EMPLOYEE WARNING LETTER

ALLIANZ MIDDLE EAST SHIP MANAGEMENT LLC

Form No: SMS/63/Rev.1 Date: 30/09/2014

Employee Information

Employee Name : Date:

Employee No.: Job Title

Name of dept. Head: Dept./Vessel:

Type of Warning

First Warning Second Written Warning Final Written Warning

Type of Offense

Tardiness / Leaving Early Absenteeism Violation of Company Policy

Substandard Work Violation of Safety Rules Rudeness to Clients/Co-workers

Others:

Details

Description of Violation:

Plan for Improvement:

Consequences of further violation:

Acknowledgement of Receipt

By signing this form, you confirmed that you understand the information in this warning. You also confirmed that you and your manager have discussed the warning and a plan for improvement. Signing this form does not necessarily indicate that you agree with the warning.

Employee Signature: Date:

Dept. head Signature: Date:

Witness Signature (If employee understands warning but refuses to sign): Date:

GM Approval (If Required) ____________________________________ Date:

EMPLOYEE WARNING LETTER

ALLIANZ MIDDLE EAST SHIP MANAGEMENT LLC

Form No: SMS/63/Rev.1 Date: 30/09/2014