PRC-MDO Form No.

5 NOT FOR SALE

Rev.01/11-04-2000

Republic of the Philippines
PROFESSIONAL REGULATIONS COMMISSION
Manila
BOARD OF MARINE DECK OFFICERS
CERTIFICATE OF SEA SERVICE
(All Statements herein are subject to verifcation)
TO THE BOARD OF MARINE DECK OFFICERS:
THIS CERTIFIES that Buce !a"ne S# Sanes had actually served under our
supervision on board B! $ELIOS , LPG%C .
(Name of Vessel) (Type of Vessel)
of No&a" with Registry no. N'()**) % IMO no# +,)*)+* a Foreign #
(Nationality of Vessel) (Coastwise/Foreign)
vesse o! 11"400 #$ an% &4"'(4 gross tonnage !or a )erio% o! ( "ea )) Months *- .a"s #
(No. of years) (Months) (Days)
!rom 05 *+y 201& to 2' *+ne 2014 as De,- Ca%et ..
(Date of Embarkation) (Date of Disharge) (!osition "el#)

This futhe cetifies that the abo/e'state. .ata ae all tue an. that an" false
state0ent%s 0a.e theein shall be a 1oun. fo ci0inal posecution#
/ss+e% this 2' %ay o! 2une 2014 at Pisco3Peu .
Seal of Co0pan" Seal of 4essel

55 CAPT# EL4IS SALIN6O .
Name 0 1ignat+re o! Port Ca)tain/Personne Manager
5 B! S$IPPING P$ILIPPINES . .
..
Name o! 2o,a 1hi) Owner or Manning 3gent

3%%ress4 .405 5
th
!oor 5r6an 7+i%ing"
1en. 8i P+yat 3ve. Ma-ati City

9ee)hone No.4 . :&2 ;'5 24:' .

Ma7 2oseph B# Gacia
....
Maste-1ignat+re a6ove )rinte% Name
Nationaity4 Filipino ..... .
#in% o! 2i,ense4 Maste Maine .
Registration No.4 D1-0000;:2 .
Date o! Registration4 . 24 Novem6er 2005 ..
<=)iry Date4 ..... 1: May 2015 . ...



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Note4 9his !orm is 1oo. onl" fo one 9): /essel. 9his !orm ,an 6e epo.uce.. An" easue%obliteation 0a" be a
1oun. fo .enial.