MSF4354 REV 01/18

APPLICATION FOR INITIAL STCW

ENDORSEMENT AND SUBSEQUENT
REVALIDATION TO GMDSS
GMDSS
CERTIFICATE OF COMPETENCE

IMPORTANT - BEFORE completing this form, please ensure you have read the
guidance notes and instructions on pages 4, 5 and MSN 1864. Please provide an email
address in block capitals in order for us to inform you of the receipt of your application. If
you require your documents to be returned to an address outside the UK you should include
a courier fee.

1 PERSONAL DETAILS

NAME
Title Mr/Mrs/Miss/Capt etc Sex Male / Female
Surname / Family name
Forename(s) in full
Date of Birth
Place and Country of Birth
Nationality Discharge Book No or
Passport No. or
National ID No.

Full Home Address Address for return of documents

(if different from home address)
Address

DOB
District
Town / City
County/State
Post Code/Zip
Country
Telephone No Mobile No.
Email Address

Please do not write below this line

SDS

Received: Fee: SDS No

Receipt No

RMS No

COC No

GMDSS No.

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 2- CHECKLIST GMDSS

Please note that failure to supply all the required documents may cause a delay in the
processing of this application. Please read the attached Guidance Notes before completing this
application.

Tick if Official
2A – FOR ALL APPLICATIONS enclosed use only

Original GMDSS GOC or ROC

Valid Medical Fitness Certificate* (ENG 1 or MCA accepted equivalent)
Courier Fee (strongly recommended for applicants outside of the UK)

*To comply with health and safety requirements in accordance with the Merchant Shipping Training & Certification (Medical
Examination) Regulations 2002 and STCW Regulation I/9, any seafarer employed or engaged in any capacity aboard a
seagoing vessel must hold a valid medical fitness certificate attesting to their medical fitness for the work for which they are
employed. Further information may be obtained from the MCA at www.dft.gov.uk/mca.

2B – APPLICATIONS FOR INITIAL ENDORSEMENT

Valid IMO White list Certificate of Competency OR ALL of the following
certificates
STCW A-VI/1-1 Personal Survival Techniques and refresher if > 5 years old
STCW A-VI/1-2 Fire Prevention & Fire Fighting and refresher if > 5 years old
STCW A-VI/1-3 Elementary First Aid
STCW A-VI/1-4 Personal Safety & Social Responsibility

2C – APPLICATIONS FOR REVALIDATION

A valid IMO white list CoC OR

STCW A-VI/1-1 Personal Survival Techniques < 5 years old (or updated in last 5 years) AND

STCW A-VI/1-2 Fire Prevention & Fire Fighting < 5 years old (or updated in last 5 years)

3 - DECLARATION (THE MAXIMUM PENALTY FOR A FALSE DECLARATION IS £5000)

I declare that the information I have given is, to the best of my knowledge, true and complete. I also declare that the
documents submitted are genuine, given and signed by the persons whose names appear on them. Please refer to our
privacy statement at the end of the guidance notes which explains how we use the personal information we collect from you.

Date……………………………

For documents being returned to an address outside of the UK:

We would strongly recommend that you use our international courier service if your
documents are being returned to an address outside the UK. If you do not use this service your
documents will be sent by standard post. The MCA does not accept any liability for documents lost
in the post. Please indicate the correct fee in the payment section.

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 4 – COURIER PAYMENT GMDSS

If you are revalidating your UK Certificate of Competency at the same time as your GMDSS, there is no requirement
for you to submit an additional courier fee.

Please enclose the appropriate fee. Payment should be made in £ sterling by cheque, postal order or bankers order, credit or
debit card. Cheques, postal orders and bankers drafts should be made payable to the “Maritime and Coastguard Agency” and
crossed “Account Payee” and “not negotiable”. Cheques, drafts and orders should be drawn at a UK bank.
CASH WILL NOT BE ACCEPTED.

Please tick (✓ ) the appropriate box below:

For the European Union or EEA: £20.00

For the rest of the world: £30.00

Please tick (✓ ) the appropriate box below to indicate your chosen method of payment.

Maestro Visa MasterCard/Access Delta Cheque/Bankers draft Postal Orders

Please charge my Maestro/Visa /MasterCard/Access/Delta Card £…………

Name of Card Holder

Card Number (16-18 digits)
Start Date
Expiry Date
Maestro Issue Number (Maestro Cards only) Security Code

The Security Code is the last three digits of

the numbers on the reverse of the card, near
to the signature strip. (See example right)

Signature …………………………..………………… Date………………………………………..

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 GMDSS
GUIDANCE NOTES

The official regulations are in MSN 1864.

Privacy Statement
Personal information which you supply to us will be used to process your application to meet the applicable
Standards of Training Certification and Watchkeeping (STCW) requirements. To check and report on how
effective the MCA and the services it commissions have been. To make sure that the MCA gives value for
money. We may use your information to investigate complaints, legal claims or important incidents. We may
use your information for crime prevention and prosecution of offenders.
The information you provide is primarily used for issuing your UK Certificate of Competency (CoC)/Certificate
of Equivalent Competency (CEC) but may also be used for other related purposes, and shared with other
statutory bodies/organisations to enable them to fulfil their statutory obligations.

We will not disclose any financial details you provide to us. Once your payment has been processed all
financial details are securely destroyed.

For more information on how we use your information, and your rights to access information we hold on you,
please see our full privacy policy available on our website:
https://www.gov.uk/government/organisations/maritime-and-coastguard-agency

How do I get my United Kingdom GMDSS certificate endorsed for the first time?
You will need to send your original GMDSS Certificate of Competence and original or attested copies of
the following certificates:-

• IMO White list Certificate of Competency

• Valid Medical Fitness Certificate (ENG 1 or MCA accepted equivalent)

• Courier Fee (if outside of the UK)

OR

• STCW A-VI/1-1 Personal Survival Techniques and refresher if >5 years old

• STCW A-VI/1-2 Fire Prevention and Fire Fighting and refresher if >5 years old

• STCW A-VI/1-3 Elementary First Aid

• STCW A-VI/1-4 Personal Safety and Social Responsibility

• Valid Medical Fitness Certificate (ENG 1 or MCA accepted equivalent)

• Courier Fee (if outside of the UK)

How often does my GMDSS certificate need to be revalidated after the first endorsement?

After obtaining the initial STCW endorsement, GMDSS certificates must be revalidated every 5 years.

To revalidate your GMDSS certificate you will need to send the following:

• Original GMDSS Certificate of Competence.

• STCW A-VI/1-1 Personal Survival Techniques <5 years old

• STCW A-VI/1-2 Fire Prevention and Fire Fighting <5 years old

• Original OR attested copy of a valid Medical Fitness Certificate (ENG 1 or acceptable equivalent)

• Courier Fee (if outside of the UK)

Where do I send my GMDSS certificate for endorsement or revalidation?

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Please send the documents to Deck & GMDSS Section, Seafarer Training & Certification Branch,
Maritime & Coastguard Agency, Spring Place, 105 Commercial Road, Southampton, SO15 1EG; we
recommend that documents are sent by registered post or courier. If unsure of which documents are to be
submitted, please contact our customer helpline on +44 (0)203 8172000 for advice, or send an email request
to [email protected] .
Can I submit photocopies of my documents?

You must submit the original GMDSS certificate. Photocopies of other documents are accepted, however
they must be attested as true copies of the original by a solicitor, issuing administration, Notary Public, MCA
approved Nautical College, or by an authorised MCA official.

GUIDANCE NOTES GMDSS

Is there a fee to endorse or revalidate my GMDSS certificate?

No, currently there is no fee payable for the endorsement or revalidation of a GMDSS certificate. We strongly
recommend that you use our international courier service if your documents are being returned to an
address outside of UK. There is a fee for courier despatch.

How will my documents be returned?

The documents will be returned by Recorded Delivery to addresses within the UK. For addresses outside of
the UK standard international mail will be used if no courier fee is included. If a fee of £20 (EU or EEA)
or £30 (for the rest of the world) is received the documents will be returned by courier service. If this method is
chosen, you will need to include a contact telephone number to enable the courier company to deliver your
documents.

How can I pay to have my documents returned by courier?

We accept cheques, postal orders, bankers drafts and credit/debit cards. These should be made payable to
the “Maritime and Coastguard Agency”. Cash cannot be accepted.

If I work on an offshore installation can I endorse my GMDSS certificate?

Personnel working on all offshore installations are not required to have their GMDSS Certificates endorsed as
they are not regulated under STCW 78, as amended. If they require an endorsement they must comply with all
the requirements overleaf. No certification from OPITO or COGENT will be accepted in lieu of the STCW
basic safety training certification.

If I work on a fishing vessel can I endorse my GMDSS certificate?

Personnel working on fishing vessels are not required to have their GMDSS Certificates endorsed as they are
not regulated under STCW 78, as amended. If they require an endorsement they must comply with all of the
requirements overleaf. No certification from OPITO or COGENT will be accepted in lieu of the STCW basic
safety training certification.

Where do I send my GMDSS certificate if it is incorrect?

You will need to send your certificate and a letter stating the information which is incorrect to: AMERC NAC
Manager, AMERC Limited NAC (GMDSS), Wray Castle Limited, Bridge Mills, Stramongate, Kendal, Cumbria
LA9 4UB. Tel: +44 (0) 1539 742 745 fax: +44 (0) 1539 742 746 email: [email protected] website:
www.amerc.ac.uk.

How do I replace a lost GMDSS certificate?

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If your GMDSS certificate has been lost you need to contact the Seafarer Training & Certification Branch,
Maritime & Coastguard Agency, Spring Place, 105 Commercial Rd, Southampton, SO15 1EG.
([email protected]) or AMERC NAC to obtain an application form. You are required to report the loss to the
police. The completed form, including 2 attested passport photographs and a fee of £58 will need to be sent to
AMERC NAC Manager, AMERC Limited NAC c/o Wray Castle Limited, Bridge Mills, Stramongate, Kendal,
Cumbria LA9 4UB. Tel: +44 (0) 1539 742 745 fax: +44 (0) 1539 742 746 email: [email protected]
website: www.amerc.ac.uk.
WE DO NOT OFFER A COUNTER SERVICE

YOU SHOULD ALLOW 14 DAYS FOR US TO PROCESS YOUR APPLICATION

AN INCOMPLETE APPLICATION WILL DELAY THE ISSUE OF YOUR GMDSS