Vessel/Division: ____________________ Place/Port: ______________________

Dept. : _____________________________ Date: ___________________________

This form shall be completed when take the Reviewing to Contract/Agreement, and shall be kept in file for a appointed period.

Name of Contract/Agreement:

Review results:

Any correction (if any):

Person in charge:

Note: To be completed every contract and filed in office's file.

To retain for 3 years.

Issue date: 03.11.2003/Rev. 00 PBO-SD06-F01 Page: 1/1

REVIEWING RECORDS TO CONTRACT AND AGREEMENT

QSMS PBO-SD06-F01 Rev. No.00

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