Statistics Act, 1999
R 385
Merchant Shipping Act, 1951 (Act No. 57 of 1951)RegulationsMerchant Shipping (Seamen's Documents) Regulations, 2000AnnexesAnnex 1 : Seaman's Record Book and Certificates of Discharge |
ANNEX 1
(Regulation 1)
SEAMAN'S RECORD BOOK AND CERTIFICATES OF DISCHARGE
Surname (in block letters) ..............................................................................................................
First names (in block letter) ...........................................................................................................
NAME, RELATIONSHIP AND ADDRESS OF NEXT-OF-KIN OR NEAREST FRIEND
Name ............................................................................................................................................
Relationship ..................................................................................................................................
Address .........................................................................................................................................
Address of holder (if different from above) ....................................................................................
NOTICE TO SEAMAN
| (1) | This record book is a record of your service and should be produced either to the proper officer or to an employer when you are seeking employment. Without this book you may find it difficult to obtain employment at sea. |
| (2) | It is the duty of every master to give to a seaman discharged from his or her ship a certificate of discharge specifying the period of service and the date and place of discharge. It is in your interest to ensure that full particulars in regard to your sea service are entered in this book. |
| (3) | Should you desert or fail to join your ship your book will, after a period, be forwarded to the South African Maritime Safety Authority ("the Authority"), P.O. Box 13186 Hatfield 0028, Republic of South Africa. If you apply for its re-issue, it may be returned to you with an entry in the discharge and character columns that the engagement was not completed, but if you have wilfully or through misconduct failed to join your ship, the Authority may under section 179 of the Merchant Shipping Act 57 of 1951 withhold the book for such period as it thinks fit, and may refuse to furnish copies of your certificates of discharge or certified extracts of any particulars of service and character. |
| (4) | In the event of your losing this book you should immediately notify the nearest proper officer or the Authority. Application for a new record book must be made to the nearest proper officer and two new photographs (size 65 mm by 40 mm), duly certified, and the relevant charge should accompany the completed application form. If you are able to prove that your book has been lost through shipwreck or fire aboard ship, no fee will be charged. |
N.B.—Should this book come into the possession of any person to whom it does not belong, it should be handed to the nearest proper officer or be transmitted to the Authority.
DECLARATION
This is to certify that this record book has been issued in accordance with the provisions of the Merchant Shipping (Seamen's Documents) Regulations, and the photograph affixed is a true photograph of the holder of the record book.
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Date: ................................ |
Place: .................................. |
Signature of proper officer |
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Photograph of holder
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NAME OF SEAMAN
Surname (in block letters) ..............................................................................................................
First names (in block letters) ..........................................................................................................
Blood group..................................................... Rhesus. ..................................................................
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Height in cm |
Colour of |
Complexion |
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Eyes |
Hair |
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Date, place and country of birth ....................................................................................................
Tattoo or other distinguishing marks .............................................................................................
Nationality ...................................................................................................................................
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Signature of seaman
DETAILS OF CERTIFICATES OF COMPETENCY OR QUALIFICATION
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Grade |
No. |
Issuing authority and date |
Certified: Signature of proper officer and date |
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DETAILS OF TRAINING COURSES
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Date of course |
Particulars of course |
Certificate obtained |
Certified: Signature of proper officer and date |
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CERTIFICATES OF DISCHARGE
(Compiled from lists of crew and official log-books, and copy of report of character if desired by the seaman)
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No. |
*Name of ship, official number and gross tonnage † |
Date and place of |
Rank |
Description of voyage or nature of employment |
Copy of report of character |
Signature of (1) master; and of (2) proper officer; and official stamp |
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*Engagement |
Discharge |
For ability |
For general conduct |
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1 |
(1) |
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(2) |
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2 |
(1) |
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(2) |
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3 |
(1) |
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(2) |
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4 |
(1) |
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(2) |
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| * | These columns must be filled in at time of engagement. |
| † | In engineer-officer's or marine motorman's book, insert power. In radio officer's book, insert gross tonnage and type of radio installation. |
RECORD OF PREVIOUS SEA SERVICE
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Date |
Name of ship |
Type of voyage |
Rank |
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From |
To |
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