Certification Pdf 226702

84x Filetype PDF File size 0.41 MB Source: www.dco.uscg.mil

File: Certification Pdf 226702 | Cg 719k

DEPARTMENT OF HOMELAND SECURITY OMB No. 1625-0040 U.S. Coast Guard Exp. Date: 03/31/2021 APPLICATION FOR MEDICAL CERTIFICATE (FORM CG-719K) ------ Instructions ------ Who must submit this form? 1. Applicants ...

Filetype PDF | Posted on 01 Mar 2023 | 2 years ago

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...Department of homeland security omb no u s coast guard exp date application for medical certificate form cg k instructions who must submit this applicants seeking a are required to complete and all pages including the guidance completion can be found at https www uscg mil hq nvic pdf mariners applying or holding merchant mariner credential with only an entry level endorsement serve on vessel not subject international convention standards training certification watchkeeping stcw but request that satisfies maritime labor mlc want qualified lookout duties should sections iii conditions iv medications v physical examination do have completed will restricted accept without reference number mmc may conduct exam exams tests demonstrations performed witnessed reviewed by physician assistant nurse practitioner licensed state in possession territory examinations registered pilots conducted doctor section i applicant information mp legal name enter birth if is under years age attach notarized sta...

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Category: Uncategorized / Uncategorized
Posted on: 01 Mar 2023 | 2 years ago
Tag: download pdf, 719k,
Filetype: PDF
File size: 0.41 MB
Views: 84x
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