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* 1. Name of port:

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* 2. Your name:

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* 3. Your job title:

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* 4. Does your port have a Port Welfare Committee (for seafarers)?

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* 5. Is there a National Welfare Board (for seafarers) in the country?

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* 6. Does your port have a seafarer welfare levy (i.e. are visiting ships asked to pay a small fee that goes towards supporting the welfare of seafarers?)

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