ms notice no 109 refers ----------------------- type or print in ink throughout for official use application no: cash sale / in

MS Notice No 109 refers
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Type or PRINT in ink throughout
For Official Use
Application No:
Cash Sale / Invoice Number:
______________
1.
Particulars of Seafarer
-----------------------
Surname (Family Name)
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First Name
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Country of Birth
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Date of Birth (dd/mm/yyyy)
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Nationality
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2.
Particulars of Ship Security Officer, Security-Awareness &
Designated Security Duties Certificates
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(Tick applicable box)
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Course
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STCW Regulation
---------------
Issuing Training Centre
-----------------------
Certificate Number
------------------
Date of Issue
-------------
Ship Security Officer
---------------------
VI/5
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Security-Awareness Training
---------------------------
VI/6.1
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Designated Security Duties
VI/6.4
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3.
Type of Application
-------------------
New Application
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If you are a current holder of a certificate of proficiency for ship
security officers, security-awareness training or designated security
duties issued by this Administration please indicate certificate
number.
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4.
Contact Details
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Company Name
------------
Address
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Contact Person
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Contact Number
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E-Mail
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Address where certificate is to be forwarded
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Date
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Customer Code
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Signature of Seafarer
(Please keep your signature within the box and sign without touching
any of the box lines)
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5.
Particulars of Service at Sea
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Ship`s Name
IMO Number
Signed On
Signed Off
Capacity
 
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6.
Declaration by Applicant
I, the undersigned, declare that to the best of my knowledge the
information provided by me is correct.
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Name in full
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Date
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Signature
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7.
Applicant’s supporting documents required with application
----------------------------------------------------------
*
Passport/ Identity Card / Seaman’s Book (showing personal details
of applicant as per those entered on the Application form)
*
Passport size colour photograph
*
Documentary evidence of approved seagoing service claimed in
paragraph 5 (applicable for SSO)
*
Course completion certificate
Relative fee: €30 or €55 including courier delivery – telegraphic
transfer reference/draft number  
The above fees are applicable per certificate
8.
Kindly fill in all details if paying by credit card
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American Express
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Diners Club
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Electron
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Maestro
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Master Card
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Visa
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Card Number
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Expiry Date
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Card Holder’s Name
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Signature
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DATA PROTECTION PRIVACY NOTICE OVERLEAF
Data Protection Privacy Notice
Transport Malta of Triq Pantar, Lija, Malta LJA2021 is the Data
Controller for the purpose of the General Data Protection Regulation
(EU) (GDPR) 2016/679 and Data Protection Act CAP. 586. This Privacy
Notice sets out the way in which we collect and process your Personal
Information, as well as the steps we take to protect such information.
1.
The information we collect and how we use it
1.
From this Application Transport Malta collects different types
of information which information is that required by Law and is
used explicitly for your application for seafarer
documentation/certification. It is to be noted that if the
required information is not provided the said application could
not be processed.
2.
The primary purpose for collecting information is mainly to
process the application for seafarer
documentation/certification, however, your Personal information
may also be used for related purposes that amongst others
include: communicating notifications, communication strictly
related to the document applied for/in hand and for the
provision of information with regards to any legislative
amendments which may affect the services offered to you.
2.
To whom we disclose information
1.
This information will be solely used for the reasons detailed
above. However there may be cases where personal information is
shared with other third parties for reasons listed below;
*
Any third party with regards to the processing, verification of
information and issuing of the document, including foreign
Administrations, Maritime Training Centres and Shipping Companies/
Manning Agents;
*
Any law enforcement body who may have any reasonable requirement
to access your personal information;
*
Third party entities responsible for the data processing and
printing of relative documentation.
3.
Data Subject Rights
3.1. With respect to your privacy rights, Transport Malta is obliged
to provide you with reasonable access to the Personal Data that you
have provided to us. Your other principal rights under data protection
law are:
a.
the right for information;
b.
the right to access;
c.
the right to rectification;
d.
the right to erasure;
e.
the right to restrict processing;
f.
the right to object to processing;
g.
the right to data portability;
h.
the right to complain to a supervisory authority; and
i.
the right to withdraw consent.
3.2. If you wish to access or amend any Personal Data we hold about
you, or to request that we delete any information about you, you may
contact us by sending a request to [email protected].
We will acknowledge your request within seventy-two (72) hours and
will do our utmost to handle it promptly. We will respond to these
requests within a month, with a possibility to extend this period for
particularly complex requests in accordance with Applicable Law.
3.3. At any time, you may object to the processing of your Personal
Data, on legitimate grounds, except if otherwise permitted by
applicable law.
3.4. In accordance with Applicable Law, we reserve the right to
withhold personal data if disclosing it would adversely affect the
rights and freedoms of others. Moreover, we reserve the right to
charge a fee for complying with such requests if they are deemed
manifestly unfounded or excessive.
4.
Retention period
1.
Personal data will be retained for not more than 3 months from
date of application should the application not be submitted
complete or is rejected.
2.
Once the Seafarer Document/Certificate is issued, we will retain
your information for as long as needed to provide you with our
service, or to comply with our legal obligations, resolve
disputes and enforce our agreements.
5.
Security
5.1. We take appropriate security measures to protect against loss,
misuse and unauthorized access, alteration, disclosure, or destruction
of your information. Additionally, steps will also be taken to ensure
the ongoing confidentiality, integrity, availability, and resilience
of systems and services processing personal information, and will
restore the availability and access to information in a timely manner
in the event of a physical or technical incident. All information
gathered is kept confidential and is used solely for the Seafarer
Document/Certificate purposes.
5.2. If we learn of a security systems breach, we will inform you of
the occurrence of the breach in accordance with applicable law.
6.
Governing Law
All data collected in this form is processed in accordance with the
Privacy Laws that include General Data Protection Regulation (Regulation
2016/679/EU) and Chapter 586 of the Laws of Malta (Data Protection
Act).
7. Data Protection Officer
7.1. Transport Malta has a Data Protection Officer (“DPO”) who is
responsible for matters relating to privacy and data protection. The
DPO can be reached at the above address or by email: [email protected]
8.
Contacting us
8.1. Please address any questions, comments and requests regarding the
application process to: [email protected]

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