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AMSA 419

Seafarer form 419

Overview 

AMSA form 419 is used to apply for various international marine qualifications. For domestic or near coastal qualification applications, use form 426.

Eligibility criteria 

Note: Form 419 was recently updated and from 11 October 2017, the old version of the form is no longer being accepted. Make sure you submit the new form with your application to avoid delays or your application being rejected.

Complete form 419 if you are applying for:

  • Sea service assessment for Deck and Engineer Officers only, including recognition
  • Certificate and/or endorsement (Certificate of competency for 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.

How to complete this form 

Read the information guide relating to you before proceeding to the form:

Technical guidance

To complete form 419 we recommend the following. 

For Internet Explorer:

  1. Click on the below link to the form 419 PDF
  2. Fill in the form.

For all other web browsers:

  1. Right click on the below link to the form 419 PDF
  2. Save the PDF document to your computer
  3. Open with Adobe Reader
  4. Fill in the form.

Adobe Reader version 9.1 or higher must be used, and can be downloaded from the Adobe website

Form 419 will not open correctly on mobile devices or Apple computers.

After filling in the form:

  • select the Review button to generate the required checklist
  • if you have any red errors, correct them and press Refresh
  • after your form is complete either select the Save button or Print button.

Submitting the form 

Lodge within Australia

Read the information guide about lodging in Australia. Lodge your application in person at a participating Australia Post retail outlet or view the Australia Post webpage.

Lodge from outside of Australia 

You will need to fill out the Seafarer form 419, attach all required supporting documents and send the paperwork to us at our postal or courier address (read the lodging from overseas information guide).

  • Postal address—Australian Maritime Safety Authority Seafarer Certification Service, Operations GPO Box 2181 Canberra City ACT 2601 Australia
  • Courier address—Australian Maritime Safety Authority Seafarer Certification Service, Operations 82 Northbourne Avenue Braddon ACT 2612 Australia

You must include payment with your application.

    Additional information 

    For further help email AMSAConnect@amsa.gov.au or phone 02 6279 5000.

    Attachment 

    Last Updated: 

    10 July 2018