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
