ETO AHMED Crew Appraisal Form Rev 01

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CREW APPRAISAL FORM

RAWABI VALLIANZ OFFSHORE SERVICES CO.LTD.


CONFIDENTIAL WHEN FILLED
Vessel: Date: 13/11/2023
DD/MM/YY
Name HAMDY MOHAMED AHMED
Family Name First Name
Rank: ETO
Embarked: 12/07/2023 Disembarked: STILL ONBOARD
DD/MM/YY DD/MM/YY
Reason for Disembarking
End of Contract Compassionate Leave Resigned

Sick / Injured Dismissed

A. Performance
Above Below
Item Excellent Satisfactory Unsatisfactory
Average Average
Professional knowledge and execution of key tasks

Responsibility

Safety Consciousness

Initiative and showing willingness to improve

English Language

Socialising, liaison and cooperation with shore / crew


B. Recommendations
1. If his marks are below average, do you think he will be able to improve?
Definitely Needs More Doubtful Shows No Interest

Area of Improvement:

2. Recommendations for Continued Service / Re-hire


Yes No

3. Recommendations for Promotion – Refer to Item 4 Below


Yes No

4. Any specific good qualities or performances you would like to emphasize?

5. Specific Training Recommended by Evaluator

6. Specific Traning Requested by Seafarer

Fleet & Technical Manager: Signature: Date:

Port Captain: Signature: Date:

Port Engineer: Signature: Date:

Designated Person Ashore: Signature: Date:

Comment:
He has Very good knowledge and showing good skills,Hard working during
his duty, Cooperate with Engine Team and other Crew Members Very
Good Asset for Company

C/E TRI AGUS YUNIANTO


Name of Evaluator Signature of Evaluator Signature – Evaluated Individual

SOPM FORM 03(D) Revision: 01 Page 1 of 2


CREW APPRAISAL FORM

RAWABI VALLIANZ OFFSHORE SERVICES CO.LTD.

Name & Signature of Crewing Manager

SOPM FORM 03(D) Revision: 01 Page 2 of 2

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