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Marine Safety

Application and Other Forms

GENERAL
Payment Method Form
Application for a Commercial Licence under Section 132
Application for Approval as a Radio Surveyor
POLLUTION
Application to Conduct Night Time Ship Pollutant Transfer Operations
Pollution Incident Report (PolRep) Form
HIRE AND DRIVE
Application for Grant or Extension of Permit
Hire and Drive Emergency Support Safety Plan (ESSP)
Hire and Drive Register - Regulation 10 (1)
MARINE QUALIFICATIONS
Application for Assessment of Sea Service Eligibility
Application for Recognition of an Australian Marine Qualification
Application for Recognition of an Overseas Marine Qualification
Application for Issue of an NT Certificate in Lieu of Reciprocal Recognition
Application for Temporary Dispensation
Application for Replacement of a Certificate of Competency or Temporary Permit to Serve

Application for Revalidation of a Certificate of Competency (Applicable Statutory Declaration is also required see below)

Application for Revalidation of Temporary Permit to Serve (Applicable Statutory Declaration is also required see below)
Application for Record of Practical Experience and Sea Service (ROPES) Book
Application for Record of Sea Service Booklet (ROSS)
Eyesight Certificate
Medical Certificate
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SURVEYS
Application for Initial Acceptance into Survey
Application for Reciprocal Certificate of Survey
Application for Survey on Behalf of an Marine Authority
Application for Extension to Survey
Request for Determination of Safety Manning Level
Application for Towage Permit
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STATUTORY DECLARATION
Master Class III (Trading)
Mate Class V
Marine Engine Driver Grade 1, 2, 3
Marine Engineer Class 3
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