Port Pilot to Reef Pilotage Licence

1. Personal Details & Contact Information

Full Legal Name *

As it appears on your AMSA certificate or CoC

Preferred Name

Date of Birth *

Email Address *

Mobile / Phone Number *

Current State / Territory of Residence

Current Port of Employment *

Current Employer / Port Authority *

Years as a Licensed Port Pilot *

Australian Citizen or Permanent Resident? *

2. Certificate of Competency & Pathway Selection

Which MO54 pathway applies to you? *

Your pathway determines all downstream evidence requirements. Pathways B and C require AMSA Equivalency Assessment first.

Certificate / Qualification Type *

Issuing Authority *

Certificate Number *

Certificate Issue Date *

Certificate Expiry Date

Leave blank if no expiry or expired

Is your CoC / qualification currently valid? *

If expired — do you hold a current Port Pilots Licence?

3. Pilotage Experience & Movement Records

Total Years of Port Pilotage Experience *

Do you have a verified movement count from your employer? *

Verified movement counts carry significantly more weight with AMSA

Estimated Total Career Movements

Formula: weeks on roster × 7 × avg movements/day × years

Verified Movement Count (if available)

Leave blank if estimate only

Avg Weeks on Roster / Year *

Avg Movements / Day on Roster *

Maximum Vessel Size Piloted *

Vessel Types Piloted *

Bulk Carrier

Container

LNG / LPG

Tanker

Cruise

RoRo

General Cargo

Other

High-Volume / High-Risk Ports Worked *

Gladstone

Hay Point

Newcastle

Port Kembla

Port Hedland

Dampier

Walcott

Other

Brief Description of Your Pilotage Environment *

Confined channels, traffic density, tidal constraints, tug operations, vessel mix etc.

4. Mandatory Certificates - All Pathways

AMSA Medical Certificate — Currently Valid? *

AMSA Medical Certificate Expiry Date

BRM Certificate — Current (within 4 years)? *

BRM Certificate Issue Date

BRM Certificate Provider / Course Name

HUET Certificate — Currently Valid? *

HUET Issue Date

HUET Expiry Date *

Coastal Pilotage Proficiency Check (CPPC) — Completed? *

New mandatory requirement under Draft MO54

CPPC Completion Date

Fatigue Risk Management Training — Completed? *

Fatigue Training Provider & Approximate Date

5. Additional Training & Qualifications

AMPT or Manned Model Equivalent Course Completed?

Port Ash (AMC), Port Revel France, or internationally recognised equivalent

AMPT / Manned Model Provider & Date

ECDIS Certification — Held?

ECDIS Provider & Certification Date

Ship Handling Simulator Training Completed?

Simulator Course Details

Tug Interface / Escort Tug Training Completed?

UKCM / DUKC System Training Completed?

Required for Inner Route and Torres Strait transits

UKCM / DUKC Provider & Date

Pathway B or C — AMSA Equivalency Assessment Lodged?

Any Other Relevant Training or Qualifications?

STCW endorsements, simulator records, port in-house programs, competency evidence not listed above

6. Crossover Course Acknowledgement & Declaration

Important: The Strait Point Crossover Course (approximately 2 weeks) is required under Draft MO54 and is self-funded.

Available to Commence Crossover Training Within 6 Months? *

How Did You Hear About Strait Point?

Additional Information for the Chief Pilot

Availability constraints, special circumstances, or context you want the Chief Pilot to consider

I confirm that all information provided in this application is accurate and complete to the best of my knowledge. I consent to Strait Point contacting me regarding this application. *

STRAIT POINT

Application Ready