(for continuing service) Applicant’s name _________________________________ Pilotage Exemption Certificate Evidence of ongoing trips – Time of Time Length In / Via channel Signature of Date Name of vessel Draught Port passing berthed / Day / Night Rank overall Out navigated observer entrance unberthed
Pilotage Exemption Certificate – Evidence of ongoing trips (for continuing service) Applicant’s name _________________________________ Date Name of vessel Length overall Draught Port In / Out Time of passing entrance Time berthed / unberthed Via channel navigated Day / Night Rank Signature of observer
CC-14-Application-for-Renewal-of-Pilotage-Exemption-Certificate-January-2016.DOCX