Sis Form 9 - Application For A Certificate Of Competency (Page 7 of 8) in pdf

2. COMPLETING THE APPLICATION FORM

SECTION 1

Any exemptions being claimed from written examinations should be stated in the appropriate box.

SECTION 2

SEAFARERS UNIQUE ID NUMBER

The Department of Transport, Tourism and Sport are in the process of issuing all seafarers’ who hold

Irish Seafarer’s Discharge Books, Identity Cards, Certificates of Competency and other seafaring

qualifications and certificates including Irish Seafarer’s Medical Certificate a Seafarer’s Unique ID

Number. If this number is known to you, please provide it under Section 2. If this number is not known

by you, please leave this field blank. Your unique ID number will be issued to you and printed on the

current seafarer’s document which you are applying for. This number should be quoted on all future

communications with this Department.

POSTAL ADDRESS

Your postal address is the address which you would like any correspondence sent to. If this is the same as

your home address leave the field blank.

NOMINATED CONTACT

For data protection purposes your application, or the status of your application, may not be discussed with

any other party without your prior consent. Should you envisage another party making inquiries with this

Department on your behalf regarding the status of an application submitted by you (i.e. should you be

away at sea), then please provide details of that Nominated Contact.

SECTION 3

Details of citizenship are to be supported by a passport, birth certificate and naturalisation/registration

documents if applicable.

SECTION 4

Tick the box for the certificate that you are applying for now and also tick the limits that will apply to that

certificate.

SECTION 5

Unless this is your first examination provide details of the grade of certificate held (if any) and details of

your last oral examination and the results.

SECTION 6

If this is your FIRST application for a Certificate of Competency complete this section. If you are

applying for a certificate and have not followed an approved course of study at a recognised maritime

training centre or college provide as much detail as possible about your training to date.

SECTION 7

This section must be completed in full by every applicant. Watchkeeping (W.K.) certificates or

testimonials must be provided for every period of sea service and signed by the Master or Superintendent.

3. APPLICATION METHODS

A. By Post

It is in your interest to use Registered Post. This Department will not accept responsibility for documents

lost in the post. Complete your application form as required, remembering to attach all the supporting

documents listed on the list provided (see Sections 8). Post your application together with your payment

by bank draft or postal order, made payable to the Superintendent, Mercantile Marine Office, to the

Mercantile Marine Office listed under Guidance Note 4. Alternatively credit and debit card payments can

be made by submitting the information overleaf.

Sis Form 9 - Application For A Certificate Of Competency Page 7