Merchant Shipping Act, 1951 (Act No. 57 of 1951)

Regulations

Merchant Shipping (Seamen's Documents) Regulations, 2000

Annexes

Annex 2 : Interim Certificate of Discharge
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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.)

 

Name of ship

Official number

Gross tonnage

*Power

Description of voyage or employment (e.g. foreign-going, coasting, fishing, etc)

 

 

 

 

 

 

 

 

 

Full names of seaman

(in block letters)

Date, place and country of birth

Rank

Details of certificates of competency or qualification

(if any)

 

 

 

 

 

 

 

Date and place of engagement

Date and place of discharge

†  Copy of report of character

For ability

For general conduct

 

 

 

 

 

 

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

 

..............................................

Date ................................

 

Proper officer

 

Port .................................

 

..............................................


Signature of seaman

 

 

 

*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".