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Application for appointment or reappointment as examining doctor for seafarers

 
 

Introduction

 
 

What do you apply for with this form?

With this form, you request to be appointed or reappointed as an examining doctor for seafarers.

Who is this form for?

This form is intended for doctors who want to apply for an appointment or reappointment to carry out medical examinations of seafaring and inland navigation crews.

Is there a fee for this application?

There is no fee for this application.

Which attachments are needed?

The attachments you need to complete will depend on the situation. You will find an overview of all required documents as you go through the form.

How does your application work?

Once you have submitted the form, the ILT sends you an automatic acknowledgement of receipt with your application number. In the attached PDF file you can find a copy of the data you filled in. You will receive a notification as soon as your application is taken into consideration. For the processing of your application, the ILT adheres to the statutory decision periods.


Please note: the ILT only considers complete applications. You will be notified if the form was completed incorrectly or if any attachments are missing. We will specify which information you still need to provide and by which deadline.

 
 
 
 

General Information regarding the form

Please complete this form in English. Forms submitted in other languages wil not be processed.
You may save the report at any time (see the option in the top right of the screen) which allows you to reopen and complete the form at your convenience.

After completely filling in and sending in the form, you will receive an email which is your confirmation. Included in the email is a PDF copy of what you submitted. The application number of your application is also mentioned.

Questions regarding the form?

In case you have questions regarding filling in this form, please contact the ILT via telephone +31 (0)88 489 0000 or use the form on the website. If you have a question about your application, please keep your application number at hand.


Fields marked with * are mandatory.

 
 
 
 

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