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PRC-MDO NOT FOR SALE Rev.

01/11-04-2000

Form

No.

Republic of the Philippines

PROFESSIONAL REGULATION COMMISSION


Manila

BOARD OF MARINE DECK OFFICERS

CERTIFICATE OF SEA SERVICE


(All statement herein are subject to verification)

TO THE BOARD OF MARINE DECK OFFICERS: THIS CERTIFIES


had actually served our supervision on board T/S KAPITAN FELIX OCA PHILIPPINE
(Name of Vessel) Nationality of Vessel)

that

JUJIM ROFER C. FLORES TRAINING SHIP


(Type of Vessel)

,
(State the

with Registry No.: gross tonnage for a period of Oct. 23, 2011
Discharge) as DECK CADET (Position Held)

9383663

SEAGOING

vessel of

5,713

0
( no. of Years )

from

Oct. 17, 2011

to
(Date

(Date of Embarkation)

This certifies further that the above-stated data are all true and that any false statement made therein shall be a ground for criminal prosecution. Issued this 23rd day of October 2011 at Manila, Philippines

SEAL OF VESSEL CAP TAIN


- Signature above Printed Name Nationality

.
Master

FILIPINO
Kind of License

SEAL OF COMPANY MASTER MARINER .


. Registration No.

4768585867 . MR. ROY NOCHE Registration :12 SEPT.2008


Manager Expiry Date

Date of . Name and Signature of Port Captain/Personnel :11

SEPT. 2013

BERNHARD SCHULTE SHIPMANAGEMENT Shipowner or Manning Agent


address:

BSM Crew Service Centre Philippines 3384953


.

BSM House 1965 Leon Guinto St. Malate Manila 1004


Telephone Nos.

SUBSCRIBED AND SWORN TO before me this

20th day of

November ,2011 at Manila .


Doc. No. :23643354 Page No. :23425 Book No. :2436 Series of :2011 NOTE:This form is good only for one (1) vessel. This form can be reproduced. Any erasure/obliteration may be ground for denial.

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