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    Medical Fitness Report New For Jordan

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    ahmad abdullah
    This document is a certificate of medical fitness for seafarers issued by the Jordan Maritime Commission. It contains personal information about an individual such as name, date of birth, nationality, rank, eyesight, hearing, and results of ancillary medical examinations. The examining doctor determines if the individual is free from any medical conditions that could be aggravated by sea service or endanger others, and declares them fit or unfit for sea service duties. The certificate is valid for 2 years from the date of issue.

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    Medical Fitness Report New For Jordan

    Uploaded by

    ahmad abdullah
    622 views1 page
    This document is a certificate of medical fitness for seafarers issued by the Jordan Maritime Commission. It contains personal information about an individual such as name, date of birth, nationality, rank, eyesight, hearing, and results of ancillary medical examinations. The examining doctor determines if the individual is free from any medical conditions that could be aggravated by sea service or endanger others, and declares them fit or unfit for sea service duties. The certificate is valid for 2 years from the date of issue.

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    Medical Fitness Report New for Jordan

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    This document is a certificate of medical fitness for seafarers issued by the Jordan Maritime Commission. It contains personal information about an individual such as name, date of birth, nationality, rank, eyesight, hearing, and results of ancillary medical examinations. The examining doctor determines if the individual is free from any medical conditions that could be aggravated by sea service or endanger others, and declares them fit or unfit for sea service duties. The certificate is valid for 2 years from the date of issue.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    622 views1 page

    Medical Fitness Report New For Jordan

    Uploaded by

    ahmad abdullah
    This document is a certificate of medical fitness for seafarers issued by the Jordan Maritime Commission. It contains personal information about an individual such as name, date of birth, nationality, rank, eyesight, hearing, and results of ancillary medical examinations. The examining doctor determines if the individual is free from any medical conditions that could be aggravated by sea service or endanger others, and declares them fit or unfit for sea service duties. The certificate is valid for 2 years from the date of issue.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    THE HASHEMITE KINGDOM OF JORDAN

    JORDAN MARITIME COMMISSION

    Certificate of Medical Fitness – Seafarers


    Approved by the Jordan Maritime Commission
    As per STCW 1978 as Amended Reg. I/9 and MLC 2006 Standard A1.2

    Certificate / Report No.: Date of issue: (DD/MM/YY)


    Photo
    First Name: Surname/(last Name):

    Date Of Birth / Place: (DD/MM/YY) Gender (Male/Female)

    Home address: Nationality:

    Identity document type Seaman Discharge Book No.:

    Rank: Age:

    Eyesight:
    Meets visual acuity standards Yes No Visual Aids (tick if worn)
    Spectacles Contact Lenses
    Meets colour vision standards Yes No

    Hearing:
    Meets hearing standards Yes No

    Unaided hearing satisfactory Yes No

    Ancillary Examinations
    Cardiovascular Normal With Findings Blood Type (Specify) ……………
    Chest X-Ray Normal With Findings ECG Normal With Findings
    URINES Analysis Normal With Findings CBC Normal With Findings
    General Condition (Any abnormalities) Please Specify:

    The examinee is free from any medical condition likely to be aggravated by service at
    Yes No
    sea, render him/her unfit for sea service, or endanger the health of others on board.

    Fit for sea service duties Yes No Please Indicate Any Restriction(s):

    This Report Is Valid For 2 Years from the date of issue

    Medical Center Doctor Name / Signature

    Head Of Medical Committee Name / Signature


    Seal / Official Stamp

    Director Of Medical Center Name / Signature

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