REPUBLIC OF THE PHILIPPINES DEPARTMENT OF TRANSPORTATION MARITIME INDUSTRY AUTHORITY This Seafarer's Identification and Record Book is issued for the purpose of providing the holder, whose signature appears below, with identity papers for travel to or from an assigned vessel, and of providing a record of the holder's sea service. This is issued pursuant to Section 14, para. {k) of EO 125 and Section 12, para. (j) of EO. 125-A and conforms with the provisions of ILO Convention No. 108, the Seafarer’s National Identity Documents Convention, 1958. This book contains sixty four (64) numbered pages, exclusive of covers. Bearer'sSignature To verify, please log on to www.marina.gov.ph = ian Buck May 3, 2019 1877724 i - 1477784 : VADM NARGISO/A VINGSON JR Officer-in-Charge 1577724 Maritime industry Authority Mf ee