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Expired Date:   
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             Seamen's Book Details
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             Education Summary Please list your area of study.
Education: Board / University / Institute Passing Year:
SSC:
HSC:
Degree:
Pre Sea Trainging:
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             Course Details: Please list your area of study.
   
     
     
     
 
             Sea Experience Please list your area of experience.
No Rank Company Name Vessel Type Tonnage Main Engine Engine (BHP) Sign On Sign Off
1.  
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4.
5.    
 
  Experience Details Total Sea Exp.
Rank:
Rank:
Rank:
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Hereby affirm that all this information provided by me in this application is true and correct to the best of my knowledge and belief; further, that no certificate of competency or licence issued to me has ever been revoked or suspended. I also certify that my medical history contained above is true and any false statement or undisclosed material information about past illness or injury will disqualify me from any employment benefits and claims.


             
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