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    Marina Annex e

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    Rhalf Bendal
    Republic of the Philippines Office of the President COMMISSION ON HIGHER EDUCATION Department of Transportation and Communications MARITIME INDUSTRY AUTHORITY CERTIFICATE OF SEA SERVICE MARINA ANNEX E

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    © All Rights Reserved
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    Marina Annex e

    Uploaded by

    Rhalf Bendal
    2K views1 page
    Republic of the Philippines Office of the President COMMISSION ON HIGHER EDUCATION Department of Transportation and Communications MARITIME INDUSTRY AUTHORITY CERTIFICATE OF SEA SERVICE MARINA ANNEX E

    Original Title

    MARINA ANNEX E

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    © © All Rights Reserved

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    Republic of the Philippines Office of the President COMMISSION ON HIGHER EDUCATION Department of Transportation and Communications MARITIME INDUSTRY AUTHORITY CERTIFICATE OF SEA SERVICE MARINA ANNEX E

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views1 page

    Marina Annex e

    Uploaded by

    Rhalf Bendal
    Republic of the Philippines Office of the President COMMISSION ON HIGHER EDUCATION Department of Transportation and Communications MARITIME INDUSTRY AUTHORITY CERTIFICATE OF SEA SERVICE MARINA ANNEX E

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Annex E

    Republic of the Philippines


    Office of the President
    COMMISSION ON HIGHER EDUCATION

    Department of Transportation and Communications


    MARITIME INDUSTRY AUTHORITY

    CERTIFICATE OF SEA SERVICE

    Sir / Madam:

    This is to certify that ________________________________ holder of his SIRB No. _________ has
    been employed by this company with the following sea going service/s:
    Name of Type Route Gross KW Registry Period Covered Position Total Sea
    Vessel (Foreign / Tonnag Power From To / Rank service
    Domestic) e Y/M/D Y/M/D Y-M-D

    This further certifies that the above-stated data are true and that any false statement/s made
    herein shall be ground for criminal prosecution.

    Issued this ____________________ day of __________________ at ________________________.

    ______________________________ COMPANY SEAL


    President / Duly Authorized Person
    Signature above Printed Name

    SUBSCRIBED AND SWORN to before me this _______ day of ________________, 20______,


    At __________________________________.

    Doc No. : ____________


    Page No. : ____________
    Book No. : ____________ ____________________________
    Series of : ____________ Notary Public

    Note:

    This form is good for (1) vessel. This form can be reproduced. Any erasure / obliteration may be a ground for denial.

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