Australian Maritime Safety Authority

Seafarers

Marine Qualifications

Title Format Form Number Current
version

Application for:

  • Sea Service Assessment - Deck and Engineer Officers including Recognition (not applicable for Rating)
  • Certificate and/or Endorsement (CoC Deck and Engineer Officers require positive AMSA Sea Service Assessment)
  • Replacement of a Certificate or Endorsement (only to be used if your existing certificate is lost/stolen/damaged or change of personal details)
  • Recognition of Certificate, initial issue and revalidation of recognition (prerequisite for initial issue: positive AMSA sea service assessment)
  • Revalidation of a Certificate or Endorsement
  • Australian Seafarer’s Service Book
  • Assessment Only for Royal Australian Navy Navigation Seaman Officers and Royal Australian Navy Engineering
See application AMSA 419 9/17
Application for a Minimum Safe Manning Document Microsoft Word Icon DOC: 185Kb AMSA 93 3/16
Application for Certificate of Equivalence Microsoft Word Icon DOC: 18Kb AMSA326 10/15
Certificate of Medical Fitness PDF Icon PDF: 16Kb AMSA303 7/16
Marine Qualifications Credit Card Payment Authority PDF Icon PDF: 136Kb AMSA161 5/17
Medical Examination Report PDF Icon PDF: 158Kb AMSA232 2/15
Seafarer's application for assessment of overseas qualifications for the purpose of a migration application PDF Icon PDF: 76Kb AMSA12 9/15
Steering Certificate PDF Icon PDF: 56Kb AMSA122 5/15
Audit of AMSA approved training organisations - Record of courses and lecturers' qualifications PDF Icon PDF: 165Kb
Microsoft Word Icon DOC: 96Kb
AMSA1004 9/11
Audit of AMSA Approved Training Organisations - Audit program record
PDF Icon PDF: 29Kb
Microsoft Word Icon DOC: 850Kb
AMSA1005 9/11
Audit of AMSA Approved Training Organisations - Audit notes
PDF Icon PDF: 25Kb
Microsoft Word Icon DOC: 815Kb
AMSA1006 9/11
Audit of AMSA Approved Training Organisations - Non-conformance findings
PDF Icon PDF: 28Kb
Microsoft Word Icon DOC: 850Kb
AMSA1007 1/12
Audit of AMSA Approved Training Organisations - Observation Note PDF Icon PDF: 30Kb
Microsoft Word Icon DOC: 850Kb
AMSA1008 12/12

Maritime Labour Convention

It should be noted that the following forms are prescribed and must be used in the standard format published by AMSA:

Title Format Form Number Current
version
Declaration of Maritime Labour Compliance Part I (Australian General Register) Microsoft Word IconDOC: 55Kb AMSA423 9/16
Declaration of Maritime Labour Compliance Part I (Australian International Shipping Register) Microsoft Word IconDOC: 56Kb AMSA420 9/16
Declaration of Maritime Labour Compliance Part II Microsoft Word IconDOC: 67Kb AMSA421 9/16
Medical Report Microsoft Word IconDOC: 56Kb AMSA278 10/14
Maritime Labour Certificate Microsoft Word IconDOC: 54Kb AMSA318 4/15
Interim Maritime Labour Certificate Microsoft Word IconDOC: 54Kb AMSA428 5/13
Exemption Certificate Microsoft Word IconDOC: 56Kb AMSA430 5/13
Application for Registration as a Private Seafarer Recruitment and Placement Service

PDF IconPDF: 196Kb

AMSA433 3/16
Record of service form PDF IconPDF: 146Kb AMSA143 8/15

The following forms are samples of the requirements of Marine Order 11 (Living and Working Conditions on Vessels) 2015. These forms may be used as a reference for the required content and incorporated into existing documentation:

Title Format Form Number Current
version
Sample Work Agreement PDF IconPDF: 241Kb AMSA351 5/15
Shipboard Working Arrangements PDF IconPDF: 167Kb AMSA424 4/15

If you cannot access these forms please email AMSA Communication or ring 02 6279 5000.

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