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Quality Assurance into the

21st Century and beyond

Testimonial for Sea Service

TSM Form
No. 073

THOME
SHIP MANAGEMENT PTE LTD

Vessel

Date

Registry

Ship Type

I,

Master / Chief Engineer of the vessel

hereby certify that


vessel from

served as

do
on the above mentioned

to

Type of Vessel

Class of Vessel

Gross Tonnage

Length Overall

Engine Type

Engine Make

Engine Power Rating

Duties

Ability

Conduct

Sobriety

Remarks:

Master / Chief Engineer


Name

(Ships Stamp)

Date

CONTROLLED

Revision: 01 Jan 2014


Approved by DPA/DMR
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