Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

Annex D

Republic of the Philippines


Office of the President
COMMISSION ON HIGHER EDUCATION

Department of Transportation and Communications


MARITIME INDUSTRY AUTHORITY

CERTIFICATE OF SEA SERVICE

This certifies that _____________PADRE, AARON JOSEPH T.______________ had actually served
under our Supervision onboard ___MV MEIYU__, _______BULK CARRIER_____
(Name of Vessel) (Type of Vessel)
of ____PANAMA__________ with Registry no. __9854583___, ____SEA-GOING_____ vessel
(Vessel Nationality) (Near Coastal/Sea-going)
of ___________6,910______________ KW and _____35,679_____ Gross Tonnage for a period of

from ___0_____11_____14___ ______MAY 18, 2023_____ to ________MAY 1, 2024__________


(No. of Years)(Months)(Days) (Date of Embarkation) (Date of Discharge)
as _____ENGINE CADET_____.
(Position Held)

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

Issued this ______1ST_______ day of _____MAY_____ at FUJIAN HUADONG, SHIPYARD CHINA.

SEAL OF VESSEL

_____________________________
Master – Signature above Printed Name
Nationality : __________________
Kind of License : __________________
Registration Number : __________________
Date of Registration : __________________
Expiry Date : __________________

Note:

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

You might also like