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General Pilotage Regulations (SOR/2000-132)

Regulations are current to 2022-08-08 and last amended on 2022-05-20. Previous Versions

SCHEDULE 1(Section 13)Forms

FORM 1

Transport Canada

(Transport Canada heading)

Pilotage Licence

Issued by the Minister of Transport pursuant to section 38.1 of the Pilotage Act.

(Print name)

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

  • 1 blank line

    (Size and Type of Ship)

  • 2 blank line

    (Pilotage Areas)

  • 3 blank line

    blank line

    blank line

    blank line

    (Other Conditions)

Issued by the Minister of Transport at (Place) on (Date of Issue, Day/Month/Year)

(Signature)

(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

Transport Canada

(Transport Canada heading)

Pilotage Certificate

Issued by the Minister of Transport pursuant to section 38.1 of the Pilotage Act.

(Print Name)

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

  • 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 Conditions)

Issued by the Minister of Transport at (Place) on (Date of Issue, Day/Month/Year)

(Signature)

(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)
 
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