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General Pilotage Regulations

Version of the schedule from 2006-03-22 to 2022-05-19:


SCHEDULE 1(Section 13)

FORM 1

blank line Pilotage Authority

(Name and Crest of Authority)

Licence As Pilot

Issued by the blank line Pilotage Authority under section 22 of the Pilotage Act

(Print name.)

is qualified to carry out pilotage duties of Class blank line subject to the following restrictions:

  • 1 blank line

    (Size and Type of Ship)

  • 2 blank line

    (Pilotage Areas)

  • 3 blank line

    blank line

    blank line

    blank line

    (Other Restrictions)

Issued under the seal of the blank line Pilotage Authority at (Place) on (Date of Issue, Day/Month/Year)

(Signature)

(seal)blank line(Chief Executive Officer of the blank line Pilotage Authority)

(Back of Licence)

Signature of Holder: blank line

Navigational certificate(s) held by Holder:

Name of certificate: blank line

Date of issue: (Day/Month/Year)

(Passport Photograph in colour, 50 mm x 70 mm)

FORM 2

blank line Pilotage Authority

(Name and Crest of Authority)

Pilotage Certificate

Issued by the blank line Pilotage Authority under section 22 of the Pilotage Act

(Print Name)

is qualified to carry out pilotage duties of Class blank line subject to the following restrictions:

  • 1 This authorization is only for carrying out pilotage duties on board the ship of whose complement the holder is a regular member and of which the holder is the master or a deck officer.

  • 2 blank line

    (Size and Type of Ship)

  • 3 blank line

    (Pilotage Areas)

  • 4 blank line

    blank line

    blank line

    blank line

    (Other Restrictions)

Issued under the seal of the blank line Pilotage Authority at (Place) on (Date of Issue, Day/Month/Year)

(Signature)

(seal)blank line(Chief Executive Officer of the blank line Pilotage Authority)

(Back of Certificate)

Signature of Holder: blank line

Navigational certificate(s) held by Holder:

Name of certificate: blank line

Date of issue: (Day/Month/Year)

(Passport Photograph in colour, 50 mm x 70 mm)
  • SOR/2002-314, s. 4

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