Annex D

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

Department of Transportation and Communications

MARITIME INDUSTRY AUTHORITY

CERTIFICATE OF SEA SERVICE

This certifies that JESSEL A. ARIMADO had actually served under

our Supervision onboard AVIVA 4 . GENERAL CARGO
(Name of Vessel) (Type of Vessel)
of PHILIPPINES with Registry No. 08-0000484 a _DOMESTIC _ vessel
(Vessel Nationality) (Near Coastal/ Sea-going)
Of _572.92 KW and __1566_Gross Tonnage for a period of ___1 _________1______19_____
(No. of Years) (Months) (Days)
From __April 19, 2017__ to June 7, 2018__ as ___Apprentice mate_
(Date of Embarkation) (Date of Discharge) (Position Held)

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

Issued this 07th day of June at 2018 .

SEAL OF VESSEL

Silvestre K. Atay
Master – Signature above Printed Name
Nationality : Filipino
Kind of License : Second mate
Registration No. : D3-0042177
Date of Registration : 19-November-2003
Expiry Date : 31-December-2018

Note:

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

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

Department of Transportation and Communications

MARITIME INDUSTRY AUTHORITY

CERTIFICATE OF SEA SERVICE

This certifies that JESSEL A. ARIMADO had actually served under

our Supervision onboard AVIVA 4 . GENERAL CARGO
(Name of Vessel) (Type of Vessel)
of PHILIPPINES with Registry No. 08-0000484 a _DOMESTIC _ vessel
(Vessel Nationality) (Near Coastal/ Sea-going)
Of _572.92 KW and __1566_Gross Tonnage for a period of ___1 _________1______19_____
(No. of Years) (Months) (Days)
From __April 19, 2017__ to June 8, 2018__ as ___Apprentice mate_
(Date of Embarkation) (Date of Discharge) (Position Held)

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

Issued this 08th day of June at 2018 .

SEAL OF VESSEL

Silvestre K. Atay
Master – Signature above Printed Name
Nationality : Filipino
Kind of License : Second mate
Registration No. : 7212310011
Date of Registration : 19-November-2003
Expiry Date : 31-December-2018

Note:

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

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

Department of Transportation and Communications

MARITIME INDUSTRY AUTHORITY

CERTIFICATE OF SEA SERVICE

This certifies that JESSEL A. ARIMADO had actually served under

our Supervision onboard AVIVA 4 . GENERAL CARGO
(Name of Vessel) (Type of Vessel)
of PHILIPPINES with Registry No. 08-0000484 a _DOMESTIC _ vessel
(Vessel Nationality) (Near Coastal/ Sea-going)
Of _572.92 KW and __1566_Gross Tonnage for a period of ___1 _________1______19_____
(No. of Years) (Months) (Days)
From __April 19, 2017__ to June 8, 2018__ as ___Apprentice mate_
(Date of Embarkation) (Date of Discharge) (Position Held)

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

Issued this 08th day of June at 2018 .

SEAL OF VESSEL

Silvestre K. Atay
Master – Signature above Printed Name
Nationality : Filipino
Kind of License : Second mate
Registration No. : D3-0042177
Date of Registration : 19-November-2003
Expiry Date : 31-December-2018

Note:

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

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

Department of Transportation and Communications

MARITIME INDUSTRY AUTHORITY

CERTIFICATE OF SEA SERVICE

This certifies that JESSEL A. ARIMADO had actually served under

our Supervision onboard AVIVA 4 . GENERAL CARGO
(Name of Vessel) (Type of Vessel)
of PHILIPPINES with Registry No. 08-0000484 a _DOMESTIC _ vessel
(Vessel Nationality) (Near Coastal/ Sea-going)
Of _572.92 KW and __1566_Gross Tonnage for a period of ___1 _________1______19_____
(No. of Years) (Months) (Days)
From __April 19, 2017__ to June 8, 2018__ as ___Apprentice mate_
(Date of Embarkation) (Date of Discharge) (Position Held)

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

Issued this 08th day of June at 2018 .

SEAL OF VESSEL

Silvestre K. Atay
Master – Signature above Printed Name
Nationality : Filipino
Kind of License : Second mate
Registration No. : 7212310011
Date of Registration : 19-November-2003
Expiry Date : 31-December-2018

Note:

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

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

Department of Transportation and Communications

MARITIME INDUSTRY AUTHORITY

CERTIFICATE OF SEA SERVICE

This certifies that JESSEL A. ARIMADO had actually served under

our Supervision onboard AVIVA 4 . GENERAL CARGO
(Name of Vessel) (Type of Vessel)
of PHILIPPINES with Registry No. 08-0000484 a _DOMESTIC _ vessel
(Vessel Nationality) (Near Coastal/ Sea-going)
Of _572.92 KW and __1566_Gross Tonnage for a period of ___1 _________1______19_____
(No. of Years) (Months) (Days)
From __April 19, 2017__ to June 8, 2018__ as ___Apprentice mate_
(Date of Embarkation) (Date of Discharge) (Position Held)

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

Issued this 08th day of June at 2018 .

SEAL OF VESSEL

Silvestre K. Atay
Master – Signature above Printed Name
Nationality : Filipino
Kind of License : Second mate
Registration No. : D3-0042177
Date of Registration : 19-November-2003
Expiry Date : 31-December-2018

Note:

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