                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              IN exercise of the powers 
                                              conferred on the Commissioner 
                                              responsible for Shipping by 
                                              section 19 of the Fisheries 
                                              Decree, 1972 (N.R.C.D. 87) these 
                                              Regulations are made this 8th day 
                                              of August 1972.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>
                                              <span style="font-family: Arial">
                                              Regulation 1&#8212;Persons Qualified to 
                                              Enter Examination for Certificate 
                                              of Competency.</span></b></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (1) No person shall qualify to 
                                              enter for an examination for a 
                                              certificate of competency as 
                                              skipper unless &#8212;</span></p>
                                              <p class="MsoNormal" style="text-align: justify; margin-left: 36.0pt">
                                              <span style="font-family: Arial">
                                              (a) he is a citizen of Ghana, or 
                                              of any&nbsp; country within the 
                                              Commonwealth;</span></p>
                                              <p class="MsoNormal" style="text-align: justify; margin-left: 36.0pt">

                                              <span style="font-family: Arial">
                                              (b) he has attained the age of 21 
                                              years;</span></p>
                                              <p class="MsoNormal" style="text-align: justify; margin-left: 36.0pt">
                                              <span style="font-family: Arial">
                                              (c) he has performed five years of 
                                              qualifying service at sea in the 
                                              deck department of any sea-going 
                                              vessel of which at least one year 
                                              shall have been performed as 
                                              certified secondhand in fishing 
                                              boats having a gross tonnage of 
                                              thirty-five or more;</span></p>
                                              <p class="MsoNormal" style="text-align: justify; margin-left: 36.0pt">
                                              <span style="font-family: Arial">
                                              (d)&nbsp; he possesses a valid 
                                              certificate proving that he has 
                                              passed a letter test;</span></p>

                                              <p class="MsoNormal" style="text-align: justify; margin-left: 36.0pt">
                                              <span style="font-family: Arial">
                                              (e)&nbsp; he possesses a First Aid 
                                              Certificate granted to him by the 
                                              St. John&#8217;s Ambulance&nbsp; Brigade the 
                                              Ghana Red Cross Society or by a 
                                              body approved by the Commissioner 
                                              not earlier than three years 
                                              before the date of the 
                                              examination.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (2) No person shall qualify to 
                                              enter for an examination for a 
                                              certificate of competency as 
                                              secondhand unless&#8212;</span></p>

                                              <p class="MsoNormal" style="text-align: justify; margin-left: 36.0pt">
                                              <span style="font-family: Arial">
                                              (a) he is a citizen of Ghana, or 
                                              of any country within the 
                                              Commonwealth;</span></p>
                                              <p class="MsoNormal" style="text-align: justify; margin-left: 36.0pt">
                                              <span style="font-family: Arial">
                                              (b) he has attained the age of 19 
                                              years;</span></p>
                                              <p class="MsoNormal" style="text-align: justify; margin-left: 36.0pt">
                                              <span style="font-family: Arial">

                                              (c) he has performed at least 
                                              three and half years qualifying 
                                              service at sea in the deck 
                                              department of any seagoing vessel 
                                              of which eighteen months shall 
                                              have been performed in the deck 
                                              department of fishing boats.
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify; margin-left: 36.0pt">
                                              <span style="font-family: Arial">
                                              (d) he possesses a valid&nbsp; medical 
                                              certificate proving that he is not 
                                              deaf or suffering from any 
                                              impediment in his speech;</span></p>
                                              <p class="MsoNormal" style="text-align: justify; margin-left: 36.0pt">
                                              <span style="font-family: Arial">
                                              (e) he possesses a valid 
                                              certificate proving that he has 
                                              passed both letter and lantern&nbsp; 
                                              tests;</span></p>

                                              <p class="MsoNormal" style="text-align: justify; margin-left: 36.0pt">
                                              <span style="font-family: Arial">
                                              (f)&nbsp; he possesses a First Aid 
                                              Certificate granted to him by the 
                                              St. John's Ambulance Brigade, the 
                                              Ghana Red Cross Society or by a 
                                              body approved by the Commissioner 
                                              not earlier than three years 
                                              before the date of the 
                                              examination.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (3)&nbsp; A certificate granted to a 
                                              person who has passed a letter or 
                                              lantern test or both shall be 
                                              valid for a period of six months.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>
                                              <span style="font-family: Arial">
                                              Regulation 2&#8212;Qualifying Sea 
                                              Service.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (1) Subject to regulation 1 the 
                                              qualifying service at sea shall be 
                                              performed in the deck department 
                                              of any sea-going vessel.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (2) The Examiner may permit any 
                                              service to be reckoned as 
                                              qualifying service where that 
                                              service is performed partly in the 
                                              deck department of a sea going 
                                              vessel and partly elsewhere on 
                                              that vessel where the Examiner is 
                                              satisfied that a reasonable 
                                              proportion of such service each 
                                              day has been performed in the deck 
                                              department.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (3) Where there is any doubt as to 
                                              whether a person has performed the 
                                              qualifying service at sea required 
                                              under these Regulations that doubt 
                                              shall be resolved by the 
                                              Commissioner.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>

                                              <span style="font-family: Arial">
                                              Regulation 3&#8212;Service in the Ghana 
                                              Navy.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              An executive officer or a seaman 
                                              rating of the Ghana Navy may count 
                                              not more than two years sea 
                                              service in the Navy towards 
                                              qualifying service for a 
                                              certificate of competency as 
                                              secondhand but the remaining 18 
                                              months must be served on board a 
                                              fishing boat.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>

                                              <span style="font-family: Arial">
                                              Regulation 4&#8212;Pre-Sea Training.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (1) For the purposes of reckoning 
                                              qualifying service at sea a person 
                                              who has undergone a pre-sea 
                                              training course at the Ghana 
                                              Nautical College may count at half 
                                              rate the period of such training 
                                              if he possesses a certificate of 
                                              satisfactory conduct and 
                                              proficiency granted to him by the 
                                              authorities of the Ghana Nautical 
                                              College.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              (2) The period of training in 
                                              similar schools or Colleges 
                                              approved by the Commissioner may 
                                              also be accepted in lieu of 
                                              service at sea for the purposes of 
                                              an examination under these 
                                              Regulations for a certificate of 
                                              competency as secondhand.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (3)&nbsp; The maximum remission of 
                                              qualifying service at sea granted 
                                              under sub-paragraph (1) of this 
                                              paragraph for an examination for a 
                                              certificate of competency as 
                                              secondhand shall not exceed six 
                                              months.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (4) The remission shall not be 
                                              counted towards any part of the 
                                              qualifying service at sea required 
                                              to be performed in fishing boat 
                                              and shall not apply to any further 
                                              service at sea required in respect 
                                              of examination for certificate of 
                                              competency as skipper or as result 
                                              of failure on the oral 
                                              examination.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (5) The total remission granted 
                                              under sub-paragraphs (1) and (2) 
                                              of this paragraph shall not exceed 
                                              12 months.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>
                                              <span style="font-family: Arial">
                                              Regulation 5&#8212;Persons Disqualified 
                                              to Take Examination.</span></b></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Any person who has been guilty of 
                                              desertion or gross misconduct on 
                                              board a ship shall not qualify to 
                                              enter for an examination for a 
                                              certificate of competency as 
                                              skipper or secondhand unless he 
                                              produces satisfactory proof of two 
                                              years subsequent service and good 
                                              conduct at sea.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>
                                              <span style="font-family: Arial">
                                              Regulation 6&#8212;Alien to Sit 
                                              Examination with Prior Approval of 
                                              Commissioner.</span></b></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Subject to paragraph 1 of these 
                                              Regulations any person who is not 
                                              a citizen of Ghana or of any 
                                              country within the Common wealth 
                                              shall qualify to sit an 
                                              examination for a certificate of 
                                              competency as skipper or 
                                              secondhand if he obtains in 
                                              writing the prior approval of the 
                                              Commissioner.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>
                                              <span style="font-family: Arial">
                                              Regulation 7&#8212;Proof of Citizenship.</span></b></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (1) Any person who claims 
                                              citizenship of Ghana (proof of 
                                              which shall be on him) shall be 
                                              required to produce his birth 
                                              certificate, certificate of 
                                              naturalization or such other 
                                              documents as the Examiner may 
                                              consider necessary in support of 
                                              his claim.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (2) Where a person claims 
                                              citizenship of a country other 
                                              than Ghana he shall be required to 
                                              produce such documentary evidence 
                                              as is necessary to prove that he 
                                              is a citizen of that country.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>

                                              <span style="font-family: Arial">
                                              Regulation 8&#8212;Application for 
                                              Examination.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (1)&nbsp; Any person who wishes to 
                                              enter for an examination for a 
                                              certificate of competency as 
                                              skipper or secondhand shall 
                                              complete Form Exn. G.2 prescribed 
                                              in the First Schedule to these 
                                              Regulations.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              (2)&nbsp; The completed form 
                                              accompanied by such certificates, 
                                              testimonials and other documents 
                                              as may be specified therein shall 
                                              be lodged with the Examiner at the 
                                              examination office not later than 
                                              ten days before the date of the 
                                              examination.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (3) Any person who wishes to 
                                              undergo a sight test only or a 
                                              letter test or a lantern test or 
                                              both shall lodge with the Examiner 
                                              duly completed Form Exn. G.2A 
                                              prescribed in the Fifth Schedule 
                                              to these Regulations accompanied 
                                              by a prescribed fee.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>

                                              <span style="font-family: Arial">
                                              Regulation 9&#8212;Places and Days for 
                                              Examination.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              The Commissioner may, by notice 
                                              published in the Gazette, 
                                              designate centres, days and times 
                                              for examinations for certificate 
                                              of competency as skipper or 
                                              secondhand.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>

                                              <span style="font-family: Arial">
                                              Regulation 10&#8212;Appointment of 
                                              Examiners.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              The examination shall be conducted 
                                              by such Examiners as the 
                                              Commissioner may appoint.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>

                                              <span style="font-family: Arial">
                                              Regulation 11&#8212;Subject and 
                                              Syllabuses for Examinations.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              The examinations shall consist of 
                                              three parts namely written, oral 
                                              and signals in the subjects 
                                              specified in the syllabuses set 
                                              out in the Second Schedule to 
                                              these Regulations.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>

                                              <span style="font-family: Arial">
                                              Regulation 12&#8212;Examiner to Notify 
                                              candidates of Examination Results.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">A 
                                              person who has passed in all three 
                                              parts of the examination shall be 
                                              notified of the results thereof by 
                                              the Examiner on Form Exn.&nbsp; G.16 
                                              prescribed in the Third Schedule 
                                              to these Regulations and subject 
                                              to paragraph 14 of these 
                                              Regulations such person shall be 
                                              granted a certificate of 
                                              competency as skipper or 
                                              secondhand as the case may be.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>

                                              <span style="font-family: Arial">
                                              Regulation 13&#8212;Re-Examinations of 
                                              Persons.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (1) Where a person has failed in 
                                              one or more than one part of the 
                                              examination that person shall be 
                                              notified of such failure by the 
                                              Examiner on Form Exn.G.17 
                                              prescribed in the Fourth Schedule 
                                              to these Regulations.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              (2) Where a person as failed the 
                                              oral examination as result of lack 
                                              of adequate practical knowledge 
                                              that person may, at the discretion 
                                              of the Examiner, be required to 
                                              perform a further service at sea 
                                              for a period not exceeding three 
                                              months before such person is 
                                              re-examined.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (3) A pass obtained in the 
                                              written, oral or signals 
                                              examination shall hold good for a 
                                              period of six months and if during 
                                              that period a person passes in the 
                                              other remaining parts of the 
                                              examination that person shall be 
                                              granted a certificate of 
                                              competency.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (4) Where a person does not pass 
                                              the remaining parts of the 
                                              examination within the said six 
                                              months such person shall be 
                                              required to take again that part 
                                              of the examination which he has 
                                              already passed except that the 
                                              Commissioner may in certain 
                                              special circumstances, extend for 
                                              a period not exceeding twelve 
                                              months the time within which he is 
                                              required to take the examination.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>
                                              <span style="font-family: Arial">
                                              Regulation 14&#8212;Issue of Certificate 
                                              of Competency.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              No person who has passed the 
                                              examinations prescribed under 
                                              paragraph 11 of&nbsp; these Regulations 
                                              shall be granted a certificate of 
                                              competency as skipper or 
                                              secondhand unless he possesses a 
                                              valid radar observer&#8217;s 
                                              certificate.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>
                                              <span style="font-family: Arial">
                                              Regulation 15&#8212;Issue of Certificate 
                                              in Special Cases.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Subject to paragraph 14 of these 
                                              Regulations any person who, before 
                                              the commencement of these 
                                              Regulations has passed an 
                                              examination for a certificate of 
                                              competency as skipper or 
                                              secondhand conducted by a 
                                              competent authority recognised by 
                                              the Commissioner shall be granted 
                                              a certificate of competency as 
                                              skipper or secondhand and shall 
                                              not be required to take the 
                                              examination prescribed under 
                                              paragraph 11 of these Regulations.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>
                                              <span style="font-family: Arial">
                                              Regulation 16&#8212;Endorsement of 
                                              Certificate of Secondhand to Act 
                                              as Skipper.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              The holder of a certificate of 
                                              competency as secondhand may act 
                                              as skipper of a fishing boat not 
                                              exceeding fifty tons gross:</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Provided that the certificate of 
                                              competency of such holder is 
                                              endorsed by the Examiner to the 
                                              effect that such holder is 
                                              competent to act as skipper and 
                                              that the fishing boat does not 
                                              proceed beyond fifty miles from 
                                              the coast of Ghana within the 
                                              limits of longitude one degree 
                                              East and longitude three degrees 
                                              West.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>
                                              <span style="font-family: Arial">
                                              Regulation 17&#8212;Loss of Certificate.</span></b></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (1) If a certificate of competency 
                                              is lost or destroyed the holder 
                                              thereof shall forthwith notify the 
                                              Examiner on Form Exn.G.23 
                                              prescribed in the Sixth Schedule 
                                              to these Regulations.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (2) If the Examiner is satisfied 
                                              that the certificate has been so 
                                              lost or destroyed the Examiner 
                                              shall forward the form to the 
                                              Commissioner to issue a copy of 
                                              the certificate of competency to 
                                              the holder thereof.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              (3) A prescribed fee shall be paid 
                                              for each copy of certificate of 
                                              competency so issued.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>
                                              <span style="font-family: Arial">
                                              Regulation 18&#8212;Forgery and Other 
                                              Offences.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              Any person who is guilty of any 
                                              offence involving dishonesty in 
                                              connection with a certificate of 
                                              competency shall, in addition to 
                                              any penalty to which he shall be 
                                              liable, be disqualified from 
                                              taking an examination for a 
                                              certificate of competency as 
                                              skipper or secondhand for a period 
                                              not exceeding twelve months.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>
                                              <span style="font-family: Arial">
                                              Regulation 19&#8212;Fees.</span></b></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              (1) A prescribed fee shall be 
                                              charged in respect of each 
                                              examination taken under these 
                                              Regulations.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (2) Where a person has failed an 
                                              examination in respect of which a 
                                              fee is paid by him no part of such 
                                              fee shall be refunded to him.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <b>
                                              <span style="font-family: Arial">
                                              Regulation 20&#8212;Interpretation.</span></b></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              In these Regulations unless the 
                                              context otherwise requires&#8212;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &#8220;certificate of competency&#8221; means 
                                              certificate of competency as 
                                              skipper or&nbsp; secondhand granted 
                                              under the provisions of these 
                                              Regulations.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &#8220;Examiner&#8221; means a person 
                                              appointed examiner under paragraph 
                                              10 of these Regulations.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &#8220;Commissioner&#8221; means the 
                                              Commissioner responsible for 
                                              Transport and Communications.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &#8220;qualifying service&#8221; means service 
                                              a person is required to perform at 
                                              sea on board fishing&nbsp;&nbsp; boats or 
                                              other sea-going vessels.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &quot;service at sea in the deck 
                                              department&quot; means service as 
                                              apprentice, cadet, deck rating or 
                                              navigating officer in any 
                                              sea-going vessel.</span></p>

                                              <p class="MsoNormal" style="text-align: justify; margin-left: 108.0pt">
                                              <span style="font-family: Arial">
                                              MAJOR A. H.&nbsp; SELORMEY</span></p>
                                              <p class="MsoNormal" style="text-align: justify; margin-left: 108.0pt">
                                              <i>
                                              <span style="font-family: Arial">
                                              Commissioner Responsible for 
                                              Transport and Communications</span></i></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <i>
                                              <span style="font-family: Arial">&nbsp;</span></i></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <i>
                                              <span style="font-family: Arial">
                                              SCHEDULES</span></i></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <i>
                                              <span style="font-family: Arial">
                                              FIRST SCHEDULE</span></i></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              FORM EXN. G.2</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              APPLICATION FOR CERTIFICATE OF 
                                              COMPETENCY AS MASTER OR MATE OR 
                                              SKIPPER OR SECONDHAND OF FISHING 
                                              BOAT</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Note.&#8212;Application should be handed 
                                              in at the Examination Office at 
                                              least 10 days before the 
                                              examination.&nbsp; If it is not 
                                              convenient for the Applicant to 
                                              deliver the form personally, the 
                                              form, together with the enclosures 
                                              should be sent by post.&nbsp; Applicant 
                                              will complete the Declaration (1) 
                                              in the presence of the Examiner, 
                                              prior to the Examination.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              PART (A)&#8212;PARTICULARS OF APPLICANT</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              Surname</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              (Block Letters)</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Other Names in full</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              (Block Letters)&nbsp;&nbsp; Permanent 
                                              Address and Post Office Box Number
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Date of Birth</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              (Birth Certificate</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              to be produced)&nbsp; Where Born</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              (Town and </span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              District) </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              Nationality&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              Discharge Book Number </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              PART (B)&#8212;PARTICULARS OF PREVIOUS 
                                              CERTIFICATES (ISSUED IN GHANA OR 
                                              ELSEWHERE, IF NONE STATE SO)</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Number </span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Competency, Service</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              And Radar Observer&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
                                              </p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Grade&nbsp;&nbsp; For Steamship</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              or other class of vessel&nbsp;&nbsp; State 
                                              whether at any time suspended or 
                                              cancelled, and if so:&#8212;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              (a)&nbsp; By what Court or</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Authority</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              (b) Date</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              (c)&nbsp; Cause&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              (a)</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              (b)</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              (c)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              PART (C)&#8212;CERTIFICATE NOW REQUIRED</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Grade&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              For foreign-going</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              home trade or fishing vessels.&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Date on which applicant desires to 
                                              be examined.&nbsp; </span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Office to which certificate is to 
                                              be sent if not to be Collected 
                                              from the Office of the Shipping 
                                              Commissioner.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              PART (D)&#8212;RESULT OF PREVIOUS 
                                              EXAMINATION (IF ANY)</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Note.&#8212;If the candidate has 
                                              previously been examined in Ghana 
                                              or in another Commonwealth country 
                                              or in the Irish Republic for the 
                                              grade of certificate now required, 
                                              or has previously undergone sight 
                                              test, he must give particulars of 
                                              the last occasion on which he was 
                                              examined or tested stating when, 
                                              where and with what result.&nbsp; If he 
                                              has not been examined or tested he 
                                              must so state.&nbsp; A candidate not 
                                              possessing a&nbsp; Certificate of 
                                              Competency who has at any time 
                                              failed in the Sight Test must here 
                                              state when and where.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              LAST SIGHT TEST</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              SUBJECT IN WHICH EXAMINED AND 
                                              RESULT</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Port&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              Letter&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Lantern&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              Port or Ports&nbsp; WRITTEN &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ORAL 
                                              SIGNALLING </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              Date&nbsp;&nbsp;&nbsp; Date&nbsp;&nbsp;&nbsp; Date&nbsp;&nbsp;&nbsp; </span>

                                              </p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Date&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Result</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Result Result </span>
                                              </p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              PART (E)&#8212;CERTIFICATE OF EXAMINER</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              *(The Declaration (1) was signed 
                                              in my presence, and fee of ¢&#8230;&#8230;&#8230;was 
                                              received by me.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;19&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Examiner of 
                                              Masters and Mates</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              PART (F)&#8212;CERTIFICATE OF EXAMINER</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Note.&#8212;The Examiner should complete 
                                              Parts (F) and (G) and forward the 
                                              application as soon as possible to 
                                              the Ministry of Transport and 
                                              Communications.&nbsp; If the candidate 
                                              passes, his previous certificate, 
                                              if any, must be attached.&nbsp; The new 
                                              certificate will be delivered to 
                                              the candidate at the office of the 
                                              Shipping Commissioner.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Date and Place of Examination</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Sight Test&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Certificate of</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              Competency&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Letter</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Test&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Lantern</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              Test&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Written&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Oral&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Signalling&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Additional Sea</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Service (if any)&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Certificate to</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              be issued&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              PART (G)&#8212;PERSONAL DESCRIPTION OF 
                                              CANDIDATE</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              HEIGHT&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              COLOUR OF </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              Complexion&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Personal identification</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Marks </span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Feet&nbsp;&nbsp;&nbsp; Inches Eyes&nbsp;&nbsp; 
                                              Hair&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">I 
                                              hereby certify that the 
                                              particulars in Parts (F) and (G)&nbsp; 
                                              are correct, that the candidate 
                                              has produced satisfactory 
                                              Testimonials, Proofs of Service, 
                                              and Nationality and that the 
                                              Declaration (1) was signed in my 
                                              presence.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.19&#8230;&#8230;&#8230;&#8230;.&nbsp;&nbsp;&nbsp;&nbsp; 
                                              &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              Examiner</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              To:</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              THE SHIPPING COMMISSIONER,</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              DIVISION OF SHIPPING AND 
                                              NAVIGATION,</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              MINISTRY OF TRANSPORT AND 
                                              COMMUNICATIONS,</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              P.O. BOX M. 38,</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              ACCRA.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              PART (H)&#8212;FULL PARTICULARS OF SEA 
                                              SERVICE</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Notes&#8212;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              (1)&nbsp; If a Certificate is held&#8212;only 
                                              service from date of Certificate 
                                              need be given.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (2)&nbsp; Particulars of sea service 
                                              should be taken from the Discharge 
                                              Book.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              PARTICULARS OF SHIP&nbsp;&nbsp;&nbsp; 
                                              DATES&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              PERIOD&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;

                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Name&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              Tonnage&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Port of 
                                              Registry and Official No.&nbsp;&nbsp; </span>
                                              </p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Capacity&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              From&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              To&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              Years&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Months </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Days&nbsp;&nbsp;&nbsp;&nbsp; Trade in which 
                                              Employed&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Remarks&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              FOR OFFICIAL USE ONLY&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              Total service</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              At Sea</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Time Served for which Official 
                                              Proof is now produced</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Time Served for which no proof is 
                                              produced&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Indentures</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Testimonials</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Whether Pre-Sea</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Trained.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Watch Keeping</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              Certificate.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Birth Certificate</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Statutory </span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Declaration.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Certificate of</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              Competency.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              First Aid</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Certificate.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Lifeboat</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Certificate.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">

                                              EDH/AB Certificate&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (1)&#8212;Declaration to be made by 
                                              Candidate</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (Take Notice.&#8212;Any person who 
                                              makes, or procures to be made, or 
                                              assists in making any false 
                                              representation for the purpose of 
                                              obtaining for himself or for any 
                                              other person a Certificate of 
                                              Competency shall be guilty of a 
                                              misdemeanor, and will render 
                                              himself liable to heavy&nbsp; 
                                              penalties.)</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">I 
                                              hereby declare that the 
                                              particulars contained in Parts 
                                              (A), (B), (C), (D), and (H) of 
                                              this Form are correct and true to 
                                              the best of my knowledge and 
                                              belief; and that the Papers 
                                              enumerated in Part (H) and sent 
                                              with this Form are true and 
                                              genuine documents, given and 
                                              signed by the persons whose names 
                                              appear on them.&nbsp; I further declare 
                                              that the statement in Part (H) 
                                              contains a true and correct 
                                              account of the whole of my 
                                              services without exception.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              And I make this Declaration 
                                              conscientiously believing the same 
                                              to be true.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..19&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;....&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Signature 
                                              of Candidate</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              &nbsp;Present Address:&#8212;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.............&#8230;&#8230;..</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..................</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;...............</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Signed in the presence of the</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              Examiner of Masters and 
                                              Mates&#8230;&#8230;&#8230;..............&#8230;&#8230;&#8230;..</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.....................&#8230;&#8230;&#8230;&#8230;&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <i>
                                              <span style="font-family: Arial">
                                              SECOND SCHEDULE</span></i></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              PART I</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              SYLLABUS FOR SKIPPER'S CERTIFICATE 
                                              EXAMINATION</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              PRACTICAL NAVIGATION</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (1) To find the latitude by 
                                              observation of the Pole Star.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (2) To determine the position of 
                                              the ship from two simultaneous 
                                              observations of stars, or by 
                                              observation of a star and the sun 
                                              with a run between, or a star and 
                                              the bearing of a terrestrial 
                                              object.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              (3) To find the deviation of the 
                                              compass by time azimuth of a star 
                                              (use of tables or diagram will be 
                                              accepted).</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (4) To recognise the following 
                                              stars by their positions relative 
                                              to the constellations:&#8212; Polaris, 
                                              Dubhe, Arcturus, Aldebaran, Rigel, 
                                              Bellatrix, Betelgeuse, Sirius, 
                                              Castor, Pollux, Capella, Regulus, 
                                              Altair, Vega, Deneb, Rigilkent 
                                              Fomalhaut, Canopus and Antares.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (5) Definition of a great circle, 
                                              rhumb line, first point of Aries 
                                              and sidereal hour angle of a star.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              SHIP STABILITY</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (1) Centre of gravity, centre of 
                                              buoyancy, metacentre and 
                                              metacentric height.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (2) Stable, neutral and unstable 
                                              equilibrium</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (3) Statical stability, stability 
                                              curves and range of stability.&nbsp; 
                                              Stiff and tender ships.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              (4) The effect on the statical 
                                              stability of raising or lowering 
                                              of weights and the taking on board 
                                              or discharging of weights such as 
                                              fuel oil and fish.&nbsp; The effect of 
                                              weights suspended at a height such 
                                              as when the cod end is hoisted 
                                              inboard.&nbsp; The effect of icing on 
                                              the superstructure.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (5) The effect of freeboard on the 
                                              range of stability.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              (6) The effect of free surface on 
                                              the metacentric height.&nbsp; Simple 
                                              exercises in applying to the GM 
                                              the correction for free surface 
                                              and to determine the effect on the 
                                              Centre of Gravity due to adding or 
                                              taking out weights.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (7) A knowledge of the stability 
                                              information supplied to a trawler.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              CHARTWORK</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (1) Use of a line of soundings.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              (2) Use of Decca, Consol&nbsp; and 
                                              Loran Lattice charts,</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (3)&nbsp; To find the time and height 
                                              of high and low water at a 
                                              Standard Port (Admiralty Tide 
                                              Tables).&nbsp; The use of tables or 
                                              diagram to find the height of tide 
                                              at any given time and thence the 
                                              approximate correction to 
                                              soundings, or to find the time at 
                                              which there would be a specified 
                                              depth of water over a rock or 
                                              shoal.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              NAVIGATIONAL&nbsp; AIDS</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              1. Elementary questions on compass 
                                              deviation.&nbsp; To find the Magnetic 
                                              bearing of a distant object from 
                                              compass bearings taken on 
                                              equidistant points and to 
                                              construct a table of deviations.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              2. Care and maintenance of 
                                              magnetic compasses.&nbsp; Siting of 
                                              compasses with particular 
                                              reference to proximity of magnetic 
                                              material and electrical 
                                              appliances.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              3.&nbsp; Principle of the echo sounder 
                                              and its practical use: false 
                                              echoes, fish echoes.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              4.&nbsp; The practical use of Radar and 
                                              its limitations as a navigational 
                                              aid.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              5.&nbsp; The use of Decca Navigator, 
                                              fixed and variable errors and how 
                                              to apply them.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              6.&nbsp; The use of Consol and how to 
                                              obtain a count.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              ORAL AND PRACTICAL</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (a) Meteorology, sufficient to 
                                              understand the meaning of weather 
                                              bulletins broadcast for the use of 
                                              mariners in the North Sea and 
                                              Atlantic.&nbsp; This may include 
                                              questions on warm and cold fronts, 
                                              their movements and the type or 
                                              weather associated with each.&nbsp; 
                                              Buys Ballot's law.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              (b) Getting under way.&nbsp; Berthing 
                                              and unberthing.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (c) Tending a vessel at anchor; 
                                              mooring and unmooring.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              (d) How to keep a ship head to sea 
                                              in heavy weather, or with engines 
                                              broken down.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (e) Action to be taken if a vessel 
                                              is springing a leak.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (f) The rigging and use of a jury 
                                              rudder.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (g) How to get a cast of the deep 
                                              sea lead in heavy weather.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (h) Effects of screws on steering 
                                              of a vessel.&nbsp; Manoeuvring a vessel 
                                              in rivers and harbours.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">(i) 
                                              The use and management of the 
                                              rocket apparatus in the event of 
                                              the vessel&nbsp; being stranded.&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (j) What is required by the 
                                              Merchant Shipping Acts to be done 
                                              in cases of death, injury or 
                                              ill-treatment, or of punishment 
                                              inflicted on board or of casualty 
                                              to a vessel; as to return of list 
                                              of crew; as to agreements and 
                                              apprentices' indentures; as to 
                                              accounts, wages; as to 
                                              certificates of discharge; and as 
                                              to avoidance of pollution of sea 
                                              by oil.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              (k) Any other practical questions 
                                              relating to the duties of a 
                                              Skipper of a fishing boat which 
                                              the Examiner may think necessary.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              SIGNALS</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              In addition to the syllabus for a 
                                              Second Hand, a candidate will also 
                                              be examined in the use of 
                                              shipborne W.T. D/F.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              PART II</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              SYLLABUS FOR SECONDHAND'S 
                                              CERTIFICATE EXAMINATION</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              CHARTWORK</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              1. Use of a chart or plan and 
                                              understanding of all marks, signs 
                                              and abbreviations thereon 
                                              (Candidates will be examined 
                                              orally on this part.)</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              2. To find the compass course (or 
                                              courses) and distance (or 
                                              distances) between two points on 
                                              the chart.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              3. To find the ship's position 
                                              front two bearings of the same 
                                              object, the course and distance 
                                              run between the bearings being 
                                              given, making due allowance for a 
                                              given tide or current, and to find 
                                              the distance of the ship from any 
                                              given position at the time of 
                                              taking the second bearing.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              4. To find on a chart or plan the 
                                              course to steer by compass in 
                                              order to counteract effect of a 
                                              given the tide or current and find 
                                              the distance the ship will make 
                                              good towards a given position in a 
                                              given time.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              5. To fix a ship's position by 
                                              horizontal sextant angles.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              6. To obtain the compass error by 
                                              transit bearings, selection of 
                                              suitable objects.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              7. To find the ship&#8217;s position by 
                                              cross bearings of' two objects and 
                                              the set and drift experienced.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              PRACTICAL NAVIGATION</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              1. By the use of the Traverse 
                                              Table to obtain the D.R. position 
                                              of a ship at any time, given 
                                              compass courses, variation and 
                                              deviation and the run recorded by 
                                              log or calculated by estimated 
                                              speed and time.&nbsp; The candidate may 
                                              be asked to allow for the effects 
                                              of current and winds.&nbsp; A departure 
                                              position may be given as a bearing 
                                              and distance from a point of land.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              2. To find the deviation of the 
                                              compass by time azimuth of the sun 
                                              by means of tables, diagrams or 
                                              any other method the candidate may 
                                              select.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              3. To find the latitude by an 
                                              observation of the sun on the 
                                              meridian.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              4. To find the ship's position at 
                                              the time of the second observation 
                                              by the use of position lines 
                                              obtained from two different 
                                              observations with a run between.&nbsp; 
                                              The two observations may both be 
                                              of the sun or a solar observation 
                                              together with a terrestrial 
                                              position line.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              PRINCIPLES OF NAVIGATION</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              1. To understand the terms: 
                                              geographical position of the sun, 
                                              Greenwich hour angle, local hour 
                                              angle, celestial meridian and 
                                              prime vertical, azimuth.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              2. To understand the use of 
                                              position lines both celestial and 
                                              terrestrial.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              3. To obtain the course and 
                                              distance from one position to 
                                              another by means of Plane and 
                                              Mercator sailing.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              4.&nbsp; To obtain the clock or 
                                              chronometer time of the sun&#8217;s 
                                              meridian passage.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              5. Use of a pelorus to obtain 
                                              compass bearings</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              6. To draw a figure showing the 
                                              celestial sphere on the plane of 
                                              either the observer&#8217;s meridian or 
                                              the rational horizon naming some 
                                              required parts.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              ORAL AND PRACTICAL</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (a) The use of a pelorus.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              (b) The use and adjustments of the 
                                              sextant.&nbsp; Candidates should be 
                                              able to observe with it, read on 
                                              and off the are, and find the 
                                              index error by the horizon.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (c) The use and reading of the 
                                              aneroid barometer.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              (d) How to improvise and use a sea 
                                              anchor.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (e) The marking and use of the 
                                              hand lead line.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (f) The rigging, masting and 
                                              principal parts of fishing boat.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (g) Accidents and how to deal with 
                                              them, including fire-fighting on 
                                              board and measures for fire 
                                              prevention.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (h) Life-saving appliances and 
                                              fire appliances required to be 
                                              carried in fishing&nbsp; boats; care 
                                              and maintenance of lifeboats and 
                                              their equipment, buoyant apparatus 
                                              and inflatable rafts, lifebuoys, 
                                              lifejackets, line throwing 
                                              appliances and fire appliances.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">(i) 
                                              Taking in and setting fore and aft 
                                              sail.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (j) Man overboard and necessary 
                                              action.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (k) Management of vessel&#8217;s boat in 
                                              heavy weather.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (l) The Collision Regulations as 
                                              regards both steamers and sailing 
                                              vessels, their regulation lights 
                                              and fog and sound signals, 
                                              (Candidates must have a good 
                                              knowledge of all the Rules of the 
                                              Collision Regulations).</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (m) The signals of distress and 
                                              the signals to be made by ships 
                                              wanting a pilot and the 
                                              liabilities and penalties incurred 
                                              by the misuse of these signals.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              (n) Uniform system of buoyage and 
                                              wreck marking system.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (o) A knowledge of the contents of 
                                              the Merchant Shipping Notices and 
                                              the intelligent use of Notices to 
                                              Mariners.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (p) Use of an echo sounding 
                                              machine and the patent sounding 
                                              machine.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (q) A knowledge of measures 
                                              influencing the safety of fishing 
                                              vessels generally and specifically 
                                              as related to stability.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (r) Any other questions relating 
                                              to the duties of a secondhand of a 
                                              Fishing Boat which the Examiner 
                                              may think necessary.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              SIGNALS</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Candidates must have a good 
                                              knowledge of the morse and 
                                              semaphore alphabets and be able to 
                                              signal by both methods.&nbsp; They will 
                                              be required to attain the speed of 
                                              eight words a minute in semaphore 
                                              and six words a minute in morse 
                                              flashing.&nbsp; A&nbsp; knowledge of 
                                              International Code of Signals and 
                                              the use of phonetic alphabets in 
                                              the radio-telephone code is 
                                              required.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              PART III</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              EXAMINATION FOR ENDORSEMENT OF A 
                                              SECONDHAND</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              CERTIFICATE OF COMPETENCY</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              The examination for an endorsement 
                                              as provided in paragraph 16 of the 
                                              Regulations shall consist of an 
                                              Oral Examination only and shall be 
                                              based on the Oral syllabus for a 
                                              skippers certificate of 
                                              competency.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              Note:&#8212;The syllabus for a higher 
                                              grade certificate is always to be 
                                              regarded as including the syllabus 
                                              for a certificate of a lower 
                                              grade.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <i>
                                              <span style="font-family: Arial">

                                              THIRD SCHEDULE</span></i></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              FORM EXN.&nbsp; G.16</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              No&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              EXAMINER'S AUTHORITY FOR DELIVERY 
                                              OF CERTIFICATE OF COMPETENCY TO 
                                              APPLICANT WHO HAS PASSED AN 
                                              EXAMINATION</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Name of 
                                              Applicant&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;....................................................................&#8230;&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              Grade for which 
                                              passed&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.........................................................&#8230;.....&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Height:&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.Colour of 
                                              Eyes:&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.........................................................&#8230;....&#8230;.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Colour of 
                                              Hair:&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..Complexion:&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;...........................................................&#8230;&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Personal marks or identification 
                                              marks (if 
                                              any):&#8230;..............................................................</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Signature of 
                                              Applicant&#8230;&#8230;&#8230;&#8230;..........................................................</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Port 
                                              ...........................&#8230;&#8230;&#8230;&#8230;. 
                                              Date 
                                              ......................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Note.&#8212;Please deliver to the above 
                                              named person the Certificate of 
                                              Competency to which he is 
                                              entitled.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              This authority is subject to the 
                                              approval of the Commissioner for 
                                              Transport and Communications.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              Signature of Examiner 
                                              .................................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Port&#8230;.................&#8230;&#8230;&#8230;&#8230;Date 
                                              .................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              To:</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              THE SHIPPING COMMISSIONER,</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              DIVISION OF SHIPPING AND 
                                              NAVIGATION,</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              MINISTRY OF TRANSPORT AND 
                                              COMMUNICATIONS,</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              P.O. BOX M. 38,</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              ACCRA.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <i>
                                              <span style="font-family: Arial">
                                              FOURTH SCHEDULE</span></i></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              FORM EXN. G. 17</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              RESULT OF EXAMINATION</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Name of Candidate&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230; 
                                              Grade &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Identification 
                                              marks&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; RESULTS OF 
                                              EXAMINATION&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              Date</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Eligible</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              For Re-Examination&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
                                              </p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Examiner&#8217;s</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Signature&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Port&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Date&nbsp;&nbsp;&nbsp;&nbsp; Attempt</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              No.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Sight</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Test&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Written&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Orals&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Signals&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              1st&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              2nd&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              3rd&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              4th&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;

                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              5th&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              Stamp of Office of original 
                                              issue&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Additional 
                                              sea-service (if any) required</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              Months from&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Signature of Examiner</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              Note.&#8212;This form must be presented 
                                              to the Examiner at the time 
                                              candidate applies for a 
                                              re-examination.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <i>
                                              <span style="font-family: Arial">
                                              FIFTH SCHEDULE</span></i></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              FORM EXN.G. 2A</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              APPLICATION FOR SIGHT TEST</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              Surname (in block 
                                              letters)&#8230;...........................................................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Other names (in full) (block 
                                              letters)...................................................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Permanent 
                                              address&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..............................................................&#8230;&#8230;&#8230;</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Date of Birth&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230; day of 
                                              &#8230;&#8230;..............&#8230;&#8230;&#8230;.&#8230;.. 
                                              19&#8230;&#8230;..................</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              Place of Birth 
                                              (Town)&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;......... District 
                                              ............................................&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Number of years served at sea 
                                              ..................&#8230;&#8230;.. Present 
                                              Rating 
                                              ..................................</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Number and Grade of Certificate of 
                                              Competency (if any 
                                              ............................&#8230;&#8230;&#8230;&#8230;&#8230;.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              If about to go to sea for the 
                                              first time state in what capacity 
                                              ...................................................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;................................</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Have you previously taken Sight 
                                              Test in Ghana or in another 
                                              Commonwealth Country</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              Yes/No&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              If so state:&#8212;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (a) Date and place of last test 
                                              ..........................................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (b) Whether Passed or Failed in:&#8212;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Letter 
                                              Test&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.........................................................&#8230;&#8230;&#8230;&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              Lantern 
                                              Test&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..........................................................</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Have you ever had a special 
                                              examination in United Kingdom? If 
                                              so, state the date&#8230;&#8230;&#8230;&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              CANDIDATES DECLARATION</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">I 
                                              declare that the particulars 
                                              furnished above are correct and 
                                              true to the best of my knowledge 
                                              and belief.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              And I make this Declaration 
                                              conscientiously believing it to be 
                                              true.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              Signature of 
                                              Candidate&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;....&#8230;&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Date&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..19&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              The Declaration overleaf was 
                                              signed in my presence and the fee 
                                              of ¢&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.has been received by 
                                              me.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &#8230;&#8230;&#8230;&#8230;&#8230;........&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              Signature of Receiving Officer</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Office 
                                              .............................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Date 
                                              ........................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              CERTIFICATE OF EXAMINER</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">I 
                                              certify that the Candidate named 
                                              overleaf was examined by me this 
                                              day with the following results:&#8212;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              *Letter Test&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              *Lantern Test&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              Note.&#8212;* Insert &#8220;Passed&#8221;, &#8220;Failed&#8221; 
                                              or &#8220;Not examined&#8221; as the case may 
                                              be.&nbsp; In the Lantern Test, where 
                                              the candidate holds a certificate 
                                              of competency (other than A.B.) 
                                              the entry should always be &#8216;not 
                                              examined&#8217;).</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &#8230;&#8230;&#8230;&#8230;..............&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Examiner</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              Port 
                                              of&#8230;&#8230;....................................................................................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              This 
                                              &#8230;&#8230;............................&#8230;.. 
                                              day of ......................&#8230;&#8230;&#8230;19 
                                              ........................&#8230;..</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              This form should be completed by 
                                              the Examiner and forwarded on the 
                                              day of examination to:&#8212;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              THE SHIPPING COMMISSIONER,</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              DIVISION OF SHIPPING AND 
                                              NAVIGATION,</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              MINISTRY OF TRANSPORT AND 
                                              COMMUNICATIONS,</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              P.O. BOX M. 38,</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              ACCRA.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <i>
                                              <span style="font-family: Arial">
                                              SIXTH SCHEDULE</span></i></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              FORM EXN. G. 23</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              APPLICATION FOR COPY OF LOST 
                                              CERTIFICATE OF COMPETENCY</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              N.B.&#8212;This Form when completed 
                                              should be forwarded to the 
                                              Shipping Commissioner who will 
                                              issue the certificate.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Part A</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Name of Applicant&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              Address&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Date of 
                                              Birth&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Place of Birth&nbsp;&nbsp;&nbsp;&nbsp;

                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Name of former 
                                              Certificate&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Grade of 
                                              former Certificate&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>

                                              </p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Part B</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              PARTICULARS OF LAST SERVICE</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              Name of last Ship&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Port of 
                                              Registry and Official 
                                              Number&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Rating on board 
                                              Description of last 
                                              Voyage&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>

                                              </p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-size: 10.0pt; font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              From&nbsp;&nbsp;&nbsp;&nbsp; To&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Commenced&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              Ended&nbsp;&nbsp; </span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              SOME OTHER SHIPS IN WHICH THE 
                                              APPLICANT HAS SERVED BEFORE AND 
                                              AFTER OBTAINING THE CERTIFICATE 
                                              NOW LOST</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              S. No. Name of Ship&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              Port of Registry and Official 
                                              No.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Rating on board&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              Date</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              Service</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Commenced</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Date</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Service</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Ended </span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Part C</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              DECLARATION TO BE MADE BY THE 
                                              APPLICANT BEFORE AN EXAMINER</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              I,&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.... of 
                                              ..............................................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Do Hereby declare:&#8212;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (1)&nbsp; That my Certificate was a 
                                              Certificate 
                                              of*.................................................&#8230;&#8230;.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; and that it was 
                                              numbered&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.....................</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              (2) That the said Certificate was 
                                              lost 
                                              at+&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;....................&#8230;&#8230;&#8230;..</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              ............................................................................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;(3)&nbsp; That the statements made 
                                              herein and in Parts (A) and (B) 
                                              are correct to the best of my 
                                              knowledge and belief.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              &#8230;&#8230;&#8230;........................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Applicant&#8217;s Signature</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              Declared and subscribed before me 
                                              at&#8230;&#8230;&#8230;..this&#8230;&#8230;day&#8230;&#8230;&#8230;&#8230;&#8230;&#8230; 
                                              19.................</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &#8230;&#8230;.................................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">

                                              Examiner of Masters and 
                                              Mates/Engineers</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              _______________________</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Note.&#8212;*Insert the word Competency 
                                              or Service</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; *State the place, 
                                              date occasion and cause of the 
                                              loss of&nbsp; the Certificate.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">&nbsp;</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Part D</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              DIRECTION BY THE SHIPPING 
                                              COMMISSIONER</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">I 
                                              am satisfied/not satisfied with 
                                              the applicant&#8217;s declaration in 
                                              Part C.A duplicate copy of the 
                                              Certificate may be/may not be 
                                              issued.</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &#8230;&#8230;&#8230;......................&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Shipping Commissioner</span></p>
                                              <p class="MsoNormal" style="text-align: justify">

                                              <span style="font-family: Arial">
                                              Part E</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              NOTE OF ISSUE OF CERTIFICATE</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">A 
                                              duplicate Certificate has been 
                                              issued this&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..........&#8230;&#8230;&#8230;&#8230;</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Day 
                                              of&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..19&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.&#8230;&#8230;</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                              &nbsp;&nbsp;&nbsp;Shipping commissioner</span></p>

                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Note.&#8212;This Form should be retained 
                                              in the Office of the Shipping 
                                              Commissioner and the Examine 
                                              informed of the action taken.</span></p>
                                              <p class="MsoNormal" style="text-align: justify">
                                              <span style="font-family: Arial">
                                              Date of Gazette Notification: 25th 
                                              August, 1972.</span></p>