Sea Service Testimonial

(*Trainee Electro-technical Officer/Electro-tehnical Rating/electrical engineer/electrician/other

please state ................................................................................................................................)

Company Address/Contact Detalls

Company Name ................................................................................................................
Address: ................................................................................................................
................................................................................................................
................................................................................................................
Contact Details Tel ................................................................................................................
Fax................................................................................................................
E-mail...........................................................................................................

PART 1 – OPERATIONAL SERVICE

This is certify that :

Full name of /candidate .................................................................................................................

Date of Birth ……………................................................................................................................
Discharge Book Number ...............................................................................................................

Has served on:

Name of ship ................................................................................... IMO Number .......................

From ............................................ To ............................................ (Dates)
Total propulsion power (MCR) ............................................ kW
Type and make of propelling machinery .......................................................................................
.......................................................................................................................................................
Type and make of Generators ......................................................................................................
.......................................................................................................................................................
Distribution voltages ......................................................................................................................

During this period the above-named candidate:

a) Regularly carried out duties in connection assisting in the monitoring and maintenance of the ships
electrical systems
b) Was granted no leave of absence

.......................................................................................................................………………………
PART 2 – TESTIMONIAL

My report on the service of the above-named trainee/rating during the period stated, is as follows :

Ability: .................................................................................................................................................
.............................................................................................................................................................
.............................................................................................................................................................
.............................................................................................................................................................

Conduct: ..............................................................................................................................................
.............................................................................................................................................................
.............................................................................................................................................................
.............................................................................................................................................................

General comments:
.............................................................................................................................................................
.............................................................................................................................................................
.............................................................................................................................................................
.............................................................................................................................................................
.............................................................................................................................................................

OFFICIAL ENDORSMENT

Name (block letters)

of Chief Engineer
Officer : ..............................................................................................................

Certificate Grade,
Number, Expiry Date,
And Issuing Country : ..............................................................................................................

Signature of Chief
Engineer Officer : ..............................................................................................................

Ship’s/Company
Stamp and date : ..............................................................................................................

In exceptional circumstances this testimonial may be signed by a responsible official of the

Company, who holds an engineer officer certificate of competency and has knowledge of the
candidate’s sea experience.