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Certify that the following is a full and true statement of the sea service performed under my supervision by: Je certifie que ce qui suit est un expos complet et exact du service en mer effectu sous ma surveillance par : Name - Nom CDN no. - N CDN Name of vessel - Nom du b timent Gross tonnage - Jauge brute Port of registry - Port d'immatriculation Type of vessel - Type de b timent Official no. - N officiel Cargoes carried during the period of service Cargaisons transport es penda.

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