STCW áritun erlends réttindaskírteinis á kaupskip og farþegaskip / Application for the issue of Endorsement attesting the issue of certificate (STCW)

RAF-0042, útgáfa 11
Umsókn vegna útgáfu eða endurnýjunar á áritun erlends STCW réttindaskírteinis.
Umsóknin er opin í 2 tíma innan þess tíma þarf að fylla hana út og ýta á senda / The application is active for 2 hours, the application should be filled out and submitted with in that time

Applicant's Personal Information

* Full name

* Date of birth

Nationality

* Address

City / Zip

* Email

Phone

For Icelandic Intermediaries

Upplýsingar um fyrirtæki sem sækir um fyrir hönd rétthafa

* Nafn fyrirtækis

* Kennitala

* Heimilisfang

* Póstfang

* Tölvupóstfang

Sími

Attachments

The following documentation must be submitted before an endorsement of competency can be issued

Documentation on adequate seagoing service

Confirmation on basic training an safety familiarization

Certificates issued by a foreign Authority

Valid health certificate on eyesight, hearing and health of seafares six months or newer

One recent photograph

Payment for the Certificate

Copy of passport

Certificate delivery

The Certificate should be sent to the applicant's address

The Certificate should be sent to another address

Address

Zip code/City

Information for payment, if other than the seafarer

Name

ID number

E-mail

The fee for the issue of the endorsement, according to tariff of The Icelandic Transport Authority, is ISK 13.025.
Please deposit to account 515-26-210777, IDNumber: 540513-1040.

Application will only be processed when this fee has been paid.

Confirmation

I hereby confirm that this application is sent in my name.

With this request (application/form), I consent to the processing and control of the submitted information. The Icelandic Transport Authority will use the information in accordance with applicable laws and regulations on the processing of personal data.

Senda umsókn inn til Samgöngustofu / Submit application

Eftir að ýtt hefur verð á Senda fær umsækjandi tölvupóst frá Samgöngustofu með staðfestingarnúmeri umsóknar, ef staðfestingarnúmer berst ekki þá hefur umsóknin ekki borist / After submitting the application the applicant will recieve an email with a confirmation number

Rafræn umsókn er ekki ætluð til útprentunar