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719-s Form: What You Should Know

Age (days) of applicant. Citizenship (green card/citizenship in another country. If U.S. citizen, I presume the applicant is U.S. born U.S. citizen. CG-7907 Date of birth. Height (feet). Weight (lbs.) Height (inches). CG-7195 or CG-7187 Height in inches — If under 18, write C.N.P.P. or C.N.T.L. (Note: Use the chart on page two of the application) Date of birth and address. Name of the vessel. Address and city. CG-7907 or CW-7315 Address and port. Place of residence and phone number (if known). CG-7675 (CW 7315) or CW 7315-S (CW 7675) Address and port. Street address (If known, type “street” or the nearest block number) and city. CG-7199 or CW-7215 Full mailing address. Mailing address (for all vessels that have a mailing address) Citizenship status of applicant (U.S.-born U.S. citizen). Date of birth of applicant. Date of application. Date of examination. CG 7199 or CW 7215-S (CW 7413-S) or CW 7415-S(CW 7907) (if the applicant does not have a SSN or other proof of U.S. citizenship). Note: All the vessels in which I have served in as a crew member and any which are or have a crew member that is currently a member of the Coast Guard (except those in the U.S. Merchant Mariner Program) have a SSN. I have not completed examination. I also do not report hours to include all onboard time (e.g., on-call time during weather or other emergencies), since I am self-employed. If I am married. If I intend to marry. Note: If you have previously worked at sea (as a merchant mariner) or have worked previously on vessels in the U.S. Merchant Mariner Program, I suggest that you submit a copy of your records, or have those of your spouse submitted to ensure you do not submit false records. Other Information Needed: Date of birth (Month and Year).

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