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lvlunicipal Form No. '102 (To be accomplished in quadruplicate) REMARKS/ANNOTATION
\ (Revised January 1993)
Bepublic ot the Philippines
CERTIFICATE OF LIVE EIRTH
tFirr @r @md.r. y, E4d€1, ad l€oihr. U3. idk d Vpdfi6r.
Pk. X h6ldo lh..pDDp&b 5wd n lietu a sa, sb ed i9i.)

Province ,{,iE7R0 I/4N rLA Rsgislry No.


?ftTeRos q2-otl$
I, NAME (Firsl) {iliddL) {ras0
JoHN,Nq'LO LLORTDOE
2. SEX 3. DATE OF BIRTH {cay) (rlon'tl) 0ead

-Zt r&i,a 2 Fal]Eib 8-tv-qry


4. PLACEOF (l,larboiHo3pihi/Clinidlndin'!0,l/
- Icity/Muoi.ipality)
H . BIRTH HoB No., sbet Badnsay)
I
L
Aatq Mffin'AN+ iA'' $A.r^,irt P&iE8os r4ElRO
D 5a, TYPE OF BIRTH b, IF MULTIPLE B RTH,gHILD WAS
--!ar sinqr€ 2Twin 1 Fts! --5 2 s€c6nd
_ 3 fiplet, elo. 3 ouFB, spedry
c.
- -
BIRTH OBDEB 0iw birrtE and Lral dearhs
-d. WEIGHTAT BIFIH
lncludin! hii deliwryj
Q n*n,
,i*r*
6. MAIDEN
NAME
lFi16i) (Mddle) (Lan)
- ffi ffi ffi
Wvi,tFia
7. CIT|ZENSHtP 8. RELIGION
M WWvt<,
o b, No. ol.h dl6n slii
T
H
E IO
dI,
OCCUPATION
_uo
living includng
lhi. birlh: .,-^. ,.
#
R binh 4/ .or lhis
Pt'r.lss &'-e Pr* ' years
12. RESIDENCE (House No, Stre€r, BaEnsay) (cit/MunidpElily) {ftolinc€)
ocrq u}}srqAni ctr, <rr-ry h\h l^-r!- Ro s iarrB o &L+.
.I3, NAIVE (FiEl) (Mirdl€) (Las0
F
A ,J kP.. MnFcOs
I 14, CITIZENSHIP I5. RELIGION
H FILIPcNO cfl-tut0i\,
;
E 16. OCCUPATTON 17, Aso aths lime
R f it binh: .rlD
gEwr Nk 9uPFRriS,rR ol
I

18. DATEAND PLACEOFMARBIAGE OF PABENIS


acknowlodomonyAdni$im ol pa6r$y ar lis tac*.i
0l mr mafllod, acc. )[6i A,tidavit ot II
I
Rq?- nr€ cdriB.ti O+ PE4B: SresrOD, <ox,
I
19a. ATTENDANT
I Phvslian M
---.4 1 tui (tnuuona uio,it ) 5 Ot'€6 (Sp€cit
-
19b, CEHIIFICATION OF BIBTH

adpF on
-
ItBEby @r.tftat L.lt€nd€d $s bj,h ol rhs childwho wa3 bom r,iv.
he dala staEd above
rr a:oc (F'l lblo.l
IIIII
l4\)- 1,1 Lo7-it PA €.
TEIE{r r'l-4 &1? Kn'l-D ^derl]s ?k$,<o9
&i,Lor
20. INFO
Di i4 Mr?<nqrh h 6'.
N,i.'np;hr <JllPf rlLutr',\r ?- l,l_* ' l'e.T€:R S l'',t'' I ffi
)&-. e, fiq,
21. PREPARED BY 22. RECEIVED AT THE OFFIEE OF
! THE CIVIL
i

tn nt^ptu 'FRva:l h l,t"t K*:t't lil A M

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Dab
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06750-5G-005MPG-00209-8t001
BEST POSSIBLE IMAGE
BReN
07606-A93Y803-6
*^;4 fuur A Abu*aJw
LISA GRACE S. BERSAIES, Ph.D.
Nafunal Mbliclan and 6ivrl Regisbar Gaieral
lil il ililil illt I il1il ilililil1t til [ililtil!il ]t Documenlary
rqflf,866499?e9020e062520 800 1 1 Slamp Tax Paid ' '
Phfl iooine Shlislics tuhoritv
lil,tift:i il.[, lll llrflil ilfllill llt
ISO 9001:2008
PNTC Golleges Certificate of
RegistrationNo.
Maritime Training Genter TUVi00 05 2490
lntramuros Corporate Plaza Recoletos St.,
lntramuros, 1002 Manila
Philippines

Cert. No. RFPNW-18-0300741


Reg. No. 18-03-MNW000296

Gertificate of Gom pletion


This certificate is issued to

John Angelo L. Villaraiz

for having successfully completed the training in

RATINGS FORIT/IING PART OF NAVIGATIONAL WATCH


' (46 Hours)
Regulation ll/4 of the 1978 STCW Convention, as amended

Conducted from February 23 to March 01, 2018 as authorized


by the STCW Office of the Maritime lndustry Authority pursuant to the provisions of E.O.
75 and Marina Circular No.2013-01 , series of 2012 and having been assessed by the
authorized Assessor in accordance with the approved method and criteria.

lssued this lst day of March 2018 in the City of


Manila, Philippines.

ATTY. IENVE A RBO JR JAN M ROMERO


Executive Vice President for Training
ISO 9001:2008
PNTC Colleges Certificate of
RegistrationNo.
Maritime Training Center TUV100 05 2490
lntramuros Corporate Plaza Recoletos St.,
lntramuros, 1 002 Manila
Philippines

Cert. No. SDSD-18-0303225


Reg. No. 18-03-MSDSD000515

Gertificate of Gom pletion


This certificate is issued to

John Angelo L. Villaraiz


for having successfully completed the training in

SHIP SECURITY AWARENESS TRAINING AND SEAFARERS


WITH DESIGNATED SECURITY DUTIES
(1 1 Hours)
(lMO Model Courses 3.26 &3.27)
(ISPS Code and Chapter Xl-2 of SOLAS 74, as amended)
(Regulation Vl/6 of the 1978 STCW Convention, as amended)
(Section A-Vl/6, Paragraphs 4,6,7 & 8, and Tables A-Vl/6-1 & A-Vl/6-2
of the STCW Code 201O Manila Amendments)

Conducted March 02 to 03, 2018 as authorized


by the STCW Office of the Maritime lndustry Authority pursuant to the provisions of E.O.
75 and Marina Circular No. 2013-01, series of 2012, and having been assessed by the
authorized Assessor in accordance with the approved method and criteria.

lssued this 3rd day of March 2018 in the City of Manila,


Philippines

+
Ar-iY. Bt NVENI CE BO JR. JA ROMERO
Executive Vice President for Training
PNTC Golleges ISO 9001:2008
Certificate of
RegistrationNo.
Maritime Training Center TUVi00 05 2490
lntramuros Corporate Plaza Recoletos St.,
lntramuros, 1002 Manila
Philippines
Cert. No. BT-18-0203638
Reg. No. 18-02-M8T000762

Certificate of Gom pletion


This certificate is issued to

John Angelo L. Villaraiz

for having successfully completed the training in

BASIC TRAINING
(Regulation Vl/|, Section A-V|/I, Paragraph 2 of the 1978 STCW Convention, as amended)

Personal Survival Techniques (Tabte A-Vt/1-1)


(20 Hours)
(lMO Model Course 1.19)
Fire Prevention and Fire Fighting (Tabre A-Vl/1-2)
(20 Hours)
(lMO Model Course 1.20)
Elementary First Aid (Tabte A-Vt/1-3)
(20 Hours)
(lMO Model Course 1.13)
Personal Safety and Social Responsibility (Tabte A-vt/1-4)
(20 Hours)
(lMO Model Course 1.21)

Conducted from February '12 to 22,


2018 as authorized by the
STCW Office of the Maritime lndustry Authority pursuant to the provisions of E.O. 75 and
Marina Circular No.2013-01, series of 2012, and having been assessed by the authorized
Assessor in accordance with the approved method and criteria.

lssued this 22nd day of February 2018 in the City of Manila,


Philippines.

ATTY. NVE A.C RBO JR JA ROMERO


E utive Vice President for Training
i**t-;Is+SH!:j
lV-A
C!"i;':l-,at't
C ,"#$i JUr- 1 i
fr..,.
u) r

COMMISSION ON HIGHER EDUCAIION


OUEZON CITY

CERTIFICATION, AUTHENTICATION AND VERIFICATION

CAV (lV) No : 0757


Series of 2018

To Whom lt [\/ay Concern

This is to certify that based on the records forwarded by the concerned Higher Education
lnstitution, the following information are true and correct:

Name of Student JOHN ANGELO L. VILLARAIZ


Degree BACHELOR OF SCIENCE IN MARINE TRANSPORTATION
Date of Graduation COMPLETED THE 3-YEAR ACADEMIC REQUIREMENTS
OF MARINE TRANSPORTATION PROGRAM
Special Order No. N/A
Name of lnstitution PNTC COLLEGES
Address DASMARINAS, CAVITE

.institutionThis is to further certify that the above institution is a duly authorized private higher education
and the entries in the Transcript
of Records are authentic and the signatures appearing therein
are those of the school President and/or other school authorities.

lssued this 18rh day of June 20'18 at UP Diliman, Quezon City, Philippines, in connection with his
application for issuance of Seafarer's Registration Certificate (SRC) and Seaman,s Book.

For the Commission;r


NOT VALID WTHOUT CHED SEAL OR
wlTH ERASURE OR ALTERATION
coRAzoN c NGAN
OIC-Chief Educat nP ram Specialist

OR No.
Date lssued : 06-18-18
80 00

SN - 0386898
TOURIST ACCOMODATION DEVI T-OPMENT INC.
b
114493 Valenzuela St., Sta. Mes;. Manila
VIcE

CERTIFICATION OF EMPLO 'MENT

This is to certify that Mr. John Angero L. Vilaraiz w.. emproyed


in Harina Hoters_
Tourist Accommodation Deveropment rnc. from August
s, zOt g to January za, iors
as Sanitation Specialist.

This further certifies that he is cleared from all property ,nd


monetary accou ntabilities
with th is office

This, certlfication is being issued of Mr. viIaraiz for wr^ rtever purposes it may serve
him best.

Given this I 'lrh of lVarch 2019 al l\,4anila Crty

Very truly yo u rs,


TOURIST ACCOMODATION DEVELOPMENT INC.
By:

LORRI ORALDE
Human Fesource Supervisor

Blanches Lil)ertad. Pasay Sta CIUz, Manila Sta. Mesa. Manila


54 Libertad St., pasay Cily Tel. nunrbers g: l-CZZ l=
_j\._
Office of lhe Registror
qw Zone L LI. Contimbuhon St., pobldcion,
Dosmorinos Ciry, All4 Philippines
Phone: {046) 416 5l I I
Fox. (046) 416-25a4
Website: www.pnlc.edU.ph
PNTC COLLEGES

June 5, 2018

This is to certift that MDN. John Angelo L. villaraiz is a student of the college of
Maritime Education of this institution fiom First Semester, Academic year 2015 - 2016 up
to Second semester, Academic Ye ar 2017 - 2018 and has earned 16g units ofthe Bachelor
of Science in Marine Transportation program.

This further certifies that he is qualified to take his twelve (12) months Shipboard
Training or Apprenticeship corresponding to fofiy (40) units in order to complete all the
requirements leading to the degree of BACHELOR oF SCIENCE IN MARINE
TRANSPORTATTON (BSMT).

Issued upon the request of the above-named student for submission to MARINA for
the sole purpose of obtaining Seafarer's Identification and Record Book and not valid for
any other purposes.

NERISS S
College gistrar C-'cll'
To whom it may concern:

This is to certify that the


documentary stamps
were attached to thc
duplicate and cancelled,
!

rn

Snt
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9" (s(s
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ACE

I nrpueurA r{(, i itPtNAS


PA9APORTT/ IREPuBlrc OF 7HE GI
}I
fi'1 ""-"',-..
VILLARAIZ

JOHN ANGELO

LLORADOR

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REPLTBLIC OF THE
.DEPARTMENT PH]LIPPINFS
OF TRA \SPORTAiTON
IVIAKI I tJ\4E NDUSTRY AUlHORITY

This Seafarer! ldentification


and Reco( is issued forthe purpose
provrdrng the holder, ?lok of
traw toi,
wnose signatu,o .j-
rrom ass;;:;
"n ;:l#::,:ryi;:::,ffi.X[jff :l,J^:iiri:i"J
This.is issLlpj pu6u661
to Section 14, par.
,r,or LU l,/5 Aand conforms ,o.1.r: tecrion 12, pdra.
rhe sedrdrer,s Nationar
wjth the ..ll],it "^o
;;;;;;il;T[:".*orILoconvention No. ]oB.

This book contains sixtyfour


(64)numbered pages,
exclu sjve of covers.

Bearer! Signature
To verit/, please loo o to wwwmarina.govph

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De.€r'lrber OS t9g3 PA]ERO6.
MAMLA
'GTRO

E 170.18
:rSl:NSui
90.00 BLACK BLACK
6, MOLES ON THE FACE EX

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Jul3, 2018
r41cE oE ISSii!
UNTI],
MANILA Jun 30, 2028
,380991
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IU REPUBUC OF THE PHILIPPINES
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r\ 01-02562A937 -2
VILLARAIZ, JOHN
TLORADON
DECEMBIROB, I993 . IAAIE
33 MAESTRANG PINANG 5T

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HOME DEVELOPMENT
MUTUAL FUND
HDMF Trcnsaction Card

VILLARAIZ, JOHN ANGELO LLORADOR


PaglAtG MlD Nc. 1211-197 4-9397
December 08, 1993
tsue Dorc: 06'10 2014

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