SEA SERVICE TESTIMONIAL

FOR DECK OFFICER

This form should be used when a deck officer leaves a ship and shall be submitted with any application for a Certificate
of Competency.

Name of Company KISM MYANMAR CO., LTD

NO.222/2,GROUND FLOOR, DAUNG MIN STREET, 14TH QUARTER,
Company Address
SOUTH OAKKALAPA T/S, YANGON
Contact Details U YAN NAING WIN
kismmyanmar@gmail
Tel: 09445027284 Fax: Email:
.com

PART 1- WATCHKEEPING SERVICE

This is to certify that: Full name of Officer : VIJAY
Date of Birth : 24 Aug, 1972
SIRB Number : 48641
has served on: Name of Vessel: :

IMO No. :

Type of Vessel: Gross Tonnage:

Date: From To
During this period the above-named deck officer was in (full)* / (effective)* charge of a navigation watch,
under my command, for not less than 8 hours out of every 24 hours whilst the vessel was engaged on
international*/near-coastal* voyage(s) except as stated below.
Watches were not double at any time during voyage.*
Bridge watches were doubled during the following period and at no other times.*
................................................................... ...................................................................................
................................................................... ...................................................................................
During these periods he/she has served as the Senior*/ Junior* of two Bridge Watch Keeping Officers.
Total bridge watchkeeping service: ( ) months, and ( ) days
Total seagoing service: ( ) months, and ( ) days
PART 2- TESTIMONIAL
My report on the service of the above-named deck officer, during the period of engagement stated, is as
follows:
Rank :
Non Tanker* / Oil Tanker* / Chemical Tanker* / liquefied Gas Tanker* /
Certain Type of Vessel : Ship subject to the IGF Code*

Absent : no leave of absence / leave of absence (from ………………… to ………………………)

PART 3 - OFFICIAL ENDORSEMENT

Name of Master (block letters): Signature of Master
..................................................................... ..........................................
Certificate No. Ship's Stamp Date:

*Delete as appropriate
Only in an exceptional circumstance this testimonial may be signed by an authorized person of the Company.

Reg. No.

NDSRPS/PVN/290-A027062
 SEA SERVICE TESTIMONIAL
FOR DECK OFFICER
This form should be used when a deck officer leaves a ship and shall be submitted with any application for a Certificate
of Competency.

Name of Company KISM MYANMAR CO., LTD

NO.222/2,GROUND FLOOR, DAUNG MIN STREET, 14TH QUARTER,
Company Address
SOUTH OAKKALAPA T/S, YANGON
Contact Details U YAN NAING WIN
kismmyanmar@gmail
Tel: 09445027284 Fax: Email:
.com

PART 1- WATCHKEEPING SERVICE

This is to certify that: Full name of Officer : VIJAY
Date of Birth : 24 Aug, 1972
SIRB Number : 48641
has served on: Name of Vessel: :

IMO No. :

Type of Vessel: Gross Tonnage:

Date: From To
During this period the above-named deck officer was in (full)* / (effective)* charge of a navigation watch,
under my command, for not less than 8 hours out of every 24 hours whilst the vessel was engaged on
international*/near-coastal* voyage(s) except as stated below.
Watches were not double at any time during voyage.*
Bridge watches were doubled during the following period and at no other times.*
................................................................... ...................................................................................
................................................................... ...................................................................................
During these periods he/she has served as the Senior*/ Junior* of two Bridge Watch Keeping Officers.
Total bridge watchkeeping service: ( ) months, and ( ) days
Total seagoing service: ( ) months, and ( ) days
PART 2- TESTIMONIAL
My report on the service of the above-named deck officer, during the period of engagement stated, is as
follows:
Rank :
Non Tanker* / Oil Tanker* / Chemical Tanker* / liquefied Gas Tanker* /
Certain Type of Vessel : Ship subject to the IGF Code*

Absent : no leave of absence / leave of absence (from ………………… to ………………………)

PART 3 - OFFICIAL ENDORSEMENT

Name of Master (block letters): Signature of Master
..................................................................... ..........................................
Certificate No. Ship's Stamp Date:

*Delete as appropriate
Only in an exceptional circumstance this testimonial may be signed by an authorized person of the Company.

Reg. No.

NDSRPS/PVN/290-A027062