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Instructions - Maritime Institute

CG-719B (04/17)Page 1 of 5 DEPARTMENT OF HOMELAND SECURITY OMB No. 1625-0040 Coast Guard Exp. Date: 03/31/2021 application for merchant mariner credential (FORM CG-719B)------ Instructions ------1. Applicants seeking a merchant mariner Credential (MMC), whether original, renewal, duplicate, raise of grade, or a new endorsement on a previously issued MMC and applicants requesting a Medical Certificate. 2. Application Assistance: Please call the National Maritime Center (NMC) at 1-888-IASKNMC (1-888-427-5662), or visit their website for more information. I: Applicant Name - Enter complete legal name. Include any aliases you have used and your maiden or prior name(s). Security Number - If you are applying for an original credential, enter your SSN. Number - If you have been credentialed by the Coast Guard in the past, enter your reference number.

cg-719b (04/17) page 1 of 5. department of homeland security . omb no. 1625-0040. u.s. coast guard . exp. date: 03/31/2021. application for merchant mariner credential

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