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2003 Jones F. Devlin Awards
Please print or type.

FOR AWARD NOTIFICATION:
Name:
Company:
Address:
 
Telephone:
Fax:
Email:

*****Total number of vessels in your company’s fleet: ******

Company Name to be printed on Award Certificate:

______________________________________________________________________________


NAME OF VESSEL TYPE OF VESSEL DATE OF LAST REPORTABLE INJURY NUMBER OF DAYS OF ACCIDENT FREE OPERATION NUMBER OF YEARS ACCIDENT FREE
 

E-MAIL COMPLETED FORM TO: omoore@knowships.org


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