Credit Card Payment Authorisation

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MARINE QUALIFICATIONS
CREDIT CARD PAYMENT AUTHORISATION
Family name
Given names
Please tick
service(s) required
EXAMINATIONS AND ASSESSMENTS
Fee $AUD
Assessment of Sea Service for persons applying for an AMSA Certificate of Competency or
recognition of a Certificate of Competency as a Master, Deck Officer or Engineer Officer
168
Oral Examination for Certificate of Competency – STCW 78 (as amended)
544
Assessment of marine qualifications for immigration purposes
472
Assessment of Trans-Tasman Mutual Recognition Act (TTMRA) application
168
CERTIFICATES / LICENCES / ENDORSEMENTS
Processing of application for the issue and revalidation of a Certificate of Safety Training
112
Processing of application for the issue of a Certificate of Proficiency - Marine Cook
112
Processing of application for the initial issue of a Certificate of Competency or
Certificate of Proficiency
190
Processing of application for the initial issue of a Certificate of Recognition of Competency
(including TTMRA) or Proficiency or Certificate of Equivalence
190
Processing of application for the revalidation of a Certificate of Competency or Certificate
of Recognition or Certificate of Proficiency
136
Processing of application for endorsements to an active Certificate
112
Processing of application for the initial issue of, or revalidation of, a GMDSS Certificate
or Certificate of Recognition of GMDSS
112
Processing of application for the issue of a Compass Adjusters Licence
190
Processing of application for the issue of an Australian Seafarer’s Service Book
112
Additional charge for transmission of documents other than by regular mail, such as fax,
email, or courier
40
within Australia
80
outside Australia
$
Total amount to be paid (Australian Dollars only)
Card holder’s name (as it appears on the card)
Credit card type:
Mastercard
VISA
Expiry date
Credit card number
Card holders signature
Date
/ /
/
AMSA WILL NOT ACCEPT THIS FORM VIA EMAIL OR FAX
AMSA 161 (8/16)

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