Marine Orders - Part 53: Employment of Crews, Issue 1 (Order No. 2 of 1993)
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Marine Orders - Part 53: Employment of Crews, Issue 1 (Order No. 2 of 1993)
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FORM 4—ACCOUNT OF WAGES
Name of Ship ______________________________________________________
Name of Seafarer ______________________________________________________
Reference No. in agreement ______________________________________________________
Rating ______________________________________________________
Statement of earnings
Wages
Date wages began _________________________
Date wages ceased _________________________
_____ weeks week ________
_____ months at $ per month
_____ days at $ per day ________ ________
_____ weeks week ________ ________
_____ months at $ per month
_____ days at $ per day ________ ________
Other earnings ________
Total earnings ________
Statement of deductions $
Allotments ________
Payments
| Date | Port | Tax deduction | Amount ofpayment | Total ($) |
|---|---|---|---|---|
Total deductions ________
Reconciliation $
Total earnings ________
Total deductions ________
Balance ________
Tax payable on balance ________
Amount payable on discharge ________
The above statement is a correct account of earnings and deductions of the above-named seafarer.
Date ________________________
________________________________ ____________________________________
(Signature of Master) (Signature of Seafarer)