Add missing information or correct errors

Date of birth (mm/dd/yyyy)
First name
Last name
Phone number
E-mail address

Identity document

Add information about the seafarers identitydocument

Issued by


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

More address (optional)
Postal code

Delivery address

Please provide a delivery address

More address (optional)
Postal code

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.


Fill inn verification information

Verification authority

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

Web page


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


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.


Submitted by name
Submitted by email

Additional information

Please verify that you are human


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.


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

Her holdes applikasjonens hjelpetekst. Den forsvinner med en gang en tab er valgt.