Marine Personnel Regulations (SOR/2007-115)
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Regulations are current to 2024-11-26 and last amended on 2023-12-20. Previous Versions
SCHEDULE 4 TO PART 1(Paragraph 110(2)(d))Testimonial of Sea Service (Deck Department) — Information To Be Provided
1 Name and address of the vessel owner
2 Name and candidate number (CDN) of the applicant
3 Number of participations by the applicant in emergency drills
4 Information on the vessel:
(a) name
(b) port of registry
(c) official number
(d) type
(e) cargo transported during period of service
(f) gross tonnage
(g) voyage classification
(h) extreme ports of call
(i) total amount of time, during the applicant’s period of service, that the vessel was engaged on voyages outside the Great Lakes Basin and where the distance between extreme ports called at during those voyages is more than 500 nautical miles
5 Date applicant signed on
6 Date applicant signed off
7 Rank and seniority of applicant
8 Number of days spent underway and type of watch (number of hours)
9 Number of days worked during the applicant’s period of service
10 Description of service
11 If applicable, the dates of beginning and completion of fitting out, laying up or refitting
12 Signature of master or authorized representative certifying that the information provided is correct.
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