Application for the Reissuance of Minimum Safe Manning Certificate
in accordance with the Manila Amendments to STCW Convention and Code
1. Name of Ship:
2. IMO Number:
3. Proposed Revised Manning Scale:
Officers / STCW Reg. / Number(a) / Deck Officer Class 1 (Master) / II/2
(b) / Deck Officer Class 2 / II/2
(c) / Deck Officer Class 3 / II/1
(d) / Engineer Officer Class 1 / III/2 or III/3*
(e) / Engineer Officer Class 2 / III/2 or III/3*
(f) / Engineer Officer Class 3 / III/1
(g) / Electro-technical Officer / III/6
* III/3 for ship's main propulsion machinery below 3,000kW but over 750kW only.
Ratings / STCW Reg. / Number(a) / Able Seafarer Deck (AS(D)) / II/5
(b) / Ratings forming part of a navigational watch (RW(D)) / II/4*
(c) / Other Deck Ratings (OR(D)) / VI/1
(d) / Able Seafarer Engine (AS(E)) / III/5
(e) / Ratings forming part of an engineering watch (RW(E)) / III/4**
(f) / Electro-technical Rating / III/7
(g) / Other Engine Room Ratings (OR(E)) / VI/1
(h) / Qualified cook (MLC 2006)
*No. of RW(D) with more than 12 months relevant experience while holding CoP under reg. II/4.
**No. of RW(E)with more than 12 months relevant experience while holding CoP under reg. III/4.
4. Declaration:
The purpose of this application is to revise the existing minimum safe manning certificate carried on board to ensure the manning scale meet the requirements of the STCW 2010 amendments. I certify that, to the best of my knowledge, the particulars given in this application remain valid, and that the working arrangements allow for sufficient rest periods to avoid fatigue, and the machinery and equipment fitted on board are and will be maintained in proper working order. The proposed revise minimum safe manning scalewill ensure safe operation of the vessel in respect of security, protection of the marine environment, dealing with emergency situations, taking into account the requirements regarding hours of rest of watchkeeping seafarers, as prescribed by the STCW Convention 1978, as amended, as well as the requirements of IMO Assembly Resolution A.1047(27).
5. Crew List:
A copy of current crew list and MSMC areattachedhereby for the information of Marine Department. The recommended format of the crew list can be found at overleaf of this application.
Signed:(on behalf of owners)
Name:
Position:
Date:
Crew List
Name of Ship:______IMO No.: ______
Name / Rank / Class / Certificate
(STCW Reg.) / How many months served in the capacity (STCW Reg. II/4 or III/4 only)
1 / Master / Deck Officer Class 1 / II/2
2 / Chief Officer / Deck Officer Class 2 / II/2
3 / 2nd Officer / Deck Officer Class 3 / II/1
4 / 3rd Officer / Deck Officer Class 3 / II/1
6 / Chief Engineer / Engineer Officer Class 1 / III/2
7 / 2nd Engineer / Engineer Officer Class 2 / III/2
8 / 3rd Engineer / Engineer Officer Class 3 / III/1
9 / 4th Engineer / Engineer Officer Class 3 / III/1
10 / Electro-technical Officer / III/6
11 / AS(D) / II/5
12 / AS(D) / II/5
13 / AS(D) / RW(D)* / II/5 / II/4*
14 / AS(D) / RW(D)* / II/5 / II/4*
15 / AS(D) / RW(D)* / II/5 / II/4*
16 / OR(D) / VI/1
17 / AS(E) / III/5
18 / AS(E) / RW(E) / III/5 / III/4*
19 / AS(E) / RW(E) / III/5 / III/4*
20 / OR(E) / VI/1
21 / Electro-technical Rating / III/7
21 / Cook
22
* Deleted whichever is inapplicable.
If any person in deck or engine department hold higher level certificate served in the department as a lower rank position actual certificate shall be filled.