Republic of the Philippines

Office of the President

COMMISION ON HIGHER EDUCATION

Department of Transportation and Communications

MARITIME INDUSTRY AUTHORITY

CERTIFICATE OF SEA SERVICE

Sir /Madam :

This is to certify that ABAYON JR. JOSE ARMILITO L. holder of SIRB No. C1001832 has
Been employed by this company with the following sea going service/s:

Name of Type IMO Gross KW Power Registry Period Covered Position / Rank NO. OF
Vessel No. Tonnage From To MONTHS,
(m/d/y) (m/d/y) DAYS
M/V JACK RORO/PASSE 795.00 1491x2KW LEGAZPI 09/01/17 09/05/18 ENGINE CADET 12 MONTHS,
DANIEL NGER 04 DAYS

This further certifies that the above-stated data are true and that any false statement/s made herein shall be ground
for criminal prosecution.

Issued this ____05TH ___ day of _ SEPTEMBER 2018_ at _MASBATE CITY___.

_______MR. DANIEL LEE______ COMPANY SEAL

President / Duly Authorized Person
Signature above Printed Name

SUBSCRIBED AND SWORN to before me this _______ day of _________________, 20__, at _________________

Doc No. : __________

Page No. : __________ _______________________
Book No. : __________ Notary Public
Series of : __________

Note:

This form is good only for one (1) vessel. This form can be reproduced. Any erasure / obliteration may be a ground
for denial.
 Republic of the Philippines
Office of the President
COMMISION ON HIGHER EDUCATION

Department of Transportation and Communications

MARITIME INDUSTRY AUTHORITY

CERTIFICATE OF SEA SERVICE

This certifies that BARCELLANO, ANTONIO JR. L. had actually served under our Supervision onboard

M/VJACK DANIEL RORO/PASSENGER of PHILLIPINES

(Name of Vessel) (Type of Vessel) (Vessel Nationality)

With Registry No. 05-0001588 , COASTWISE _ vessel of 1,491 x 2 KW and 795.00 Gross Tonnage
for a period of 01 00 03 from SEPTEMBER 02, 2017 to SEPTEMBER 05, 2018
(No. of Years) (Months) (Days) (Date of Embarkation) (Date of Discharge)

as _ENGINE CADET.
(Position Held)

This further certifies that the above-stated data are true and that any false statement/s made herein shall be ground for criminal
prosecution.

Issued this 05th day of SEPTEMBER 2018 at MASBATE CITY.

SEAL OF VESSEL

CAPTAIN ALEXANDER R. SAPLAD

Master – Signature above Printed Name
Nationality : _FILIPINO
Kind of License : _2nd /MATE
Registration No. : _D3-0023540
Expiry Date : _MAY 20, 2019

Note:
This form is good only for one (1) vessel. This form can be reproduced. Any erasure / obliteration may be a
ground for denial.