CEYLON SHIPPING CORPORATION LTD.

REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
PERSONAL TRAINING RECORD CCF 002 APPROVED : TM

Ref. No.: _____________________________________

NAME : _____________________________________ C.D.C. : _______________ PASSPORT : __________

DATE JOINED: ________________PLACE OF JOINING: _________________ VESSEL: _______________

DESIGNATION: _________________________________ DEPT.: ___________________________________

QUALIFICATIONS: ________________________________________________________________________

__________________________________________________________________________________________

Date Subject / Course Title Training Period Signature Signature of

of Trainer Employee

Remarks (if any): ___________________________________________________________________________

__________________________________________________________________________________________

Approved by: ____________________________ Signature: ___________________ Date: _______________

(Master/Chief Engineer)

Original: DPA
Copy: Retained on Board.