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    Seafarers' Emergency Fund Application

    Uploaded by

    Norman Ofqueria
    This document is an application form for financial assistance from the Seafarers' Emergency Fund. It requests information such as the applying organization, contact details, the seafarer or family member in need, an explanation of the situation and need, how the need can be addressed, the full cost, other sources contacted, the amount requested and how it will be used. The applicant must confirm they have explored other sources of funding, that the application is for a seafarer or family, and that they understand the application terms and conditions.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Seafarers' Emergency Fund Application

    Uploaded by

    Norman Ofqueria
    26 views3 pages
    This document is an application form for financial assistance from the Seafarers' Emergency Fund. It requests information such as the applying organization, contact details, the seafarer or family member in need, an explanation of the situation and need, how the need can be addressed, the full cost, other sources contacted, the amount requested and how it will be used. The applicant must confirm they have explored other sources of funding, that the application is for a seafarer or family, and that they understand the application terms and conditions.

    Original Description:

    Original Title

    11b-SEF-Application-form

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    This document is an application form for financial assistance from the Seafarers' Emergency Fund. It requests information such as the applying organization, contact details, the seafarer or family member in need, an explanation of the situation and need, how the need can be addressed, the full cost, other sources contacted, the amount requested and how it will be used. The applicant must confirm they have explored other sources of funding, that the application is for a seafarer or family, and that they understand the application terms and conditions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    26 views3 pages

    Seafarers' Emergency Fund Application

    Uploaded by

    Norman Ofqueria
    This document is an application form for financial assistance from the Seafarers' Emergency Fund. It requests information such as the applying organization, contact details, the seafarer or family member in need, an explanation of the situation and need, how the need can be addressed, the full cost, other sources contacted, the amount requested and how it will be used. The applicant must confirm they have explored other sources of funding, that the application is for a seafarer or family, and that they understand the application terms and conditions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    1

    SEAFARERS’ EMERGENCY FUND APPLICATION


    Before completing this application form please read the “How to apply” and “Grant terms” documents
    which are on the ISWAN website at www.seafarerswelfare.org under the “Relief Funds” tab. Please
    also read our Data Protection Policy which is on the above website.

    1 APPLYING ORGANISATION
    Organisation Name:
    Address:
    Country:
    Contact person:
    Email:
    Telephone number:

    2 APPLYING ON BEHALF OF
    Given name Family name Rank Date of Nationality
    Birth

    3 A SHORT EXPLANATION OF THE SITUATION


    Notes:
    i) Provide a short explanation of the situation/need including how and when it came about.
    ii) You must confirm that the person(s) involved is (are) working seafarer(s) or the immediate family
    member(s) of a working seafarer. In which case explain the relationship and give full details of the
    seafarer in the section (2) above.
    iii) If a ship is involved please provide its IMO number, full name, the Country in which it is
    registered, and the type of vessel.
    iv) The explanation of the situation should be no more than one page of A4.

    05/04/2018
    2

    4 A SHORT EXPLANATION OF HOW THE NEED CAN BE MET


    Notes:
    i) Explain how the need can be met i.e. by counselling, medical procedure, or the purchase of
    transportation etc.
    ii) This explanation should be no more than one page.

    5 THE FULL MONETARY COST OF MEETING THE NEED


    Notes:
    i) A short explanation of the full cost of meeting the need broken down into appropriate headings.
    ii) This explanation should be no more than one page of A4.

    6 LIST THE LEGALLY RESPONSIBLE, AND OTHERS, YOU HAVE CONTACTED TO MEET THIS NEED
    Note:
    i) By legally responsible we mean Flag state, Port state, Owner, Crewing agency etc.
    ii) See the “STATEMENT” below, item 8 i).
    1
    2
    3
    4

    7 THE AMOUNT OF SEAFARER EMERGENCY FUND GRANT REQUESTED AND HOW IT IS TO BE USED
    Notes:
    i) No administration fees or any other form of payment may be taken by the applying organization,
    or any other organization, involved in the receipt of a SEF grant.
    ii) No monies from the SEF grant can be given directly to a seafarer or member of their family. The
    Applying Organization must provide/purchase the goods/services that will benefit the seafarer.
    iii) Please state the grant requested in US Dollars. When it comes to payment grants can be paid
    quickest in GB Pounds followed by US Dollars. If you want the grant paid in a different currency state
    which. We will try to meet this request but it is not always possible and it will take longer.
    Amount requested: Currency grant to be paid in:

    05/04/2018
    3

    8 STATEMENT: I confirm that:


    i) I am reasonably certain that alternative funding is not readily available locally or from other legally
    responsible parties such as the ship owners, employment agencies, flag states or similar resources.
    ii) This application is for a seafarer(s) or an immediate member of their family.
    iii) I have read and understood both the “How to apply” and the “Terms and Conditions” documents
    that are on the ISWAN website at www.seafarerswelfare.org
    Print Name: Date:
    Position:

    05/04/2018

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