Vaccination List. 08 Nov 2016 LIBERIA. Corpus Christi, TX, U. S. A. 1 KUNZE, THOMAS Master 09/11/2015 life of person vaccinated

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1 Vaccination List Date of Arrival Name of ship LIBERIA Port of arrival La Union Last port Corpus Christi, T, U. S. A. No. Name Rank Issued date of Expiry date of YELLOW FEVER YELLOW FEVER 1 KUNZE, THOMAS 09/11/2015 life of person vaccinated 2 ROEHL, JENS Chief. Off. 13/06/2007 life of person vaccinated 3 MATZEIT, LEIF 2nd Off. 08/01/2011 life of person vaccinated 4 KREYENSCHMIDT, NIKLAS 3rd Off. 17/03/2011 life of person vaccinated 5 JANTHUR, ANDRE Chief Eng. 05/08/2010 life of person vaccinated 6 FLUDER, MARCIN ANDRZEJ 2nd Eng. 18/02/2008 life of person vaccinated 7 POHINO, ARCHIE GABIJAN 3th Eng. 19/06/2015 life of person vaccinated 8 BELYALETDINOV, RAVIL ABDULVEROVICH El.-Techn. Off. 05/09/2009 life of person vaccinated 9 VILLOSO, JAYSON DELA CRUZ Pumpman/Gas 05/11/2008 life of person vaccinated 10 ELEGIO, ULRICO CALUNGSOD Bosun 17/10/2010 life of person vaccinated 11 DAIGDIGAN, ZALDY JUALO AB1 16/06/2010 life of person vaccinated 12 GIMENO, GIMAR MARMOLEJO AB2 04/01/2016 life of person vaccinated 13 NAVARRO, GARRY LEO VITUDIO OS1 13/11/2014 life of person vaccinated 14 LILA, DARYLE JOHN MELITANTE OS2 10/10/2011 life of person vaccinated 15 LIWANAG, HERMIE BOY LEGACION Oiler 15/06/2012 life of person vaccinated 16 DAGUMAN, EUGENE SACUROM Wiper 11/03/2013 life of person vaccinated 17 PONTILLO, VENANCIO JR. SALUDO Cook 23/10/2012 life of person vaccinated 18 GALVEZ, JEREMY PANSACALA Messman 16/08/2013 life of person vaccinated 19 SYKULAK, ADAM LESZEK Electr. Cadet 20/08/2015 life of person vaccinated 20 KOZAK, JACEK ADAM Fitter 07/07/2009 life of person vaccinated 21 KLI, MARVIN Naut.Off.Ass. 22/09/2015 life of person vaccinated

2 List Page No. Arrival Departure 1 of 1 Name of ship Port of arrival Date of arrival/departure La Union, El Salvador Port arrived from LIBERIA Corpus Christi, T, U. S. A. PASSENGERS STOWAWAYS ARMS AMMUNITION ANIMALS DANGEROUS DRUGS / OPIUMS / NARCOTICS MAIL / PARCELS RADIO ACTIVE MATERIALS * * * * * * * * * * * * * * * NOTHING FOLLOWS * * * * * * * * * * * * * * * MASTER

3 Name of ship or inland navigation vessel Gross tonnage (ship) MARITIME DECLARATION OF HEALTH To be completed and submitted to the competent authorities by the masters of ships arriving from foreign ports. La Union Submitted at the port of date (Nationality)/(Flag of vessel) LIBERIA 's name 22,977 Tonnage (inland navigation vessel) Registration / IMO No Arriving from Corpus Christi, T, U. S. A. sailing to Corpus Christi, T, U. S. A. Valid Ship Sanitation Control Exemption / Control Certificate carried on board? Issued at Balboa, Panama date 12 Jun 2016 Re-inspection required? Has ship/vessel visited an affected area identified by the World Health Organization? Port and date of visit List ports of call from commencement of voyage with dates of depature, or within past thirty days, whichever is shorter: see attached Port Of Call List Upon request of the competent authority at the port of arrival, list crew members, passengers or other persons who have joined ship/vessel since international voyage began or within past thirty days, whichever is shorter, including all ports/countries visited in this period (add additional names to the attached schedule): (1) Name joined from: (1) (6) (6) (2) Name joined from: (2) (7) (7) (3) Name joined from: (3) (8) (8) (4) Name joined from: (4) (9) (9) (5) Name joined from: (5) (10) (10) Number of crew members on board 21 Number of passengers on board Health questions (1) If any person died on board during the voyage otherwise than as a result of accident? if, state particulars in attached schedule. Total.of deaths (2) Is there on board or has there been during the international voyage any case of dissease which you suspect to be of an infectious nature? If, state particulars in attached schedule. (3) (4) Has the total number of ill passengers during the voyage been greater than rmal/expected? how many ill persons? Is there any ill person on board w? If, state particulars in attached schedule. (5) Was a medical pactitioner consulted? If, state particulars of medical treatment or advise provided in attached schedule. (6) If you aware of any condition on board which may lead to infection or spread of disease? If, state particulars in attached schedule. (7) (8) (9) If any sanitary measure (e.g. guarantine, isolation, disinfection or decontamination) been applied on board? if, specify type, place and date N/A Have any stowaways been found on board? If, where did they join the ship (If kwn)? Is there a sick animal or pet on board? Not : In the absence of a surgeon,the master should regard the following symptoms as grounds for suspecting the existence of a disease of an infectious nature: (a) fever, persisting for several days or accompanied by (i) prostration; (ii) decreased consciousness; (iii) glandular swelling;(iv) jaundice; (v) cough or shortness of breath; (vi) unusual bleeding; (vii) paralysis. (b) with or without fever: (i) any acute skin rash or eruption; (ii) severe vomiting (other than sea sickness); (iii) severe diarrhoea; or (iv) recurrent convulsions. I hereby declare that the particulars and answers to the questions given in this Declaration of Health (including the schedule) are true and correct to the best of my kwledge and belief. Date Signed Countersigned N/A Ship's Surgeon (if carried)

4 ATTACHMENT OF MARITIME DECLARATION OF HEALTH Name Class or rating Port, date joined Age Sex Nationality Nature of illness ship/vessel Date of onset of symptoms Reported to a port medical officer? Disposal of case (*) Drugs medicines or other treatment given to patient Comments (*) State: (1) Whether the person recovered, is still ill or died? (2) Whether the person is still on board,was evacuated (including the name of the port or airport), or was buried at sea.?

5 PORTS OF CALL - LIST Name of ship Port of arrival Date of arrival La Union Port arrived from LIBERIA Corpus Christi, T, U. S. A. No. Voyage Port name, country Date of arrival Date of departure Activities sec. level Port sec. level Ship 12/16 Panama Canal / Cristobal, Panama 03/11/ /11/2016 Transit 1 1 Last 12/16 Corpus Christi, T, U.S.A. 28/10/ /10/2016 Loading /16 Panama Canal / Balboa, Panama 22/10/ /10/2016 Bunkers, Transit 1 1 2nd Last 11/16 La Union, El Salvador 15/10/ /10/2016 Discharging /16 Panama Canal / Cristobal, Panama 09/10/ /10/2016 Transit 1 1 3rd Last 11/16 Corpus Christi, T, U.S.A. 02/10/ /10/2016 Loading /16 Panama Canal / Balboa, Panama 26/09/ /09/2016 Transit, Bunkers 1 1 4th Last 10/16 La Union, El Salvador 20/09/ /09/2016 Discharging /16 Panama Canal / Cristobal, Panama 14/09/ /09/2016 Transit 1 1 5th Last 10/16 Corpus Christi, T, U.S.A. 06/09/ /09/2016 Loading /16 Panama Canal / Balboa, Panama 31/08/ /09/2016 Bunkers, Transit 1 1 6th Last 09/16 La Union, El Salvador 21/08/ /08/2016 Discharging /16 Panama Canal / Cristobal, Panama 18/08/ /08/2016 Transit 1 1 7th Last 09/16 Corpus Christi, T, U.S.A. 10/08/ /08/2016 Loading /16 Panama Canal / Balboa, Panama 05/08/ /08/2016 Transit, Bunkers 1 1 8th Last 08/16 La Union, El Salvador 26/07/ /08/2016 Discharging /16 Panama Canal / Cristobal, Panama 22/07/ /07/2016 Transit only 1 1 9th Last 07/16 Corpus Christi, T, U.S.A. 14/07/ /07/2016 Loading /16 Panama Canal / Balboa, Panama 08/07/ /07/2016 Bunkers, Transit th Last 07/16 La Union, El Salvador 28/06/ /07/2016 Discharging 1 1