General Pilotage Regulations

Pilotage Authority

(Name and Crest of Authority)

Licence As Pilot

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

(Print name.)

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

• 1 

  (Size and Type of Ship)

• 2 

  (Pilotage Areas)

• 3 

  

  

  

  (Other Restrictions)

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

(Signature)

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

(Back of Licence)

Pilotage Authority

(Name and Crest of Authority)

Pilotage Certificate

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

(Print Name)

is qualified to carry out pilotage duties of Class 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 

  (Size and Type of Ship)

• 3 

  (Pilotage Areas)

• 4 

  

  

  

  (Other Restrictions)

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

(Signature)

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

(Back of Certificate)