Australian Maritime Safety Authority

Seafarers

Marine Qualifications

AMSA 419      

Application for:

  • Certificate and/or Endorsement
  • Australian Seafarer's Service Book
  • Licence as Compass Adjuster
  • Revalidation of a Certificate or Endorsement
  • Replacement of a Certificate or Endorsement

Read before proceeding:

The AMSA 419 SmartForm functions best when it is completed using the most recent version of Adobe Reader (9.1 or higher). Please download Adobe Reader from the Adobe website.

Please download the form, save it, then open it in Adobe Reader. The form will not display correctly if it is opened directly from the AMSA website using the system’s default PDF viewer.

For further troubleshooting, please email AMSA.

Please proceed to AMSA419.

Marine Qualifications continued

Title Format Form Number Current
version
Application for a Minimum Safe Manning Document Microsoft Word Icon DOC: 185Kb AMSA 93 3/16
Application for Certificate of Equivalence Microsoft Word Icon DOC: 18Kb AMSA326 10/15
Certificate of Medical Fitness PDF Icon PDF: 16Kb AMSA303 7/16
Marine Qualifications Credit Card Payment Authority PDF Icon PDF: 136Kb AMSA161 5/17
Medical Examination Report PDF Icon PDF: 158Kb AMSA232 2/15
Seafarer's application for assessment of overseas qualifications for the purpose of a migration application PDF Icon PDF: 76Kb AMSA12 9/15
Steering Certificate PDF Icon PDF: 56Kb AMSA122 5/15
Audit of AMSA approved training organisations - Record of courses and lecturers' qualifications PDF Icon PDF: 165Kb
Microsoft Word Icon DOC: 96Kb
AMSA1004 9/11
Audit of AMSA Approved Training Organisations - Audit program record
PDF Icon PDF: 29Kb
Microsoft Word Icon DOC: 850Kb
AMSA1005 9/11
Audit of AMSA Approved Training Organisations - Audit notes
PDF Icon PDF: 25Kb
Microsoft Word Icon DOC: 815Kb
AMSA1006 9/11
Audit of AMSA Approved Training Organisations - Non-conformance findings
PDF Icon PDF: 28Kb
Microsoft Word Icon DOC: 850Kb
AMSA1007 1/12
Audit of AMSA Approved Training Organisations - Observation Note PDF Icon PDF: 30Kb
Microsoft Word Icon DOC: 850Kb
AMSA1008 12/12

Maritime Labour Convention

It should be noted that the following forms are prescribed and must be used in the standard format published by AMSA:

Title Format Form Number Current
version
Declaration of Maritime Labour Compliance Part I (Australian General Register) Microsoft Word IconDOC: 55Kb AMSA423 9/16
Declaration of Maritime Labour Compliance Part I (Australian International Shipping Register) Microsoft Word IconDOC: 56Kb AMSA420 9/16
Declaration of Maritime Labour Compliance Part II Microsoft Word IconDOC: 67Kb AMSA421 9/16
Medical Report Microsoft Word IconDOC: 56Kb AMSA278 10/14
Maritime Labour Certificate Microsoft Word IconDOC: 54Kb AMSA318 4/15
Interim Maritime Labour Certificate Microsoft Word IconDOC: 54Kb AMSA428 5/13
Exemption Certificate Microsoft Word IconDOC: 56Kb AMSA430 5/13
Application for Registration as a Private Seafarer Recruitment and Placement Service

PDF IconPDF: 196Kb

AMSA433 3/16
Record of service form PDF IconPDF: 146Kb AMSA143 8/15

The following forms are samples of the requirements of Marine Order 11 (Living and Working Conditions on Vessels) 2015. These forms may be used as a reference for the required content and incorporated into existing documentation:

Title Format Form Number Current
version
Sample Work Agreement PDF IconPDF: 241Kb AMSA351 5/15
Shipboard Working Arrangements PDF IconPDF: 167Kb AMSA424 4/15

If you cannot access these forms please email AMSA Communication or ring 02 6279 5000.

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