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#21-002292-0015
Supplemental Questionnaire

Last Name
First Name

 

21-002292-0015
SUPPLEMENTAL QUESTIONNAIRE


 

Do you currently have or will have by May 2021, a valid Operator of Uninspected Passenger
Vessels License (commonly referred to as “6 Pack” or “Charter Boat Captain’s License”) or
higher from a US Coast Guard approved institution?

Yes No

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