PYA Sea Service Testimonial - for Engineers ver 2

PYA Sea Service Testimonial - for Engineer Officers ver. 2.0

MCA Approved for use in respect of service on commercially and privately operated yachts and sail training vessels.
IMPORTANT - Please refer to the instructions throughout this form.

If you provide incorrect information, or do not adhere to the instructions, it could significantly delay the verification process.
About you
Your Name (as it appears in passport) *

First Name Middle Name Last Name
Email *
example@example.com
Date of birth *

Day Month Year
Date of Birth
In what capacity have you served? *

Chief Engineer Second Engineer Engineer Watchkeeper
About the Vessel
Vessel Type *

Motor Yacht Sailing Yacht
Name of Vessel (plus previous name if relevant) *
Flag of Vessel *
Official number of vessel or IMO *
Load Line Length (in metres) *
Gross Tonnage *
Main engines' propulsion power (kW) *
Only main engines, no generators
About Your Sea Service
On-board Yacht Service

IMPORTANT: Your dates of service on this testimonial cannot overlap with dates of service on another testimonial (for this or another vessel). If they do, this testimonial will not be verified and your application will be rejected.
Date from *

Day Month Year
Start date
Date to *

Day Month Year
You must ALWAYS put and end date. If you are still on board, use today's date
Total on-board service
IMPORTANT: Please follow precisely the definitions below for the various types of service. Any confusion or irregularity will delay the verification process and could lead to your application being rejected.

The sea service totals cannot be higher than the days signed on.
- ACTUAL DAYS AT SEA is time spent at sea, which may include time at anchor or river and canal transits associated with a passage with engines running for at least 4h within a 24h period.
- SHIPYARD SERVICE is time when standing by a build, refit or serious repair.
- WATCHKEEPING SERVICE (watchkeeping or UMS duties) is defined as time spent on an engine room watch, for a minimum of 4 hours out of every 24 hours whilst the main propulsion machinery is in operation.
The above service consists of:
Actual Days at Sea *
Enter 0 if this is the case
Your Actual days at Sea exceed the number of days you've been signed on!

Please amend.
Days of Shipyard Service
Enter 0 if this is the case
The figures you have provided for your 'actual days at sea' and 'shipyard service' are equal to the total time you have been signed on the vessel!

USUALLY, the number for the total sea time and the total time signed on should not match as normally there would be days which do not fall into the category of actual days at sea or shipyard e.g. standby days, days off, etc.

Before you submit this information, please check that you are sure that what you have written is correct in accordance with the sea service definitions listed above.
The sum of your "Actual Days at Sea" and "Shipyard Service" exceeds the days you have been signed on the vessel!

Please amend.
Total Sea Service stated
Total sea service is given by the sum of Actual days at Sea + Stand-by days + Shipyard days
Watchkeeping Days
Watchkeeping days are valid only if you have entered the MCA SV Program
Watchkeeping days cannot exceed Actual days at Sea!

Please amend.

Watchkeeping days are calculated on a cumulative basis:

Prior to 09/04/15: 8 hours = 1 day of watchkeeping

From 09/04/15: 4 hours = 1 day of watchkeeping

More than 8 or 4 hours watchkeeping respectively in a 24 hour day does not constitute 2 watchkeeping days!
Leave of Absence
Number of days leave of absence taken *
Enter 0 if this is the case
Total LOA + Total Sea Service
The total of days of leave plus days of sea service exceeds the days you have been signed on!

This is not possible as you cannot be working on-board whilst also on leave.

Please amend.
Dates of your leave of absence (if known)
Areas cruised *

Eastern Mediterranean Western Mediterranean Caribbean USA East Coast USA West Coast Persian Gulf / Middle East Atlantic Ocean Pacific Ocean Indian Ocean Southern Ocean Arctic Ocean North Sea Asia Australasia Gulf of Alaska
Additional information
If you need to verify nautical miles or other valuable information, enter it here; if not, leave this field empty.
Official Signature
Name of person officially authorised to sign testimonial

First Name Middle Name Last Name
Capacity *

Master Responsible Person from Management or Ownership Company Owner
Email
example@example.com
Phone Number

Country Code Phone Number
Please complete details of your CoC:
CoC Number
CoC Issuing Authority
If signing as responsible person from management or ownership company, please complete your position and organisation details:
Your position
Organisation and address
This is to certify that {name} has completed the service as stated in this testimonial.
Signature
Date signed

Month Day Year
Date
Yacht / Company Stamp (if available)
It stamp is not available, leave blank
Flagged!
Problems with your testimonial
Some of the information you have entered above has been flagged and will be rejected.

Please review the problem areas, highlighted in red, and edit the testimonial before pressing submit.
Once you press submit, you will be emailed a PDF of your testimonial, which includes spaces for the person who is officially authorised to sign your testimonial to enter their details.

Please print it or email it and get the Master, Owner or Responsible Person from the Management or Ownership Company to fill in their details including a valid e-mail address before signing.

Please do not sign your own testimonial or leave the signatory section blank as it will be rejected.
Should be Empty:

PYA Sea Service Testimonial - for Engineer Officers ver. 2.0

About you

About the Vessel

About Your Sea Service

Leave of Absence

Official Signature