VARUN SHIPPING CO. LTD.

APPENDIX M-III/2
(Ref . META Manual II)

FORM OF TESTIMONIAL FOR SEA-SERVICE (ENGINEERS)

(For Ministry of Surface Transport Examination purpose only)
I, certify that the following is a full and true statement of sea service performed by
___________________________________________________
under
my
supervision
in
M.V. / S.S. ___________________________ O. No. __________________ Port of Registry _____________________
Period of Service
From
To

Rank of Officer and actual

seniority on Watch

Type of Main Engine and

Boilers, Single or Twin
Screw KW

Nature of duties (for

appropriate description
see below)

During the whole period stated above, this Engineer Officer was on articles of agreement.
Reports as to:No. of days actual spent at Sea: _________

Ability:
Conduct:
Sobriety:

_________________________
Sign of Master or Engr. Supt.

_________________________
Sign of Chief Engineer Officer

_______________________________
(Name of the Master or Engr. Supt.)

_______________________________
(Name of Chief Engineer Officer)
Dated ________ at ________________

I.

DESCRIPTION OF DUTIES
On fitters work either by day or regular watch.
a) Within Main Engine and Boiler spaces.
b) Outside Main Engine and Boiler spaces.
c) On refrigerating or other machinery not essential
to the propulsion of the vessel.
d) On Auxiliary Engines separated from the main
Propelling units, but worked in conjunction
therewith.

II. On regular watch on Main Engines as

a) Senior in full charge.
b) First Assistant.
c) Second Assistant.
III. On regular watch on main Boiler.
a) In-charge of all stoke holds.
b) In-charge of section of one stokeholds only.
c) As Boiler Room Assistant.

IV. On regular watch on Main Engines and Boilers

Simultaneously.
a) Senior in full charge.
b) First Assistant.
c) Second Assistant.
In Ships where watches are kept on other than tradition
system of not less than eight out of each twenty four hours, a
brief description of the duration and frequency of the watches
should be given.
Mention of periods on day or on fitters work by watch
should be made. This is particularly applicable to vessels
that.
1. Have a centralized control room.
2. Are fully or partly automated.
3. Have arrangements such as the engine room is
unmanned for some part of the twenty-four hours.

NOTE: It is recommended that this form should be used when the Engineer is reported on or when the Chief Engineer leaves the Ship.

Page 1 of 2

FITNESS FOR DUTY

- Drug and Alcohol Abuse

10

REPORT___________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________

VOYAGE PLANNING
- General
- Watch-keeping Arrangements

10

REPORT
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________

WATCH KEEPING AT SEA

- Protection of Marine Environment
- Taking over the Watch
- Performing the Engineering Watch.
- Watch-keeping in different
conditions/Areas
Restricted Visibilty
Coastal and Congested waters
Ship at Anchor

10

REPORT
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________

WATCH KEEPING IN PORT

- Taking over Engineering Watch
- Performing the Engineering Watch
- Protection of Marine Environment

10

REPORT
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________

Signature of Chief Engineer _________________________ NAME ______________________________________

Certificate of Competency No. _______________________ ISSUING AUTHORITY ________________________

NOTE:- In the boxes above, please circle or tick the marks given by you out of 10 against each heading.

Page 2 of 2