Northern Territory Consolidated Regulations

MARINE (PILOTAGE) REGULATIONS - SCHEDULE

Schedule

MARINE (PILOTAGE) REGULATIONS

regulation 8

Form 1

PILOTAGE LICENCE

No. ............

The holder of this licence whose
photograph appears opposite and
whose signature appears below is
authorised to take pilotage charge
of any ship within the pilotage
areas listed on the reverse side

thereof.

FULL NAME OF HOLDER         .................................................................

COLOUR OF EYES             ...............................................................

COMPLEXION             .................................................................

COLOUR OF HAIR             ...............................................................

HEIGHT                 ..............................................................

This licence is valid until         .................................................................

Dated this ............................. day of ................................., ...................
.................................                     .................................

Signature of holder.                         Pilotage Authority

Reverse side

This licence is valid within the pilotage areas of:

    1.     .......................................................

    2.     .......................................................

    3.     .......................................................

.................................

Pilotage Authority

MARINE (PILOTAGE) REGULATIONS

Regulation 11

Form 2

PILOTAGE EXEMPTION CERTIFICATE

No. ............

I hereby certify that ............................................ is entitled to be in navigational command of *............................................ within the pilotage areas listed on the reverse side hereof.

This certificate is valid until ................................ ..........................................

Dated this .................................... day of ..............................., ...............

............................

Pilotage Authority

* Here insert name of ship or class of ships.

Reverse side.

This certificate is valid within the pilotage areas of:

    1.     .............................................................................................

    2.     ..................................................................................................

    3.     ...............................................................................................

............................
Pilotage Authority