This form is for seafarers applying for a near coastal certificate of competency. It lets us know you are medically fit for working at sea.
You can use this form to:
Use this form as evidence of sea service when you apply for a near coastal certificate of competency.
This form cannot be used to apply for an STCW certificate.
Purchase task, record and log books online or download PDF versions and print your own.
You can now apply for near coastal certificates online using myAMSA, our new application portal.