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NAME :
DATE OF BIRTH :
MARITAL STATUS :
NEXT OF KIN NAME :
CONTACTS :
ADDRESS :
RANK :
PLACE OF BIRTH :
RELATIONSHIP :
     
Seaman Book Naumber :
Passport Number :
COC Number :
Seaman Bk Issue :
Passport Issue :
COC Grade :
Passport Expiry :
COC Expiry :
     
    Expiry
Basic Sea Training :
Tanker Familiarization :
Efficient Deck Hand :
Rating Watch Keep - Nav :
EYE Test :
Rating Watch Keep - Eng :
FITTER Cert :
COLERA :
YFEVER :
STCW Medical :
Medical First Aid :
E.E.R :
    Expiry
Advance Fire Fighting :
Proficiency in SC RB :
Advance Chem Tanker :
Advance Oil Tanker :
Advance Gas Tanker :
AUTOMATION :
    Expiry
Advance Medical Care :
G.O.C :
G.O.C - Endorsement :
RADAR Observer :
ARPA simulator :
B.T.M :
Ship Handling :
H.C.T :
E.C.D.I.S :
Ship Security Officer :
B.R.M :
Ship Safety Officer :
     
Vessel (From)
Sign-on
Date 		(To)
Sign-off
Date		 Rank Type of Vessel GRT BHP Owner
               
               
               

 
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