Change of Vessel Name and/or Transfer of Port of Registry

Official Number*

Confirm Official Number*

Present Name of Vessel*

Current Port of Registry*

A) NOTICE OF CHANGE OF NAME

DO YOU WISH TO CHANGE YOUR VESSEL NAME?*

Yes
No

It is proposed to change the name of the vessel to:

1st choice

2nd choice

3rd choice

B) TRANSFER OF PORT OF REGISTRY

DO YOU WISH TO TRANSFER THE PORT OF REGISTRY?*

Yes
No

I/We, the registered owner(s), request the transfer of the registry of the vessel to:

NOTE: In the case of an Indian Band, this application must be made by person(s) authorized by Band Council Resolution OR by affixing the seal of the Indian Band on this application.

Owners

Full Legal Name	Actions

There are no Entries.

INDIVIDUAL

Signed at

Date

Signature of Owner

1 - CORPORATION

I

state that I have authority to bind

I also state that

is the name of a corporation which legally exists at the date of this Application:

as per the laws of Canada; OR
as per the laws of (province/state)

Name of province/state

This Application must be signed by any Officer or Director of the corporation who has the authority to bind the corporation. Pursuant to Sections 51(2) and 75.01 (2) of the Canada Shipping Act, 2001) applicants may be required to provide additional information as requested by the Chief Registrar.

I understand that it is an offence for a person to knowingly make a false or misleading statement in writing and that the penalty can be a fine or imprisonment or both if found guilty in a court of law (Section 37 of the Canada Shipping Act, 2001).

Signature of Officer or Director

Date

2 - CORPORATION

I

state that I have authority to bind

I also state that

is the name of a corporation which legally exists at the date of this Application:

as per the laws of Canada; OR
as per the laws of (province/state)

Name of province/state

This Application must be signed by any Officer or Director of the corporation who has the authority to bind the corporation. Pursuant to Sections 51(2) and 75.01 (2) of the Canada Shipping Act, 2001) applicants may be required to provide additional information as requested by the Chief Registrar.

I understand that it is an offence for a person to knowingly make a false or misleading statement in writing and that the penalty can be a fine or imprisonment or both if found guilty in a court of law (Section 37 of the Canada Shipping Act, 2001).

Signature of Officer or Director

Date

INDIAN BAND

Name of Indian Band

Signature

Name of person signing above

Date Application signed

Contact Information

First Name*

Last Name*

Telephone Number*

Facsimile

Email*

Enter Email Confirm Email

TEST - Change of Vessel Name

Price:

Change of Vessel Name

Price:

Transfer of Port of Registry

Price:

Transfer of Port of Registry

Price:

Please select any additional services you wish to have processed

Priority Request/Rush Processing
Certified Transcript
Uncertified Transcript

Priority Request/Rush Processing

Price:

Certified Transcript

Price:

Uncertified Transcript

Price:

Total

$ 0.00 CAD

Authorization*

I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected Transport Canada documents. I understand that my application will be processed in the order in which it is received by National Vessel Registry Center Corp, a third-party fee for service company. I understand that application and processing fees are non-refundable as per National Vessel Registry Center Corp's no refund policy.

Credit Card

Card Details

Cardholder Name

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Billing Address

Address*

Street Address Address Line 2 City ZIP / Postal Code (required for Canadian [A1A 1A1] and US [#####] only)

State/Province/Region*

Other*

Country*

Is your shipping address different from the one above?

Shipping Address

Address*

Street Address Address Line 2 City ZIP / Postal Code (required for Canadian [A1A 1A1] and US [#####] only)

State/Province/Region*

Other*

Country*

By clicking submit you agree to these Terms and Conditions.

APPLICATION FOR CHANGE OF VESSEL NAME AND/OR PORT OF REGISTRY

A) NOTICE OF CHANGE OF NAME

B) TRANSFER OF PORT OF REGISTRY

INDIVIDUAL

1 - CORPORATION

2 - CORPORATION

INDIAN BAND

Contact Information

Billing Address

Shipping Address