AnnoxurelV, ‘Medical Certificate for Service at Sea {nese under he Autorty of ietoat Canara of Shipping, Gov Of nt under Rule 4 Mg (Mecho Strano ee, toe sense) lLanceLor sosnua [Sear Rare LatPro) laooee2 Mate [Dae olen Gamma) “Gender(NalFemsiey lusssateo [ube of COGIPastporchervald Warcaion cocomant- win ipa foam) Ines teen examined by DR SHARWAR! GBAGDE_and 0:6 Approval No. MAH (iene of Medel Exarina and approval no. lad hes ben four orsencs at ses inthejob of FRESHER Franreasane tbe space. Aa specly whee nporaypoae Th hetng and slg fhe ceatarerconoumes, wn tha calcu vate ne cas fs sefaer tobe employe in toa ware nese rhe wor tobe performed i abe tobe afctd by dtecbv colo ve, ae a aaron, = (ty me seataror concerned is not suferng rom any mecca canon aly tobe egravated by sence at sea orto (ends the setae i fr such sree ot¥o endanger the healt foe persons on Done {rT Seatrrcomples wih ine roqucemansspectied in Table AR of STCW Code (Le, Minimum n sac eyesight andar iol he STCW Code (.,Kesesement of minimum any ive ann -canes piel ‘Convenion 2008. losaupztze C80 Belper [ae & Pace eget asian) jhe, peat gacaseaae) ey Enel tenance {Et rb na Cah ‘SAMARTH MARINE CLINIC 'r Shawar Bagde Jadhav) BAMS Reg. No. 73388) ‘This Corfcte expees cat _ Ob-Aug 2023 loGs Approval No. MAHNMs82018| (Bay Month Year a Wadia Et Not ore than 2 years tm ng cto oss ues he estas ure he aye oF 0, Which cave te mania pero’ ot vlty of te Medal Cariet habe? year) the pve of vali of mecca cacao oxpces inthe cours of voyape than he mica Ceieate shall conse be infos ara aro ot xcoecng trea mands tom te dala of ex. unl the nex po of all where an Jpproves Medical Exarorisavalite and the snfro can got examined ad cis renewed a medal cerifcate fom It ecical Examineee SAMARTH MARINE CLINIC —— a eprom 2.Stippig Gon. soi SIGHT TEST CERTIFICATE [New katry*/eriodie* ——) Reference No, 51.58174950, | Full Neme JOSHUA LANCELOT ) | Rank FRESHER | PPICDCAD Card No, ‘U3338409 Date and Place of peat 20-Jan-1992 NAGPUR. MAHARASHTRA,INDIA, ColoroF eves DARK BROWN, ) lieinioeNawes fi LoS a Res [wade 616 is be — Pass Ibistan Vision Meant Vision Thded 616 66 66 Past Ieear Vision mie Né Né N6 PASS = lade Né Ne N6 PASS Horizontal Pane Normal Normal | Normal Pass Field of vision vena Plane ‘Normal Normal ‘Norm Pass ion ‘Normal Pass (celour Vision Se —— a I, DRSHARWARI G.BAGDE.jhereby certify that the abovementioned candidate has met, the eye ‘ight standards for his/her designated rank / position asset out in. STCW AU/9-1 AND CIE 143-2001 ‘or seafaring occupation lo Tlommett pdhov. Candidate's Signature ‘Signature of DG approvec Medical Examiner or Euanine of Mase and Mate MD Dated __0S-Aug-2022 at _NAVIMUMBAT Note This Certificates valid for ewo yeas from the above date-New entry sight test centficates should be retained by the candidate il this active sea career. Failed or tobe refered fr Further advise in cast of periodical eye sigh testone copy ofthis appliaction shall be Forwarded tothe Mercantile Marine Department / Chief Examiner of Mates and Mate with detailed report. + Where not examined indicat by stating NE + Examiner of master and mates vil subject candidates to test fr distant and cobur vision only “Delete ifnot applicable "Note:The prs ues were published inthe zat of nda Pr Iaction sub-section vide nodfeaton Number GSH dated the oth ana so0e