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Get IS Icelandic Transport Authority Form For Assessment Of Medical Fitness

S Identification documents (ID): Passport, sea service book and driving licence Type of ID: ID No: Date of birth/ Icelandic national identity number: Gender: Family name: First and middle name: Registered address: Nationality: Female Male B. SERVICE ON BOARD Position on board: Department: Deck Engine Other If Yes, which Part of navigational watch? Yes No Safety function Yes No If Yes, which C. SELF-DECLARATION AND CONSENT TO COLLECT MEDICAL INFORMATION Have you ever had an.

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