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Click ‘Get Form’ to open the merchant mariner credential mmccg719b 2004 form in the editor.
Begin with Section I – Applicant Information. Fill in your name, Social Security Number, and details about the vessel including its name, official number, gross tons, and dimensions.
In Section II – Record of Underway Service, enter the number of days served for each month. You can document multiple years by filling in the appropriate blocks.
Complete the total number of days served on this vessel and provide additional information such as average hours underway and distances offshore.
Finally, in Section III – Signature and Verification, ensure you read the certification statement before signing. If applicable, have the owner or master sign as well.
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