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REPUBLIC OF FHE PHILIPPINES DEPARTMENT OF TRANSPORTATION AND COMMUNICATIONS MARITIME INDUSTRY AUTHORITY This Seafarer’s Identification and Record Book is issued for the purpose of providing the holder, whose signature appears below, with identity papers for travel to or from an assigned vessel, and of providing a record of the holder's sea service, This is issued pursuant to Section 14, para. (k) of EO 125 and Section 12, para. {j) Of EO 125-A and conforms with the provisions of !LO Convention No. 108, the Seafarer’s National identity Documents Convention, 1958 This book contains thirty two (32) numbered pages, exclusive of covers. earer’s Signature To verify, please log on to www.marina.gov.ph REPUBLIC OF THE PHILIPPINES RITCHIE LOREN A. INSIGNE carte oF BinTa friace oF bint July 07, 1997 MANILA Ton [water we 167.64 | 60.00 BROWN mS vans oo NONE 0039-97-2018-700500 = Tas WALID OeTTL Jan 19, 2018 MANILA Jan 17, 2028 €1300599

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