CREATE YOUR ACCOUNT

PERSONAL INFORMATION

Please enter your Full Name (Legal Name) below.

First name*

Last name*

What you enter here will be printed on your certificate when your exam is approved.

Name on certificate

Please select the school that you have taken your course / class with.

Associate school*

Birth date*

Email address*

MAILING ADDRESS

Northeast Maritime Institute does not provide services to persons who are target of any sanction law, or is located or resident of a country or territory that is, or whose government currently is, the target of countrywide sanctions imposed by any U.S. government sanctions authority.

Additionally, NMI may restrict access to services to individuals in heightened risk countries. If you are unable to access NMI services due to unavailability of services in your country, please contact techsupport@northeastmaritime.com for additional information.

Address 1*

Address 2

City*

State/Province*

Postal Code*

Country*

Citizenship*

Sex*

Phone*

HEADSHOT UPLOAD

Please upload a picture of yourself (color photo) no larger than 5MB that will be printed on your issued license and possibly monitor you during the online exam.

Picture should be in .jpg or .png format. (Example: "photo.jpg" or "photo.png")
Applicants should not be smiling in the photo.
The photo must have been taken within 3 months of filling out this application, and the applicant must present the same characteristics contained on the photo.
Any change in appearance (hair color, haircut, beard, etc.) after photo is taken will require another photograph.
The photograph must be a frontal picture, head centered; a full‐face view is necessary. Applicant must be looking at the camera when the picture is taken, and not looking down or to one side.
Please refrain from wearing hats or eye glasses, in the picture, that obstruct your eyes or face in any manner.
Poor photo quality or older than 3 months from the current day will not be accepted.

Click the camera icon below to take your photo

Please make sure that your face is centered within the box above and the room is well lit.

Exit

Headshot Upload*

Upload Existing Photo

Take New Photo

Example

PASSPORT / LICENSE UPLOAD

Please upload your "color" passport photo page identification or Driver's license (only US citizens) for verification purposes.

Photo ID*

Upload Existing Photo

Take New Photo

Example

Referral: Provide some more info about your referral.

Signature (Initials)*

I attest that the information provided in this form is accurate to the best of my knowledge.*

CREATE YOUR ACCOUNT

PERSONAL INFORMATION

MAILING ADDRESS

HEADSHOT UPLOAD

We detect that your camera is either disconnected or is being used by another application

PASSPORT / LICENSE UPLOAD