Statistics Act, 1999
R 385
Merchant Shipping Act, 1951 (Act No. 57 of 1951)RegulationsMerchant Shipping (Seamen's Documents) Regulations, 2000AnnexesAnnex 2 : Interim Certificate of Discharge |
ANNEX 2
(Regulation 5)
REPUBLIC OF SOUTH AFRICA
SOUTH AFRICAN MARITIME SAFETY AUTHORITY
INTERIM CERTIFICATE OF DISCHARGE
(Section 113(2) of Act 57 of 1951)
(Note—The particulars appearing in this certificate shall as soon as possible be entered in the seaman's record book, whereupon the certificate shall be surrendered to a proper officer.)
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Name of ship |
Official number |
Gross tonnage |
*Power |
Description of voyage or employment (e.g. foreign-going, coasting, fishing, etc) |
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Full names of seaman (in block letters) |
Date, place and country of birth |
Rank |
Details of certificates of competency or qualification (if any) |
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Date and place of engagement |
Date and place of discharge |
† Copy of report of character |
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For ability |
For general conduct |
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I certify that the particulars appearing in this certificate are correct and that the above-named seaman was discharged accordingly.
Dated this ................... day of ............................. (Year) .................
.......................................................... (Master) Authenticated by
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Date ................................ |
Proper officer |
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Port ................................. |
.............................................. |
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Signature of seaman
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| * | In the case of a radio officer, the type of radio installation on the ship must also be inserted. |
| † | If the seaman does not require a report, enter "Endorsement not required". |
