Seafarer Certificate Application Form Page 4
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103. Purpose of your application
All applicants must complete this section.
Please indicate what your application is for:
New certificate or endorsement
If you have ticked this box, you need to complete
section A. New certificate or endorsement.
Renewal of a certificate
If you have ticked this box, you need to complete
or endorsement
section B. Renewal of a certificate or endorsement.
Replacement for lost, stolen or
If you have ticked this box, you need to complete
destroyed certificate(s)
section C. Replacement certificates.
A. New certificate or endorsement
Please indicate below which certificate or endorsement you are applying for.
Certificate or endorsement name
Pre-assessment
or
Have you had your sea service
(for the MEC3 certificate only) your training pre-assessed?
No
Yes
If you have ticked this box, please provide the pre-assessment number below.
B. Renewal of a certificate or endorsement
Please indicate below which certificate or endorsement you are renewing.
Certificate or endorsement name
Seafarer certificate application form
Page 4 of 10
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