Application for Associate Membership

Application for Associate Membership

$90 Application Fee payable at time of application
Associate Members hold between 0-2 years’ experience working as a Marine Surveyor and is a Seafarer holding marine qualifications, Naval Architect, Marine Engineer, Boat Builder, Shipwright, Electrician, Marine Mechanic, Coxswain or other marine specialist
OR is currently working as a Marine Surveyor OR holds a Diploma of Marine Surveying or is studying towards the completion of

Associate members must work towards the qualification requirements for Full Membership if not currently held at the time of election. The maximum term for Associate Membership is 4 years.

Associate Membership Fees are $385 per year. Where an application is approved after July 31 and before June 30 the following year the membership fees are calculated on a pro-rata basis.
Personal Details
Name*

PrefixFirst Name(s)Last Name
Date of birth*

DayMonthYear
Date
Address*

Street Address

Street Address Line 2

CityState

Postal CodeCountry
Phone

Phone NumberMobile Number
Email

Primary emailSecondary email
Business Details

Business Name

Street Address

CityState

Postal CodeCountry
Business PhoneWebsite

Professional History
Maritime Tertiary Qualifications/Trade/Technical Education undertaken
Name of Qualification
MonthDayYear
Date completed
Name of Qualification
MonthDayYear
Date completed
Name of Qualification
MonthDayYear
Date completed
AMSA Endorsed Certificates of Competency
Certificate of Competency
MonthDayYear
Expiry date
Certificate of Competency
MonthDayYear
Expiry date
Certificate of Competency
MonthDayYear
Expiry date
Total length of time in practice as a marine surveyor:

From: Date To: Date
Experience as a marine surveyor

CompanyPosition
From: Date To: Date
CompanyPosition
From: Date To: Date
CompanyPosition
From: Date To: Date
Prior Maritime Experience

CompanyPosition
From: Date To: Date
CompanyPosition
From: Date To: Date
CompanyPosition
From: Date To: Date
Do you hold a Certification or Accreditation issued by another regulatory or Accrediting Authority?

YesNo
If YES, what is the State/Territory/Country of original accreditation?
What is the name of the Accrediting Authority?
Do you hold membership with another marine survey related professional body?

YesNo
If YES please provide the name of the body or institution

Supporting Documents

All applications for membership must be accompanied with supporting documents.
Please upload the following supporting documents:

• Copies of all relevant qualifications and Certificates of Competency.

• Copy of your resume.
Upload your supporting documents*

File upload
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Code of Conduct

It is a requirement of membership to sign and adhere to the Code of Conduct.
Download and sign the Code of Conduct below:

Code of Conduct.pdf

Once completed, upload the form.
Upload signed copy of the Code of Conduct*

File upload
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Personal Details