Form P200228 "Seafarer's Application for Assessment of Overseas Qualifications for the Purpose of a Migration Application" - Australia

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Download Form P200228 "Seafarer's Application for Assessment of Overseas Qualifications for the Purpose of a Migration Application" - Australia

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Assessment of overseas qualifications for the purposes of a
migration application. Do not send this page with your application.
Please read these notes carefully, they are intended to help you
NOTE 3 - FEE PAYMENT METHODS
provide all the information required.
Information on fees may be obtained from the International
AMSA is only able to perform skilled migration assessment for
Qualifications web site at
www.amsa.gov.au/schedule-charges
or
Ship’s Master, Ship’s Officer and Ship’s Engineer certificates of
any AMSA office. The fee must be included when the application
competency. We cannot perform skilled migration assessment for
is submitted.
ratings or able seafarers.
PLEASE NOTE: DO NOT send cash with this application form via
mail as this is an illegal action and there is a high possibility of the
NOTE 1 - PREREQUISITES
money being lost or stolen in transit.
An application will be assessed for the purpose of a migration
Payment Options
assessment only if ALL the following information is provided:
1. By bank draft/cheque made payable in Australian dollars to
Australian Maritime Safety Authority. Please write your name
a) a certified true copy of your valid passport
and reason for payment on the back of bank draft/cheque.
b) a certified copy of the primary STCW certificate(s) of competency
2. By credit card (VISA or Mastercard only)—please complete
held.
Credit Card Payment Authorisation form
161.
c) certified copies of STCW college courses completed.
NOTE 4 – PROOF OF IDENTITY
d) certified copies of discharge book pages and/or watchkeeping
certificates.
Proof of identity is essential when applying for an assessment
of your overseas qualifications. This is necessary to protect your
e) original or certified true copies of company letters verifying sea
identity, as well as the AMSA qualification system.
service, written on company letterhead paper stating the name
When making application you must include a certified copy of your
of the ship(s), IMO number, gross tonnage, engine power (kW),
type of ship, position held on board and dates of engagement
current passport.
and discharge.
HOW TO OBTAIN CERTIFIED COPIES
f) FOR ENGINEERS ONLY – evidence of shore based practical
workshop skills training as specified in relevant sections of
A certified copy is a copy of an original document (not a
STCW Code Table A-III/1 column 1. All documents provided
copy of a copy) that has been certified as a true and correct
to be certified copies.
copy by a person who is authorised to witness a statutory
declaration.
g) FOR DECK ONLY – A certified copy of a valid STCW GMDSS
Certified copies can be obtained by presenting the original
Certificate.
document together with a photocopy of that document to
an authorised person for them to sight and certify.
NOTE 2 - LODGEMENT DETAILS
Persons who are authorised to witness statutory declarations
Where applications are lodged by mail only certified true copies
(under the Commonwealth Statutory Declarations Act 1959)
of supporting documents are to be attached. (Except company
include:
letters testifying sea service, these must be original documents.)
• Accountant (Chartered or Certified)
Once AMSA has received a complete application and
• Clerk of a Court
all requirements are met please allow 3 months for your
• Commissioner for Affidavits
application to be assessed.
• Commissioner for Declarations
• Dentist
Mail - The completed application, supporting documentation and
fee may be sent to:
• Justice of the Peace
• Legal Practitioner
Postal Address
Australian Maritime Safety Authority
• Magistrate
Seafarer Certification Service
• Medical Practitioner
GPO Box 2181,
• Nurse
Canberra City, ACT 2601, AUSTRALIA
• Pharmacist
Courier Address
• Police Officer
Australian Maritime Safety Authority
• Post Office Manager
Seafarer Certification Service
• Sheriff or Sheriff’s Officer
82 Northbourne Avenue
• Teacher
Braddon, ACT 2612, AUSTRALIA
• Veterinary Surgeon
amsa.gov.au
February 2020 P200228
Assessment of overseas qualifications for the purposes of a
migration application. Do not send this page with your application.
Please read these notes carefully, they are intended to help you
NOTE 3 - FEE PAYMENT METHODS
provide all the information required.
Information on fees may be obtained from the International
AMSA is only able to perform skilled migration assessment for
Qualifications web site at
www.amsa.gov.au/schedule-charges
or
Ship’s Master, Ship’s Officer and Ship’s Engineer certificates of
any AMSA office. The fee must be included when the application
competency. We cannot perform skilled migration assessment for
is submitted.
ratings or able seafarers.
PLEASE NOTE: DO NOT send cash with this application form via
mail as this is an illegal action and there is a high possibility of the
NOTE 1 - PREREQUISITES
money being lost or stolen in transit.
An application will be assessed for the purpose of a migration
Payment Options
assessment only if ALL the following information is provided:
1. By bank draft/cheque made payable in Australian dollars to
Australian Maritime Safety Authority. Please write your name
a) a certified true copy of your valid passport
and reason for payment on the back of bank draft/cheque.
b) a certified copy of the primary STCW certificate(s) of competency
2. By credit card (VISA or Mastercard only)—please complete
held.
Credit Card Payment Authorisation form
161.
c) certified copies of STCW college courses completed.
NOTE 4 – PROOF OF IDENTITY
d) certified copies of discharge book pages and/or watchkeeping
certificates.
Proof of identity is essential when applying for an assessment
of your overseas qualifications. This is necessary to protect your
e) original or certified true copies of company letters verifying sea
identity, as well as the AMSA qualification system.
service, written on company letterhead paper stating the name
When making application you must include a certified copy of your
of the ship(s), IMO number, gross tonnage, engine power (kW),
type of ship, position held on board and dates of engagement
current passport.
and discharge.
HOW TO OBTAIN CERTIFIED COPIES
f) FOR ENGINEERS ONLY – evidence of shore based practical
workshop skills training as specified in relevant sections of
A certified copy is a copy of an original document (not a
STCW Code Table A-III/1 column 1. All documents provided
copy of a copy) that has been certified as a true and correct
to be certified copies.
copy by a person who is authorised to witness a statutory
declaration.
g) FOR DECK ONLY – A certified copy of a valid STCW GMDSS
Certified copies can be obtained by presenting the original
Certificate.
document together with a photocopy of that document to
an authorised person for them to sight and certify.
NOTE 2 - LODGEMENT DETAILS
Persons who are authorised to witness statutory declarations
Where applications are lodged by mail only certified true copies
(under the Commonwealth Statutory Declarations Act 1959)
of supporting documents are to be attached. (Except company
include:
letters testifying sea service, these must be original documents.)
• Accountant (Chartered or Certified)
Once AMSA has received a complete application and
• Clerk of a Court
all requirements are met please allow 3 months for your
• Commissioner for Affidavits
application to be assessed.
• Commissioner for Declarations
• Dentist
Mail - The completed application, supporting documentation and
fee may be sent to:
• Justice of the Peace
• Legal Practitioner
Postal Address
Australian Maritime Safety Authority
• Magistrate
Seafarer Certification Service
• Medical Practitioner
GPO Box 2181,
• Nurse
Canberra City, ACT 2601, AUSTRALIA
• Pharmacist
Courier Address
• Police Officer
Australian Maritime Safety Authority
• Post Office Manager
Seafarer Certification Service
• Sheriff or Sheriff’s Officer
82 Northbourne Avenue
• Teacher
Braddon, ACT 2612, AUSTRALIA
• Veterinary Surgeon
amsa.gov.au
February 2020 P200228
SEAFARER’S APPLICATION FOR ASSESSMENT
OF OVERSEAS QUALIFICATIONS
FOR THE PURPOSE OF A MIGRATION APPLICATION
Applicant’s personal particulars
Given names
Family name
Date of birth
Town of birth
Country of birth
Nationality
Postal address for contact
Telephone number including country code
Email address
Postcode
Qualifications held
Applicants must hold a STCW primary certificate of competency and certified copies of all relevant certificates must be provided
Name and contact details of issuing authority
STCW endorsment
Level of certificate
Issue date
(include fax or mail address)
Cert. 1
Cert. 2
Cert. 3
College courses completed
Certified copies of all relevant course completion certificates must be provided
Course
College/University
Date completed
February 2020 P200228 | Page 1 of 2
Sea service details
The following must be provided:
certified copies of a discharge book pages / watchkeeping certificates
company letters (not from ships) verifying details of service. Letters must be originals on company letterhead and state;
names of vessels, IMO number, gross tonnage, position held and dates of service
(see Sea service letter template at:
www.amsa.gov.au/sea-service-letter-international-seafarers
GT /
Type
Position
Length of service
IMO
Ship name
Engine
of
on
number
From (date)
To (date)
KW
ship
board
If insufficient space, please attach extra page
Short course details -
certified copies of all short course certificates to be provided
Name of course
Course provider
Date completed
First aid - Medical first aid/Medical care on board
Fire fighting - Advanced
Survival - Proficiency in survival craft & rescue boats
Security Awareness Training/Ship Security Officer
Practical training ashore (Engineers only)
Declaration
Personal information collection
WARNING:
statement
Giving false or misleading information is a serious criminal offence.
The Australian Maritime Safety Authority
To the best of my knowledge, the information given by me on this application is true and
(AMSA) is collecting the information on this
correct in every detail.
form to assess your overseas qualifications
for the purposes of a migration application.
I have attached a certified copy of my current passport
It will be used for purposes related to that
assessment, including the creation of a
Date
Seafarer ID for future reference by yourself
Applicant’s signature
/
/20
and AMSA, and treated in accordance with
the Australian Privacy Principles.
This information may be exchanged
Please note: There is a assessment fee of A$472, payable to AMSA which must be paid
between AMSA and the Department
before this application can be processed.
of Home Affairs. Failure to provide the
Do not send cash with this application form via mail as this is an illegal action and there
information may result in the transaction
is a high possibility of it being lost in transit.
not being processed. To contact us, or
for more information on how to access
Send completed application, together with assessment fee to:
or correct your personal information,
Australian Maritime Safety Authority
how to make a privacy complaint, or
Seafarer Certification Service
how your information may be used or
GPO Box 2181
disclosed, visit AMSA’s privacy policy at
Canberra City ACT 2601
www.amsa.gov.au/privacy
AUSTRALIA
Fee payment methods
1. By bank draft/cheque made payable in Australian dollars to Australian Maritime Safety Authority
2. By credit card (VISA or Mastercard only) - Phone +61 2 6279 5000
Please include the applicant's name and reason for payment on all deposits / correspondence.
February 2020 P200228 | Page 2 of 2
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