Seafarer Certificate Application Form
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10Seafarer certificate
application form
Last updated: 9 December 2016.
This document is uncontrolled if printed, please refer to the Maritime New Zealand website for the latest version.
About this form
Use this form if you are a seafarer applying for:
•
a new certificate
•
an endorsement
•
renewal of an existing certificate
•
a replacement certificate.
To complete this application, you need to provide all of the
information we require. If you do not provide all of the required
information we cannot process your application and we will return it
and your other documents to you.
To help you complete this form correctly for your application to be valid refer to 4.2 Checklist
in this form and the relevant certificate guideline (maritimenz.govt.nz/seafarers) to make
sure you have provided all of the information we need.
Note:
If you want to authorise a person or company to act as your agent for this application, you will
need to complete an Authority to act as an agent form as well.
Seafarer certificate application form
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