Provisional Certificate APPLICATION FOR PROVISIONAL CERTIFICATE OF REGISTRY A Provisional Certificate of Registry form temporarily allows a registered owner to move a vessel while awaiting completion of the Certificate of Registration. It may also allow for the movement of a vessel to a foreign country in the event that a buyer lives outside of Canada and the vessel must be transported to the new owner. Step 1 of 3 33% First Name*Last Name*Email* Enter Email Confirm Email Phone NumberCurrent name of vessel or builder's identificationIntended port of registryPlease select portBATHURST NBBELLEVILLE ONBROCKVILLE ONCAP-AUX-MEULES QCCARAQUET NBCHARLOTTETOWN PECHATHAM ONCHICOUTIMI QCCORNWALL ONDAWSON YTDIGBY NSEDMONTON ABGASPÉ QCGODERICH ONGRAND MANAN NBHALIFAX NSHAMILTON ONHAY RIVER NTIQALUIT NUKENORA ONKINGSTON ONLIVERPOOL NSLUNENBURG NSMIDLAND ONMONCTON NBMONTREAL QCNANAIMO BCNANTICOKE ONOTTAWA ONOWEN SOUND ONPETERBOROUGH ONPORT ALBERNI BCPORT COLBORNE ONPORT DOVER ONPORT HAWKESBURY NSPRESCOTT ONPRINCE ALBERT SKPRINCE RUPERT BCQUÉBEC QCSAINT JOHN NBSARNIA ONSAULT STE. MARIE ONSHELBURNE NSSOREL QCST. ANDREWS NBST. CATHARINES ONST. JOHN'S NLSYDNEY NSTHUNDER BAY ONTORONTO ONTROIS RIVIERES QCVANCOUVER BCVICTORIA BCWALLACEBURG ONWEYMOUTH NSWHITEHORSE YTWINDSOR ONWINNIPEG MBYARMOUTH NSYELLOWKNIFE NTDate Built Date Format: YYYY dash MM dash DD PARTICULARS OF VESSELType of propulsion (select one)Self-propelledSailAuxiliaryNoneMethod of propulsion (select one)Single screwTwin screwTriple screwJetTonnage (select one)Simplified methodEstimatedLength (m.cm)Breadth (m.cm)Depth (m.cm)Gross tonnageNet tonnageName of builderPlace (City) and year of buildProvince/StateCountryType of vessel (select one)PassengerPleasureType of construction (select one)Please select oneCarvel/FlushClinkerDiagonalMouldedRivetedWeldedHull construction materials (select one)Please select oneAluminumAluminum and RubberCompositeConcreteFabric/GRPIronReinforced PlasticRubberSteelWoodNumber of enginesEngine Description (select one)GasDieselIs your vessel an air cushion vehicle (ACV), give detailsNoYesAll up weight (KG):Model designation:Particulars of previous registration (if applicable)Engine power (kW)Speed knotsDETAILS OF EACH OWNER (click below to add owners)OwnersDETAILS OF PROPSED VOYAGES(S) (to be completed if vessel is situated in Canada)Application is made for the unregistered vessel to sail fromtoThe voyage will commence on or after Date Format: MM slash DD slash YYYY and end on or before Date Format: MM slash DD slash YYYY Circumstances for applicationI the undersigned, owner/authorized representative of the vessel described above hereby certify that the tonnage and the other particulars are the best that can be obtained. INDIVIDUALSigned atDate Application signed Date Format: YYYY dash MM dash DD Signature of owner CORPORATIONIstate that I have authority to bindI also state thatis the name of a corporation which legally exists at the date of this Application:as per the laws of Canada; ORas per the laws of (province/state)Name of province/stateThis 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).SignatureDate Date Format: YYYY dash MM dash DD CORPORATIONIstate that I have authority to bindI also state thatis the name of a corporation which legally exists at the date of this Application:as per the laws of Canada; ORas per the laws of (province/state)Name of province/stateThis 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).SignatureDate Date Format: YYYY dash MM dash DD INDIAN BANDNOTE: 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.Name of Indian BandSignatureName of person signing aboveDate of Application signed Date Format: YYYY dash MM dash DD APPLICATION FOR PROVISIONAL CERTIFICATE OF REGISTRY Price: $ 295.00 CAD APPLICATION FOR PROVISIONAL CERTIFICATE OF REGISTRY Price: $ 0.12 CAD Please select any additional services you wish to have processed Priority Request/Rush Processing Priority Request/Rush Processing Price: $ 70.00 CAD 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 Having Trouble? Check this box to move forward without your Credit Card *My card information is not working; I would like to continue my submission and receive a call from a specialist regarding payment. Billing AddressAddress* Street Address Address Line 2 City ZIP / Postal Code (required for Canadian [A1A 1A1] and US [#####] only) State/Province/Region*AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificOtherOther*Country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Is your shipping address different from the one above? Shipping AddressAddress* Street Address Address Line 2 City ZIP / Postal Code (required for Canadian [A1A 1A1] and US [#####] only) State/Province/Region*AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificOtherOther*Country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweBy clicking submit you agree to these Terms and Conditions. By: National Vessel Registry | September 22, 2016
