Get Msf 4365/rev 03/19

This guide provides clear, step-by-step instructions on how to fill out the MSF 4365/REV 03/19 form online for the revalidation of a Boatmasters’ Licence. By following these instructions, you will ensure your application is completed accurately and submitted efficiently.

Follow the steps to complete the application successfully.

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. Fill in your personal details in section 1. This includes your title, full name, date and place of birth, nationality, and full home address. Ensure that all information is in block capitals and accurate.
3. In section 2, provide information about any existing MCA Boatmasters’ Licence you hold. Enter the licence number and the expiry date, and ensure you have the current licence on hand.
4. Proceed to section 3 and detail your service history. This includes the name of the vessel, your rank, the type/class of the vessel, name of the owner, and qualifying service time within the past five years. Ensure you provide all required dates and the total number of days worked.
5. For section 4, if you are a tier 1 applicant, indicate if you seek revalidation of any endorsements by ticking the appropriate boxes.
6. Complete section 5 by declaring your medical fitness. If you are under 45 years of age and have had no significant health changes, you may sign the declaration. If over 45, you will need to submit a valid medical report/certificate.
7. In section 6, read the declaration carefully and ensure that all information provided is true and complete. Sign in the designated area using black ballpoint pen.
8. Go through the checklist in section 7, tick off each document you are enclosing with your application, such as your existing licence and medical fitness certificate.
9. In section 9, record your payment method, including payment details if applicable, and ensure any payments are made as instructed.
10. Finally, review your entire form to ensure all information is complete and accurate. Save your changes, download a copy for your records, and print it if necessary before submitting your application.

Complete your MSF 4365/REV 03/19 form online today to ensure your Boatmasters’ Licence is revalidated without delays.