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Approved format for issuing record of service on tanker for obtaining or Renewal and Revalidtion of Certificate (Endorsement) for service on tankers
From
M.T"ASAVARI" GRT : 8625 NRT : 3914 BHP : 6060 OFF. NO. 3378 14/SEP/2009
To
31/MAR/2010
Rank Served
FIFTH ENGINEER
CARGOES CARRIED :
NAME
UNLEADED GASOLINE REFORMATE BENZENE CAUSTIC SODA SOLUTION WHITE SPRIT ISOPROPYL ALCOHOL PARAXYLENE TOLUENE BASE OIL
POLLUTION CATEGORY
ANX-1 ANX-1 Y Y Y Y Y ANX 1
UN. NUMBER
1203 1114 1824 1300 1219 1307 1294
Signature of Master
___________________
Name of Master : CAPT. ANINDA SENGUPTA Cert of Competency No. : IFOO - 3599 Issuing Authority : GOVT. OF INDIA
Knowledge and experience acquired * 1. Acquired adequate knowledge of safe operational practices 2. Acquired experience appropriate to the duties of loading, discharging, care in transit or handling of cargo on above type of tanker. 1