MARITIME AND PORT AUTHORITY BRUNEI DARUSSALAM

CERTIFICATE OF RECEIPT OF APPLICATION

(For Endorsement Attesting the Recognition of a Certificate of Competency)
(in accordance with Regulation 18 of the Merchant Shipping (Standard of Training, Certification and
Watchkeeping) Regulations and Regulation 1/10 of the STCW 78, as amended in 1995)
MPABD is in receipt of your application for Endorsement Attesting the Recognition of your
Certificate of Competency.

This CERTIFICATE OF RECEIPT OF APPLICATION is issued to :

Full Name :

Certificate No. :

Nationality :

CoC Ranking :

Issuing Authority :

Name of Vessel :

Type of Vessel :

CRA No : XXXX

Issue on : DD MM YYYY

Date of Expiry : DD MM YYYY

Photograph of
the holder of the
certificate.

( Official Seal )

Signature of holder of the certificate Signature of Duly Authorised Official

DD MM YYYY

Date of Birth of holder of the certificate Name of Duly Authorised Official

VALIDITY
This Certificate of Receipt of Application for Endorsement Attesting the Recognition of the above Applicant’s
Certificate of Competency is :

1. Valid for only 90 days from the Date Issued;

2. Valid only for the Type of Vessel specified above ; and
3. Invalid if at any time it is found that any information provided by the applicant is fraudulent.

The Original of this Endorsement must be kept available in accordance with Regulation I/2, paragraph 11 of the Convention while serving on a ship.

Cert EOR, Issue/Rev. No: 01/ 01 April 2021

 MARITIME AND PORT AUTHORITY BRUNEI
DARUSSALAM
CERTIFICATE OF COMPETENCY
OFFICER IN CHARGE OF ENGINEERING WATCH-NCV
(on ships of 750kW propulsion power or more)
Certificate issued under the provisions of
THE INTERNATIONAL CONVENTION ON STANDARDS OF TRAINING, CERTIFICATION AND
WATCHKEEPING FOR SEAFARERS, 1978, AS AMENDED

The Government of Brunei Darussalam certifies that SEAFARER’S NAME has been found duly qualified in

accordance with the provisions of Regulation III/1 of the above Convention, as amended, and has been found
competent to perform the following functions, at the levels specified, subject to any limitations indicated until the
date of expiry of this Certificate.

FUNCTION LEVEL LIMITATIONS APPLYING (if any)

CONTROLLING THE OPERATIONS OF THE
SHIP AND CARE FOR PERSONS ON BOARD
MARINE ENGINEERING
OPERATION NONE
MAINTENANCE AND REPAIR
ELECTRICAL, ELECTRONIC AND
CONTROL ENGINEERING
The lawful holder of this certificate may serve in the following capacity or capacities specified in the applicable
safe manning requirements of the Administration.

CAPACITY LIMITATIONS APPLYING (if any)

OFFICER IN CHARGE OF ENGINEERING WATCH NONE

Certificate No. XXXXBSTXXXXX

Date of Issue DD-MM-YYYY

Photograph
of the
holder’s Date of Expiry DD-MM-YYYY
of the
Certificate

( Official seal )

Signature of holder of the certificate Signature of Duly Authorised Official

DD-MM-YYYY
Date of Birth of holder of the certificate Name of Duly Authorised Official

In accordance with Regulation I/2, paragraph 11 of the Convention, the original of this certificate must be kept available while serving on a ship.

Cert OEW, Issue/Rev. No: 01/ 01 April 2021

Cert BST

Issue/Rev. No: 01/ 01 April 2021

 MARITIME AND PORT AUTHORITY BRUNEI
DARUSSALAM
CERTIFICATE OF COMPETENCY
OFFICER IN CHARGE OF NAVIGATIONAL WATCH-NCV
(on ships of 500 gross tonnage or more)
Certificate issued under the provisions of
THE INTERNATIONAL CONVENTION ON STANDARDS OF TRAINING, CERTIFICATION AND
WATCHKEEPING FOR SEAFARERS, 1978, AS AMENDED

The Government of Brunei Darussalam certifies that SEAFARER’S NAME has been found duly qualified in accordance
with the provisions of Regulation II/1 of the above Convention, as amended, and has been found competent to
perform the following functions, at the levels specified, subject to any limitations indicated until the date of expiry
of this Certificate.

FUNCTION LEVEL LIMITATIONS APPLYING (if any)

NAVIGATION
CARGO HANDLING AND STOWAGE
CONTROLLING THE OPERATIONS OF THE OPERATION NONE
SHIP AND CARE FOR PERSONS ON BOARD
RADIO COMMUNICATIONS

The lawful holder of this certificate may serve in the following capacity or capacities specified in the applicable
safe manning requirements of the Administration.

CAPACITY LIMITATIONS APPLYING (if any)

OFFICER IN CHARGE OF NAVIGATIONAL WATCH NONE

Certificate No. XXXXBSTXXXXX

Date of Issue DD-MM-YYYY

Photograph
of the
holder’s Date of Expiry DD-MM-YYYY
of the
Certificate

( Official seal )

Signature of holder of the certificate Signature of Duly Authorised Official

DD-MM-YYYY
Date of Birth of holder of the certificate Name of Duly Authorised Official

In accordance with Regulation I/2, paragraph 11 of the Convention, the original of this certificate must be kept available while serving on a ship.

Cert ONW, Issue/Rev. No: 01/ 01 April 2021