Seafarer

Add missing information or correct errors

D-number
Date of birth ... * (mm/dd/yyyy)
First name *
Last name *
Citizenship *
Gender *
Phone number *
E-mail address *

Identity document

Add information about the seafarers identitydocument

Type *
Number *
Issued by *

Seafarer

Enter the relevant information about the holder here.


Identity document

Enter information about the type of identification the holder is using for identification purposes.

Permanent address

Provide a permanent address for the seafarer

Address *
More address (optional)
Postal code *
City/town/locality *
Country *

Delivery address

Please provide a delivery address

Address *
More address (optional)
Postal code *
City/town/locality *
Country *

Permanent address

This is the place the holder is registered on. Please use the "place of delivery" field if you would like the endorsement to be delivered to a different address.


Delivery address

Enter the name and address of the recipient (person or company) of the endorsement. If the endorsement is to be sent to the shipping company, this address must be entered here.

Select the application type

Select if this is a first time application or duplication of an existing endorsement

*

First time application

Select the certificate the application is for
Certificate group * Certificate type *
Authority to approve and issue cra *

Select application

Use the drop-down menu to find the certificate which you would like to apply for. If you are about to apply for several certificates, you will need to submit a form for each certificate.


Verifying consulate

Use the drop-down menu to find the consulate to verify this application.

National Certificate

Provide information about the national certificate below

Certificate Grade *
STCW Regulation *
Certificate Number *
Date of Issue ... * (mm/dd/yyyy)
Date of Expiry ... * (mm/dd/yyyy)
Place of issue *
Issued by *

 CapacityLimitation (if any)
Delete capacity
Add capacity   

National certificate

Please enter the information about the national certificate in question.

Verification

Fill inn verification information

Verification authority *

If the appropriate verification authority does not exist in the list, please register

Name
Telephone
Email
Web page

Verification

Enter the information about the entity which may verify the certificate of the holder.

Required attachments

Please use the checklist to ensure that all enclosed with the application. In order to facilitate processing, please do not send any documents other than the ones listed below.

No qualifications found

Attachments

Please note that both the holder’s signature as well as the photo must be submitted as jpg-files. If the signature or photo is stored in a pdf format, you will need to create a new file by performing a new scan or converting the pdf-file.

Submitter

Submitted by name *
Submitted by email *

Additional information



Please verify that you are human

Submitter

Please fill inn information about who you are or who you are sending this form on behalf.


Additional information

Please fill inn additional information about this application.


Captcha

Write down the text shown in the image to verify that this is not an automatically generated form submission.

Seafarer

Enter the relevant information about the holder here.


Identity document

Enter information about the type of identification the holder is using for identification purposes.