Sea and onboard Service

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Part 1 Company and contact details

Sea and Onboard Service Testimonial

Shipowner*

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Address Line 1*
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Address Line 2
Zip / Post code*
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Country*

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Contact number (include country code)
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Email address *

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Confirm email address *
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The above phone number and / or email belong to the*
Vessel Shipowner/Company

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Sea and Onboard Service Testimonial

This is to certify that in capacity of: *

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Full name*
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Date of Birth*

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Nautilus Membership No
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Discharge book
Email*

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Has served on the vessel
Type of Yacht*

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Flag*

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Name of Yacht*
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IMO No Please enter a number
Official No Please enter a number
Length (m) *
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Gross Tons (GT)*
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Kilo Watts (kW)
From*

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To*

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Leave of absence (days)*
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The above service includes the following Sea Service
Actual Sea Service (days)*

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Standby Service (days)*

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Yard Service (days)*

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During the Actual Sea Service the officer was in full charge of a navigational watch for not less than four out of twenty four hours whilst the vessel was engaged on voyage giving
Watchkeeping Service (days)*

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Voyage Started	Voyage Ended	Standby Days Claimed

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Sea and Onboard Service Testimonial

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