Uscg 719k Form 2024

Uscg 719k Form: What You Should Know

Social. 3. Date of birth: 04/01/1901. 4. Social. 5. Date of birth: 06/01/1950. 6. Age: 23. 7. Physical. 8. Date of birth: 07/19/1953. 9. Address: New York, NY 10022. 10. Address: New York, NY 10023. 11. Address: Philadelphia, PA 19129. 12. Foreign country of birth: Canada. 13. Foreign country of nationality: United States. 15. Citizenship (Green Card) status. Please note: The Applicant does not have to show all 10 pages of Form CG-719 to the officer's. However, the applicant must be truthful in their answer, complete and legible when submitted in person, over the post office, fax or electronic form. Applicants have 30 days to verify their identity in person. If the Applicant does not provide a satisfactory response to Section IV below, an inquiry will be sent to the Applicant's last known address, within 3 business days. Section II: Health Rating. A qualified medical doctor must determine that an applicant meets the minimum medical specifications and qualifications listed in Chapter 23 of this handbook to be an applicant for a Medical Certificate. If the applicant fails to present the required amount of medical and dental records, the applicant will not be allowed to receive an application for Merchant Mariner credential. Health Rating (CG-719H). Signed by: Chief, Medical Section, U.S. Coast Guard. Note: For use as a single document. Only one version, with all 10 pages, will be accepted. U.S. Coast Guard. Exp. Date: 07/04/2015. [CG-719H] U.S. Coast Guard. Exp. Date: 7/29/2016. Medical Inspection Examinations for Medical Certification Applications — USCG. Exp. Date: 06/28/1997. Please note: The applicant must be truthful in his/ her answer to Section IV in his/ her medical application. The applicant has to provide all the information required to obtain a Medical Certificate. Section IV: Medical Certification Information. The applicant's: (a) Physical examination.

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