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In this section you will find the forms required for registration, seafarer services, manning and other requirements of the Administration. Some forms are available for online completion and submission while other forms are available for download and submission to ADOMS offices in hard copy or by email.
Forms are available at the links below.
Checklist for Ships Documents
This checklist lists the ships documents which are to be submitted with the application for registry
Declaration of Maritime Labour Compliance (DMLC) Part I
This is the Declaration of Maritime Labour Compliance Part I. This document is prepared by the flag State and outlines each element of the flag State’s laws that gives effect to the Maritime Labour Convention 2006. It is the reference source for inspectors both for...
Application for Seafarers’ Documents
This form should be used when applying for Seafarers documents.
Medical Report Form
This form may be used to record information when transferring seafarers between ship and shore medical facilities in accordance with Title 4 (Standard A4.1.2) of the Maritime Labour Convention 2006 and Antigua and Barbuda DMLC Part I- 12(b)
Application for Minimum Safe Manning Document
This form should be completed by any owner or manager on applying for a Minimum Safe Manning Document as required by Regulation 14 of Chapter V of SOLAS
CSR Form 2- change of CSR details
This form is to be used when any of the details contained in the ship’s CSR are to be changed. All the data fields should be completed, but fields which are not changed should be entered as N/C. One copy of the Form 2 is to be retained on the ship’s CSR file on...
Documents checklist for Seafarer’s Document Application
This checklist should be filled in and submitted with any application for seafarer's documents including endorsements and seafarer's books.
Declaration of Familiarisation for Senior Officers
This Declaration is required to be signed by all senior officers as a part of their application for an Antigua and Barbuda endorsement. The Declaration confirms that the applicant is familiar with the Senior Officer's Handbook which sets out the essential aspects of...
CSR Form 3 (Index of changes) blank form
This form is to be used to record changes to the ship's current CSR. The changes should all be listed and the Form 3 listing them inserted in the CSR file where it is to remain permanently. On recording changes on this Form, the Company or the Master should also...
Declaration of Maritime Labour Compliance (DMLC) Part II
This is the Declaration of Maritime Labour Compliance Part II. This document needs to be completed by the shipowner showing how his systems and arrangements on board are structured to comply with each element of the Maritime Labour Convention 2006 that is listed on...
