Get Samsa Application Forms

Filling out the Samsa Application Forms online is a straightforward process designed to assist applicants seeking revalidation of their GMDSS General Operators Certificate. This guide will provide clear instructions on completing each section of the form effectively.

Follow the steps to complete the application process successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In section A, provide your personal particulars. Enter your surname and first names, followed by your date of birth and country of birth. Fill in your identity number, nationality, height, eye color, hair color, and permanent address. Finally, list your telephone number and the date of your application.
3. In section B, gather the required documents to accompany your application, including your ID book or passport, three black and white passport-size photographs, proof of approved sea service or equivalent service, proof of completion of an accredited GMDSS refresher course or full course, your current GMDSS certificate, and a receipt for the payment of the prescribed fee.
4. In section C, provide details of your sea service. Include the name of the ship, official number, type of service, rank, and the dates of your service, specifying the actual period and the assessed period in months and days.
5. In section D, confirm if you have not served one year at sea in the preceding five years and have been employed in the maritime industry for at least two years in a capacity equivalent to sea service by checking the box provided.
6. In section E, if applicable, indicate if you have successfully completed a GMDSS refresher course, as required for those who have not served one year at sea and whose GMDSS certification is less than five years old.
7. In section F, declare if you have successfully completed a full GMDSS course if you are ineligible by other criteria outlined in the previous sections.
8. Have your signature and the date entered in the designated space at the end of your application form.
9. Finally, review all entered information for accuracy. Save your changes, and choose to download, print, or share the completed form as necessary.

Complete your Samsa Application Forms online today to ensure a smooth revalidation process.