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PRC-MDO Form No.

5 NOT FOR SALE


Rev. 01/11-04-2000
TO THE BOARD OF MARINE DECK OFFICERS:
THIS CERTIFIES that had actually served under our
supervision on board , of
with Registry No. a vessel of gross tonnage
for a period of from to
(Months) (Days) (Date of Embarkation)
as
This certifies further that the above-stated data are all true and that any false statement/s made
therein shall be a ground for criminal prosecution.
Issued this______day of________________2010 at ________________.
Master- Signature Above Printed Name
Nationality :
Name and Signature of Port Captain/ Personnel Mgr Kind of License :
Registration No. :
Date of Registration :
Name of Local Shipowner or Manning Agent Expiry Date :
Address:
Telephone Nos.
JOHN R. JAROMAHUM
Mr. Marlon P. Trinidad / Fleet Head
Magsaysay Maritime Corporation
Antonio Bldg., 520 T.M. Kalaw
Ermita, Manila
(Date of Discharge)
(Type of Vessel)
(No. of Years)
387775
526-8888/526-9692/5269724
(Name of Vessel) (State the Nationality of Vessel)
27735
(Near Coastal/Seagoing)
4-Feb-99 26-Oct-99
SEAL OF COMPANY
22
SEA GOING
CERTIFICATE OF SEA SERVICE
8
(All statements herein are subject to verification)
Republic of the Philippines
PROFESSIONAL REGULATION COMMISION
Cagayan de Oro City
BOARD OF MARINE DECK OFFICERS
3rd Mate
(Position Held)
SEAL OF VESSEL
BULK CARRIER SINGAPORE MV STAR DRIVANGER
SUBSCRIBED AND SWORN TO before me this_________day of _________________,2010,
at _______________________.
Doc. No. :__________
Page No. :__________
Book No. :__________
Series of :__________
Note: This form is good only for (1) Vessel. This form can be reproduced. Any erasure/
obliteration may be a ground for denial.
NOTARY PUBLIC
NOT FOR SALE
had actually served under our
gross tonnage
(Date of Discharge)
(State the Nationality of Vessel)
26-Oct-99
CERTIFICATE OF SEA SERVICE
(All statements herein are subject to verification)
Republic of the Philippines
PROFESSIONAL REGULATION COMMISION
Cagayan de Oro City
BOARD OF MARINE DECK OFFICERS
SEAL OF VESSEL
SINGAPORE
PRC-MDO Form No. 5 NOT FOR SALE
Rev. 01/11-04-2000
TO THE BOARD OF MARINE DECK OFFICERS:
THIS CERTIFIES that had actually served under our
supervision on board , of
with Registry No. a vessel of gross tonnage
for a period of from to
(Months) (Days) (Date of Embarkation)
as
This certifies further that the above-stated data are all true and that any false statement/s made
therein shall be a ground for criminal prosecution.
Issued this______day of________________2010 at ________________.
Master- Signature Above Printed Name
Nationality :
Name and Signature of Port Captain/ Personnel Mgr Kind of License :
Registration No. :
Date of Registration :
Name of Local Shipowner or Manning Agent Expiry Date :
Address:
Telephone Nos.
CERTIFICATE OF SEA SERVICE
Republic of the Philippines
PROFESSIONAL REGULATION COMMISION
Cagayan de Oro City
BOARD OF MARINE DECK OFFICERS
Mr. Marlon P. Trinidad / Fleet Head
(Name of Vessel) (Type of Vessel) (State the Nationality of Vessel)
(All statements herein are subject to verification)
JOHN R. JAROMAHUM
MV STAR DROTTANGER BULK CARRIER SINGAPORE
27735
526-8888/526-9692/5269724
(No. of Years) (Date of Discharge)
3rd Mate
(Position Held)
SEAL OF VESSEL
SEAL OF COMPANY
Ermita, Manila
Magsaysay Maritime Corporation
Antonio Bldg., 520 T.M. Kalaw
25-Sep-00
387776 SEA GOING
(Near Coastal/Seagoing)
7 20 5-Feb-00
SUBSCRIBED AND SWORN TO before me this_________day of _________________,2010,
at _______________________.
Doc. No. :__________
Page No. :__________
Book No. :__________
Series of :__________
Note: This form is good only for (1) Vessel. This form can be reproduced. Any erasure/
obliteration may be a ground for denial.
NOTARY PUBLIC
NOT FOR SALE
had actually served under our
gross tonnage
CERTIFICATE OF SEA SERVICE
Republic of the Philippines
PROFESSIONAL REGULATION COMMISION
Cagayan de Oro City
BOARD OF MARINE DECK OFFICERS
(State the Nationality of Vessel)
(All statements herein are subject to verification)
SINGAPORE
(Date of Discharge)
SEAL OF VESSEL
25-Sep-00
PRC-MDO Form No. 5 NOT FOR SALE
Rev. 01/11-04-2000
TO THE BOARD OF MARINE DECK OFFICERS:
THIS CERTIFIES that had actually served under our
supervision on board , of
with Registry No. a vessel of gross tonnage
for a period of from to
(Months) (Days) (Date of Embarkation)
as
This certifies further that the above-stated data are all true and that any false statement/s made
therein shall be a ground for criminal prosecution.
Issued this______day of________________2010 at ________________.
Master- Signature Above Printed Name
Nationality :
Name and Signature of Port Captain/ Personnel Mgr Kind of License :
Registration No. :
Date of Registration :
Name of Local Shipowner or Manning Agent Expiry Date :
Address:
Telephone Nos.
SUBSCRIBED AND SWORN TO before me this_________day of _________________,2010,
at _______________________.
Doc. No. :__________
Page No. :__________
Book No. :__________
Series of :__________
Note: This form is good only for (1) Vessel. This form can be reproduced. Any erasure/
obliteration may be a ground for denial.
CERTIFICATE OF SEA SERVICE
Republic of the Philippines
PROFESSIONAL REGULATION COMMISION
Cagayan de Oro City
BOARD OF MARINE DECK OFFICERS
(Name of Vessel) (Type of Vessel) (State the Nationality of Vessel)
(All statements herein are subject to verification)
NOTARY PUBLIC
(No. of Years) (Date of Discharge)
(Position Held)
SEAL OF VESSEL
SEAL OF COMPANY
(Near Coastal/Seagoing)
NOT FOR SALE
had actually served under our
gross tonnage
CERTIFICATE OF SEA SERVICE
Republic of the Philippines
PROFESSIONAL REGULATION COMMISION
Cagayan de Oro City
BOARD OF MARINE DECK OFFICERS
(State the Nationality of Vessel)
(All statements herein are subject to verification)
(Date of Discharge)
SEAL OF VESSEL

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