Approved format for issuing record of service on tanker for obtaining or Renewal and Revalidation of
Certificate (Endorsement) for service on tankers
TO WHOMSOEVER IT MAY CONCERN
This is to certify that Mr. MANDEEP SINGH Rank – CHIEF OFFICER whose date of birth is 30-NOV 1991
PASSPORT NO- Z5994315, C.D.C NO- MUM196402 has performed following service and gained experience as indicated below under my supervision.
Name of Vessel
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Service
From To
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Type of Tanker
Oil/ Chemical
/ Gas
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Knowledge and experience
acquired
1 and/or 2
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Certificate of Competency held Grade and Number
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Rank
Served
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M.T. OTTO H
OFF. NO: 6810
IMO. NO.: 9749374
DWT: 25161 MT
GRT : 17858 MT
NRT : 6427 MT
BHP : 5470 KW
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15-AUG-2022
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05-OCT-2022
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OIL/CHEM
TANKER
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1 , 2
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IFO 24465
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CHIEF OFFICER
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CARGOES CARRIED :
NAME OF CARGOES
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POLLUTION CAT.
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UN NUMBER
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PALM KERNEL OIL
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Y
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1824
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CRUDE SOYABEAN OIL
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Y
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1170
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BASE OIL 2CST
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X
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-
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BASE OIL 4CST
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X
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-
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BASE OIL 8CST
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X
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PLAM FATTEY ACID
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X
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Ship stamp
Signature of Master _______________________
Name of Master : CAPT. SAMEER MAJGAONKAR
COC NO :
Date : 05 OCT 2022
Knowledge and experience acquired *
1. Acquired adequate knowledge of safe operational practices
2. Acquired experience appropriate to the duties of loading, discharging, care in transit or handling of cargo on above type of tanker.
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