Training and Certification - Gov.mt

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Application to be examined under the provisions of the Merchant Shipping ( Training and Certification) ... General Ship Knowledge / Cargo. Handling & Stowage.
Application to be examined under the provisions of the Merchant Shipping (Training and Certification) Regulations, 2001 Merchant Shipping Directorate Transport Malta, Malta Transport Centre, Marsa MRS 1917, Malta Tel: +35621250360 Fax: +356 21241460 email: [email protected]

For Official Use Only Index No. Date of Receipt:

Important: Please ensure that all parts of this application are fully completed as failure to do so may result in your application being rejected.

Part A Particulars of Applicant (Use block capitals only) Surname:

Sex: M/F

First Name:

Date of Birth

Nationality:

Passport or ID No:

Seaman book number:

Date and Place of issue:

Date and place of issue:

Address:

Tel:

Place of Birth:

Email:

Part B Certificate Required:

(Please tick (ü) appropriate space) Deck Department

Regulation

Officer i/c of a Navigational Watch (unlimited)

II/1

Master or chief mate on a ship of 3000 GT or more

II/2

Master or chief mate on a ship of less than 3000 GT

II/2

Officer i/c of a Navigational Watch – near coastal less than 500 GT

II/3

Master – near coastal less than 500 GT

II/3

Engine Department

Regulation

Officer i/c of an engineering watch - 750 kW propulsion power or more

III/1

Chief or Second Eng. Officer – 3000 kW propulsion power or more

III/2

Chief or Second Eng. Officer – propulsion power between 750 and 3000 kW

III/3

Form TM/MSD/SCU 001 Issue 1

Transport Malta is the Authority for Transport in Malta set up by ACT XV of 2009

Page 1 of 5

Application to be examined under the provisions of the Merchant Shipping (Training and Certification) Regulations, 2001 Merchant Shipping Directorate Transport Malta, Malta Transport Centre, Marsa MRS 1917, Malta Tel: +35621250360 Fax: +356 21241460 email: [email protected]

Part C Ancillary Courses Course Title

STCW Code

Personal Survival Techniques

Table A-VI/1-1

Fire Prevention and Fire Fighting

Table A –VI/1-2

Elementary First Aid

Table A - VI/1-3

Personal Safety and Social Responsibility

Table A - VI/1-4

Proficiency in Survival Craft & Rescue Boats

Table A - VI/2

Advanced Fire Fighting

Table A - VI/3

Medical First Aid

Table A - VI/4-1

Medical Care

Table A - VI/4-2

Radar & Arpa Simulator Training Operational Level

Table A - II/1

Radar & Arpa Simulator Training Management Level

Table A – II/2

Certificate No

Date Issued

EDH GMDSS (GOC)

Table A - IV/2

GMDSS (ROC)

Part D Particulars of Sea Service - Details to be taken from Seaman’s Record Book/Discharge Notes Particulars of Ship

Name

Form TM/MSD/SCU 001 Issue 1

Gross Tonnage

Particulars of Voyage

Type

Date Commenced

Capacity

For official use only

Date Completed

Transport Malta is the Authority for Transport in Malta set up by ACT XV of 2009

Page 2 of 5

Application to be examined under the provisions of the Merchant Shipping (Training and Certification) Regulations, 2001 Merchant Shipping Directorate Transport Malta, Malta Transport Centre, Marsa MRS 1917, Malta Tel: +35621250360 Fax: +356 21241460 email: [email protected]

Part E Subjects to be examined For subjects marked ** and for all engineering papers, the application form provided by the Scottish Qualification Authority or IAMI should also be completed.

DECK OFFICERS OOW NAV

MASTER / CHIEF MATE Subject

Tick

Subject

Signals

Signals

Mathematics

Meteorology

Physics

Business & Law

Meteorology

Cargo & Port Operations

Celestial Navigation & Principles of Navigation

Engineering Knowledge & Control Systems

General Ship Knowledge / Cargo Handling & Stowage

Navigation **

Navigation**

Stability & Structure**

Stability & Operations**

Orals

Tick

Orals

ENGINEERING OFFICERS OOW Eng

CHIEF or SECOND ENG. OFFICER