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17 DE MAIO DE 2016 33

Endorsement N.º ………………….. issued on ……………….

(Official Seal )

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

Signature of duly authorized official

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

Name of duly authorized official

Date of birth of the holder of the certificate ……………

Signature of the holder of the certificate …….................

Photograph of the holder of the certificate

The validity of this endorsement is hereby extended until ……………………………..………..

(Official seal) ……………………………….…………………….

Signature of duly authorized official

Date of revalidation ……………………. ………………………………………………………

Name of duly authorized official

The validity of this endorsement is hereby extended until ……………………………..………..

(Official seal) ……………………………..….…………………….

Signature of duly authorized official

Date of revalidation ……………………. ………………………………………………………

Name of duly authorized official

Appendix 3

The form used to attest the recognition of a certificate shall be as shown hereunder, except that the words «or

until the date of expiry of any extension of the validity of this endorsement as may be shown overleaf» appearing

on the front of the form and the provisions for recording extension of the validity appearing on the back of the

form shall be omitted where the endorsement is required to be replaced upon its expiry.

(Official Seal)

(Country)

Endorsement attesting the recognition of a certificate under the provisions of the International Convention

on Standards of Training, Certification and Watchkeeping for Fishing Vessel personnel, 1995

The Government of …………………...……….. certifies that Certificate No……………………. issued to

………………………..by or on behalf of the Government of …………..…………..is duly recognized in accordance

with the provisions of regulation I/7 of the above Convention, and the lawful holder is authorized to serve as

specified below, subject to any limitations indicated until ………or until the date of expiry of any extension of the

validity of this endorsement as may be shown overleaf: