required in order for the Company to comply with its legal obligations
towards the authorities and/or third parties, to comply to any applicable provisions on the obligatory data retention
periods or in order for the Company to support its claims or rights.

2. Data processing purposes

The Company processes your data in order to ensure its proper operation in accordance with its employee-related
procedures, to fulfil its manning needs, to comply with its legal and contractual obligations, to identify its employees and
to ensure the safety of its staff, of the ships it manages and of its premises and the fitness to work of its employees.

3. Third party data transfers

3.1 Your data may be made accessible to the Company’s personnel, as well as to third parties, such as the competent
authorities, local agents, travel agents, airlines and other agents employed by the Company, technical contractors,
investigators and other legal entities employed by the Company, accountants, auditors, lawyers and legal counsels
insurance providers and the P&I Club employed by the Company, as well as the latter’s correspondents, the insurance
company providing health and travel insurance to the Company’s employees (if you specifically consent thereto), IT
companies providing technical or cloud services or i-storage platforms, banks and the companies owning the ships
managed by the Company.
3.2 The Company may also transfer some or all of your data for the above purposes to persons located in third
countries, non-members of the European Economic Area (EEA). In case where such countries have not been granted
with an adequacy decision by the European Commission, any transfer shall take place under the appropriate safeguards
in accordance with the Regulation, such as Standard Contractual Clauses approved by the Commission or by the
competent national authority, or appropriate contractual clauses between the Company and the recipient of such data.

4. Your rights
You have the right to: (a) request access to your data and to information relating to the processing of your data by the
Company, (b) request corrections and/or completion of your personal data, (c) request the Company to delete your data,
(d) request the restriction of the scope of processing, the way that the Company is processing your data, as well as the
purposes for which the Company is processing them, (e) receive the personal data you provide to the Company in a
structured, commonly used and machine-readable format, transmit them to another data controller, and/or request the
Company to directly transmit them to another data controller, if technically feasible, (f) object to the processing of your
personal data, on grounds relating to your particular situation, and (g) file a complaint before the competent data
protection authority. So far as the processing relies upon your consent, you have the right to withdraw such consent at
any time. To exercise your rights, please contact the Company as illustrated below at 6.

5. Legal basis for processing and obligation to provide data

5.1 The Company processes your personal data because the processing is necessary, in order for the Company to:
 Ch.: 6.1
RESOURCES AND PERSONNEL (CREW) Rev: 1
Date: 28 Feb’ 24
POLICY ACCEPTANCE, LIABILITY CLAUSE AND
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RESPONSIBILITIES ACKNOWLEDGEMENT

(a) comply with its legal obligations, including among others obligations in the field of employment or social security law,
or general shipping law obligations,
(b) fulfil its obligations and/ or satisfy its rights deriving from your employment agreement,
(c) satisfy its legitimate interests, such as to ensure its proper operation in accordance with its employee-related
procedures, to fulfil its manning needs, to comply with its legal and contractual obligations, to identify its employees and
to ensure the safety of the ships it manages and of its premises and the fitness to work of its employees,
(d) establish, exercise or defend legal claims, and/or
(e) process your personal data pursuant to your consent.
5.2 The above processing is required by law or due to a contract executed between you and the Company. Therefore, if
you do not provide us with your data, the execution of your employment agreement may not be possible.

6. Communication
You can communicate with the Company as follows:
ALPHA GAS S.A.
GKLIATIS CHRISTOS
354, SYNGROU AVENUE, 17674 ATHENS
Tel.: +30 211 1093700
Fax: +30 211 1093910
Email: mail@alphagas-sa.com

ACKNOWLEDGEMENT OF RECEIPT - I hereby acknowledge the receipt of the above information from the
Company for the processing of my personal data
CONSENT - I hereby consent to the Company forwarding my personal data to its health and travel insurance
provider, so that I am included in the Company’s group insurance program.

PLACE SIGNATURE DATE

SIGNED