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SEAFARER MEDICAL REPORT FORM (ML5) AND ML5 CERTIFICATE WHO MAY USE THIS FORM is for use by the following applicants. Please tick why you need this form/certificate: 1. Applicant for an MCA Boat master's

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How to fill out seafarer medical report form

To fill out the seafarer medical report form, follow these steps:

01

Start by entering your personal information, such as your full name, date of birth, and contact details. Make sure to provide accurate and up-to-date information.

02

Next, indicate your gender and nationality. This is important for statistical and identification purposes.

03

Specify your profession or job title as a seafarer. This helps to determine if you are eligible to complete the form.

04

Provide the details of your current employer or the name of the ship you are associated with. This information helps to establish your affiliation and verify your credentials.

05

Indicate the date of your last medical examination. If you haven't had one recently, it is advisable to consult a qualified medical professional to perform a thorough examination.

06

Fill in your medical history by answering the questions related to any pre-existing medical conditions, surgeries, allergies, and chronic illnesses, if any. Provide accurate and detailed information to ensure proper evaluation and appropriate medical assistance if needed.

07

If you are currently taking any medications, list them along with the dosages and frequency of use. It is important to disclose this information as it may affect your fitness to work onboard a ship.

08

Declare any previous instances of physical or mental health issues that might have impacted your ability to perform seafaring duties.

09

Sign and date the form to confirm that the information provided is true and accurate to the best of your knowledge.

Who needs the seafarer medical report form?

The seafarer medical report form is generally required for individuals who work onboard ships or vessels. This can include various roles such as deck officers, engineers, ratings, and other seafaring professions. The form helps to assess the medical fitness and suitability of individuals to perform their duties at sea. It is often requested by shipping companies, maritime authorities, and regulatory bodies to ensure the well-being and safety of seafarers.

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What is seafarer medical report form?

The seafarer medical report form is a document that details the health status of a seafarer.

Who is required to file seafarer medical report form?

Seafarers are required to file the seafarer medical report form.

How to fill out seafarer medical report form?

To fill out the seafarer medical report form, you must provide accurate information about your medical history and current health status.

What is the purpose of seafarer medical report form?

The purpose of the seafarer medical report form is to ensure that seafarers are fit to perform their duties at sea.

What information must be reported on seafarer medical report form?

The seafarer medical report form must include details about the seafarer's medical history, current health status, and any medications being taken.

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