Allianz Middle East Ship Management LLC

LIST OF MARITIME LABOUR COMPLAINT RECORDEDVessel:

Note 1) The complaint number is to be taken from the Mritime Labour Complaint Record (Template AMS T13)

2) Very Brief information is to be recorded on the Column "Complaint in brief"

3) On the 01st Jan every year a new sheet is to be commenced.

Complaint No Date Seafarer Name and Rank

Template No:

Allianz Middle East Ship Management LLC Date:Rev No:Rev Date:

LIST OF MARITIME LABOUR COMPLAINT RECORDEDYear:

1) The complaint number is to be taken from the Mritime Labour Complaint Record (Template AMS T13)

2) Very Brief information is to be recorded on the Column "Complaint in brief"

Complaint in brief Complaint closed

By (name) By (rank)

AMS T1404.04.20150NYR

Complaint closed

on Date

2013