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    SC No 13 of 2013annex C

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    danishrehman1985
    The document is a seafarer medical certificate issued by a recognized medical practitioner on behalf of the Maritime and Port Authority of Singapore to certify that a named seafarer meets the health standards of the STCW Convention and Maritime Labour Convention; it includes declarations by the practitioner regarding the seafarer's vision, hearing, medical fitness for lookout duty, and any limitations; and is valid for a maximum of two years from the examination date unless the seafarer is under 18.

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    SC No 13 of 2013annex C

    Uploaded by

    danishrehman1985
    32 views1 page
    The document is a seafarer medical certificate issued by a recognized medical practitioner on behalf of the Maritime and Port Authority of Singapore to certify that a named seafarer meets the health standards of the STCW Convention and Maritime Labour Convention; it includes declarations by the practitioner regarding the seafarer's vision, hearing, medical fitness for lookout duty, and any limitations; and is valid for a maximum of two years from the examination date unless the seafarer is under 18.

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    Sc No 13 of 2013annex c

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    Sc No 13 of 2013annex c

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    The document is a seafarer medical certificate issued by a recognized medical practitioner on behalf of the Maritime and Port Authority of Singapore to certify that a named seafarer meets the health standards of the STCW Convention and Maritime Labour Convention; it includes declarations by the practitioner regarding the seafarer's vision, hearing, medical fitness for lookout duty, and any limitations; and is valid for a maximum of two years from the examination date unless the seafarer is under 18.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    32 views1 page

    SC No 13 of 2013annex C

    Uploaded by

    danishrehman1985
    The document is a seafarer medical certificate issued by a recognized medical practitioner on behalf of the Maritime and Port Authority of Singapore to certify that a named seafarer meets the health standards of the STCW Convention and Maritime Labour Convention; it includes declarations by the practitioner regarding the seafarer's vision, hearing, medical fitness for lookout duty, and any limitations; and is valid for a maximum of two years from the examination date unless the seafarer is under 18.

    Copyright:

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    MARITIME AND PORT AUTHORITY OF SINGAPORE

    SEAFARER MEDICAL CERTIFICATE


    This certificate is issued by the undersigned recognized medical practitioner to the named seafarer on behalf of the Maritime and Port Authority of Singapore and meets both the requirements of the 2010 Manila amendments to the International Convention on Standards of Trainings, Certification and Watchkeeping for Seafarers, 1978 (STCW Convention) and the Maritime Labour Convention, 2006.

    Seafarers Name in Full Date of Birth: day/month/year Nationality: Passport/NRIC No.:

    Sex: Male/Female

    Declaration of the recognized medical practitioner


    Yes 1 2 3 4 5 Identification documents were checked at the point of examination? Hearing meets the standards in STCW Code Section A-I/9? Unaided hearing satisfactory? Visual acuity meets the standards in STCW Code Section A-I/9? Colour vision meets the standards in STCW Code Section A-I/9? Date of last colour vision test: 6 7 8 Fit for look out duty? Is the seafarer free from any medical condition likely to be aggravated by service at sea or to render the seafarer unfit for such service or endanger the life of person onboard? No limitations or restrictions on fitness? If no specify limitations or restrictions No

    Date of examination: (day/month/year)

    of certificate: (day/month/year) 10 Expiry ** Maximum two years from date of examination unless the seafarer is under the age of 18

    Date

    Signature of Medical Practitioner

    Medical Practitioners Official stamp (name, licence number, address etc)

    I have been informed of the content of the certificate and of the right to a review.

    Signature of Seafarer
    Page 1 of 1
    SEAFARER MEDICAL CERTIFICATE - April 2013

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