Marine Orders - Part 53: Employment of Crews, Issue 1 (Order No. 2 of 1993)
FORM 5—ACCOUNT OF WAGES OF SEAFARER LEFTFORM 5—ACCOUNT OF WAGES OF SEAFARER LEFT ON SHORE
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FORM 5—ACCOUNT OF WAGES OF SEAFARER LEFT ON SHORE
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 ________
Balance due to Seafarer ________
Dated this __________________________ day of ______________________________ , 19 ______
___________________________________
(Signature of Master)