Rev 15-15 template 19
Barbados Maritime
Declaration of Authenticity
The application for the issue of a Barbados Maritime Officer’s
Endorsement is hereby made on behalf of
…………………………………………………………………………………
Officer’s Name
I/We do declare that this application along with the supporting documentation has been
presented in original to the undersigned and has been confirmed as being authentic.
I/We have signed and stamped this Declaration as confirmation of the above
….…………………………………………………………………………………
Registered Ship Owner/ Ship Manager/Crewing Agency
Dated
This Declaration may only be signed and stamped by a representative of the Ship Owning
Company or Ship Management Company duly noted in the Ships Register against the vessel
which the officer is to join
or
Where either of the two noted companies has given prior advice to the Registry that a Crewing
Agency has been engaged and is operating in compliance with the company’s ISM system &
MLC 2006 requirements.
Penalties
Where a company provides to BMSR a Declaration of Authenticity for a certificate which later
proves to be counterfeit the following fines will be imposed by BMSR:



First occasion the company signing will be liable to a fine of USD $1000.00
Second occasion the company signing will be liable to a fine of USD $5000.00
Third occasion or if the previous noted fines remain unpaid for 30 days; BMSR will
immediately cease to process applications for Officer Endorsements from that Company.
If the company signing is a Crewing Agency, the fine will then be applied to the ship
Owning/Managing company, which nominated the Crewing Agency.
A fine of USD $500.00 will also be applied to the ship Owning/Managing company if an officer is
on-board a vessel without a valid Barbados certificate.
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Rev 15-15 template 19
BARBADOS
Application for an Officer’s Endorsement Document
PART I. APPLICANT DETAILS
1. Last name (family name)
First Name (given name )
4. Permanent address (street, city, country)
PART II.
Middle initial
2. Date of birth
dd-mm-yyyy
5. Citizenship
3. Place of birth
(City & Country)
6. Gender M/F
DESCRIPTION OF HIGHEST GRADE BARBADOS ENDORSEMENT AND FOREIGN OFFICER CERTIFICATE OF
COMPETENCY NOW HELD
Grade of Certificate
(Master, Chief Eng., 2nd Eng. etc.)
Certificate No.
Date issued
dd-mm-yyyy
Issuing Country
(A) Barbados
BARBADOS
(B) Foreign
PART III.
A
ELIGIBILITY BASIS ON WHICH APPLICATION IS MADE
I hereby apply for the issuance of a Barbados Endorsement Document in a grade equivalent to my foreign
officer certificate described in Part ll (b) above. Applicants for engineer endorsement document must
indicate mode of propulsion qualified for and desired (e.g. Steam, Motor or Steam & Motor)
PART IV.
AFFIDAVIT OF APPLICANT

Endorsement cannot be issued unless signed by the applicant below
I hereby affirm that all the information provided by me in this application and the supporting documents and proofs are true and
correct to the best of my knowledge and belief, also that no certificate issued to me previously by any Government has ever been
revoked or suspended, or if revoked or suspended, a full explanation of the circumstances is attached and made part of this
application.
Signature of applicant: (sign inside of the box)
Sponsor details: Ship Owner
/
Technical Manager
Date:
/
Crewing Agent
(please circle)
Sponsor Name:
Sponsor Signature:
Company Name:
Company Address:
Company Tel:
Company Fax:
Email Address:
(If the endorsement certificate is to be sent to a different address from the above , then please notify us via email)
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PART V. SEA SERVICE
List one year’s sea service in the last five years to establish eligibility for the officer endorsement document requested. If you list service aboard a Barbados flag vessel in an officer capacity, you must detail the Barbados officer
endorsement document held in Part II (a)
Name of Vessel
Flag
Name of Managing Operator
Capacity in
which
served
Period of Service
From
Day
PART VI.
Applicants for GMDSS Endorsement must read and sign this declaration.
By affixing my signature below, I acknowledge that I am obliged to ensure and maintain the secrecy of all
telecommunications of which I may gain knowledge in the course of my services and that I am likewise obliged
not to reveal the existence of the contents of any correspondence to anyone other than the addressee. My
signature further acknowledges that , if I should breach these obligations, my Endorsement Document issued on
the strength of this application may be suspended or revoked.
Month
Total Service
to
Year
Day
Month
Year
Years
Months
Days
PART VII Applicants for Officer’s Endorsement at the Management level must sign this declaration.
I hereby affirm that in accordance with the Regulation 4 of the Shipping (Safe Manning, Watch keeping and Hours of
Work) Regulations 2000, on boarding the Barbadian ship I will review Part II and IV of the Shipping Act kept onboard,
to ensure that I become familiar with the national maritime legislation of Barbados relevant to the functions to be
performed by me, for which I have applied for an endorsement.
(sign inside of the box)
(sign inside of the box)
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Items Required to Receive an Officer’s Endorsement
OFFICER ENDORSEMENT APPLICATION
ENCLOSED
(Yes/No)
INITIAL
Application Rev.15-15 (pages 1 to 4), with signatures in parts
IV and also in parts VI and VII if applicable.
Proof of one year total sea service in the last five years, must
be shown in Part V of the application.
One clear coloured passport sized photograph, taken within the
last 5 years.
A clear copy of the Certificate of Competency issued in
accordance with STCW 78 (as amended) by an Administration
with whom BMSR has an agreement to recognise such
Certificates.
A clear copy of the GMDSS issued in accordance with STCW
78 (as amended) by an Administration with whom BMSR has
an agreement to recognise such Certificates.
A clear copy of the STCW SSO certificate, issued by an
Administration with whom BMSR recognises.
A clear copy of the applicant’s ID e.g. passport, Seaman’s
book etc. showing expiry date.
A clear copy of the applicant’s medical certificate, which must
have a minimum period of three months till expiry. The medical
must be issued in accordance with STCW Regulation I/9.
Previous Endorsements/GMDSS, which are still valid, must be
returned to BMSR offices. In cases where the previous
Endorsement/GMDSS has been lost or damaged, a statement
to this effect is required by the Owner/Manager or recognised
Crewing Agent.
Payment for CoC Endorsement.
Payment for GMDSS Endorsement.
Payment for SSO Endorsement.
Name of the Vessel that applicant will be joining.
Ship Security Training Certificates issued in accordance with Sec 13 of the
ISPS Code are acceptable until 1st July 2015.
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GENERAL INFORMATION AND INSTRUCTIONS
(DO NOT RETURN WITH THE APPLICATION)
1.
Please read all instructions carefully
Enter all required information either by typing or printing legibly. This application may be rejected or approval delayed if you
fail to complete the application correctly or submit the required proofs, etc.
2.
Documents to be filed with application
The following documents, letter, and proofs must be submitted with this application.
a)
b)
c)
d)
e)
f)
g)
h)
i)
j)
4.
One (1) photographs – facial front view of applicant passport size, taken within one year preceding application with
applicant’s passport or seaman’s book. Photographs must be in colour
Medical examination report. All applicants are required to submit a medical examination report on a medical form
completed by a licensed physician. The applicant should retain the original of the Medical form as evidence of
physical qualification while serving onboard a Barbados flag vessel. This medical examination must be carried out not
more than 12 months prior to the date of making the application and have a minimum of three months validity
remaining. The medical certificate must be issued and meet the standards prescribed by STCW Regulations I/9.
The owner/manager/ authorised crewing agents must recommend the applicant for a Barbadian endorsement
document by signing the application document.
Proof of sea service: Applicants for officer endorsement documents based on an acceptable national officer’s
certificate must submit at least one (1) years total sea service in the last five (5) years (or employment ashore directly
related to the operation of the vessels e.g. Port Captain, Port Engineer).
Proof of foreign officer certificate. The foreign officer’s certificate of competency issued by his national administration
must have a valid STCW 78 as amended endorsement and be issued by a country recognised by Barbados. A
Barbados officer endorsement can only have the same validity as the accompanying CoC,
The original foreign certificate of competency must be submitted to the owner/manager or manning agent acting on
behalf of the owner/manager, who must make a clear photocopy and endorse the said copy as a true copy of the
original presented. This is to be forwarded to the Barbados Ship Registry with the application.
All documents not presented in the English language must have a certified English translation attached and
enclosed with the application.
Proof of foreign training certificates – radar simulator training, advanced firefighting training, GMDSS certification,
first aid training, advanced medical training, survival craft/rescue boat training and automatic radar plotting aids
(ARPA) training, submit one copy of foreign certificate, if national officer certificate does not require this training.
See Para. 6. for Training Requirements.
Application must be accompanied by a signed and stamped Declaration of Authenticity in all cases.
Check List.
Schedule of Fees
Barbados Officers Endorsement
Replacement of lost/damaged Endorsement
Fine - for officer on vessel without Barbados certificate
Refer to Rate Card for current year
Same price as an Endorsement
Issued by the Principal Registrar
Payment must be made by bank transfer; details of banking accounts can be provided on request by the Barbados
Maritime Ships’ Registry.
5.
Age and Citizenship Requirements
Applicants for Endorsement Documents as officer in charge of a navigational watch, officer in charge of an
engineering watch and GMDSS Operator must be at least 18 years of age. Applicants for all other grades must be at
least 21 years of age. Applicants may be of any nationality and need not be citizens or residents of Barbados.
6.
a)
b)
c)
d)
e)
f)
Training Requirements
Fire fighting training – every applicant for Master, Chief Mate or officer in charge of a navigational watch & every
applicant for Chief Engineer, First Engineer or officer in charge of an engineering watch, must submit proof of
completion of an advanced marine fire fighting course.
Radar simulator training- every applicant for a Master, Chief Mate or officer in charge of a navigational watch
endorsement document must submit proof of completion of a marine radar simulator course*
GMDSS Certification- from 1st August 1998 every applicant for officer in charge of a navigational watch, Chief Mate
or Master Endorsement. Document must hold GMDSS certification.
* First Aid Training – as of 1st August 1998 every applicant for an officer in charge of a navigational watch
endorsement document on vessels over 500 gross tons; every applicant for a Master / Chief Mate endorsement
document on vessels less than 500 gross tons and every applicant for an officer in charge of an engineering watch
endorsement document must complete first aid training.
* Survival craft/ rescue boat training – As of 1st August 1998 every applicant for a Master, Chief Mate, or officer in
charge of a navigational watch endorsement document and every candidate for an officer in charge an engineering
watch endorsement document must complete survival craft /rescue boat training.
Automatic Radar Plotting Aids (ARPA) training – as of 1st August 1998 every applicant for a Master, Chief Mate or
officer in charge of a navigational watch endorsement document must complete automatic radar plotting aids
ARPA) training.
Note :
National officer certificates containing the 1995 STCW Endorsement are evidence of completion of the
requirements (a) to (f) above without having to submit training course certificates.
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7.
Global Maritime Distress and Safety System (GMDSS)
a)
b)
c)
d)
8.
Restricted Operator – Previous service not required. The Applicant must present a foreign certificate in equivalent
grade.
General Operator – Previous service not required. The Applicant must present a foreign certificate in equivalent
grade.
Second Class Radio Electronic Operator and Maintainer – Previous service not required .The Applicant must present
a foreign certificate of equivalent grade.
First Class Radio Electronic Operator and Maintainer - Previous service not required .The Applicant must present
a foreign certificate of equivalent grade.
Sea Service Requirements
a)
b)
Navigational Officers – Required to hold a Certificate of Competency appropriate for vessel on which the officer will
serve.
And have served at least 1 year in the previous five years on a vessel of equal or greater GT to which the officer will
be appointed.
Engineer Officers – Required to hold a Certificate of Competency appropriate for vessel on which the officer will
serve.
And have served at least one year in the previous five years on a vessel of equal or greater propulsive output to which
the officer will be appointed.
At least six (6) months of the total service required shall at some time have been served on the mode of propulsion
applied for.
9.
Equivalent Certificates
National Governments who have Agreements with Barbados for the issuance of Endorsement Certificates as
equivalent to their certificates of competency in accordance with STCW 78 as amended are listed in the Barbados
Ships’ Registry Information Bulletins and are updated periodically.
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