Seafarer Certificate Application Form Page 8
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104. When and how to apply (continued)
4.2 Checklist
Use this checklist to make sure that you have everything you need for your application.
Check that your documents are complete and have been signed, and dated as required.
Items you must provide with this application form:
Two passport-sized photos or an electronic copy
Fit and proper person form - including sighted and signed copies of the ID documents specified
on the form
Police clearance report for other countries (if applicable)
Copy of certificate of medical fitness for seafarers
Copy of eyesight test(s) results (if applicable)
Evidence of your sea service
Evidence of your training and experience
Copies of your ancillary certificates
Remember:
If you want to authorise a person or company to act as your agent for this application, you need
to complete an Authority to act as an agent form
Either include a cheque (in $NZ) or indicate which other payment option you have used and the
date you made the payment
Send your application to us as early as you can
Seafarer certificate application form
Page 8 of 10
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