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ADEVERINTA PRIVIND STAGIUL DE IMBARCARE PE NAVE SUB

PAVILION STRAIN

SEA SERVICE CERTIFICATE

Numele si tipul navei


Name and type of ship
Tonaj brut nava
Gross tonnage
Puterea motorului
M.E. power
Nume si prenume
Name and surname
Functia
Rank
Nr. Carnet marinar
Seaman’s book no.
Nr.brevet/certificat capacitate
Licence no.
Data imbarcarii
Date of engagement
Data debarcarii
Date of discharge
Locul imbarcarii
Place of engagement
Locul debarcarii
Place of discharge
Numele si semnatura comandantului navei
Name and signature of Master
Stampila navei
Stamp of vessel

We, the undersigned crewing company hereby confirm that Mr ……….. has been embarked on
board......., serving as …….. starting with ......

Signature of the company official

Stamp

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