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PRC-MEO Form No.

5 NOT FOR SALE


Rev. 01/11-04-2000

Republic of the Philippines


PROFESSIONAL REGULATION COMMISION
Cagayan de Oro City

BOARD OF MARINE ENGINEER OFFICERS

CERTIFICATE OF SEA SERVICE


(All statements herein are subject to verification)

TO THE BOARD OF MARINE ENGINEER OFFICERS:

THIS CERTIFIES that JOHN R. JAROMAHUM had actually served under our

supervision on board MV STAR OSHIMANA , CARGO of SINGAPORE


(Name of Vessel) (Type of Vessel) (State the Nationality of Vessel)

with Registry No. 9249295 a SEA GOING vessel of KW and gross tonnage
(Near Coastal/Seagoing)

for a period of 3 21 from 25-Aug-04 to 16-Dec-04


(No. of Years) (Months) (Days) (Date of Embarkation) (Date of Discharge)

as
(Position Held)

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 ________________.

SEAL OF COMPANY SEAL OF VESSEL

Master- Signature Above Printed Name


Mr. Marlon P. Trinidad / Fleet Head Nationality :
Name and Signature of Port Captain/ Personnel Mgr Kind of License :
Registration No. :
Magsaysay Maritime Corporation Date of Registration :
Name of Local Shipowner or Manning Agent Expiry Date :
Address: Antonio Bldg., 520 T.M. Kalaw
Ermita, Manila Chief Engineer Signature Above Printed Name
Nationality :
Telephone Nos. 526-8888/526-9692/5269724 Kind of License :
Registration No. :
Date of Registration :
Expiry Date :

SUBSCRIBED AND SWORN TO before me this_________day of _________________,2010,


at _______________________.

Doc. No. :__________


Page No. :__________
Book No. :__________ NOTARY PUBLIC
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.
FOR SALE

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