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Department of Transportation U.S. Coast Guard CG719K (Rev 1/02)Merchant Mariner Physical Examination ReportOMB21150514Page 1Instructions If you are applying for: 1. ORIGINAL LICENSE AND/OR QUALIFIED

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What is cg-719k rev 102?

cg-719k rev 102 is the Application for Merchant Mariner Credential (MMC) form issued by the United States Coast Guard.

Who is required to file cg-719k rev 102?

Individuals who are seeking a Merchant Mariner Credential (MMC) are required to file cg-719k rev 102.

How to fill out cg-719k rev 102?

cg-719k rev 102 must be filled out completely and accurately, including personal information, sea service, training, and other required details.

What is the purpose of cg-719k rev 102?

The purpose of cg-719k rev 102 is to apply for a Merchant Mariner Credential (MMC) in order to work on maritime vessels.

What information must be reported on cg-719k rev 102?

Information such as personal details, sea service, training, medical history, and other relevant information must be reported on cg-719k rev 102.

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