Form 08-4356 - Application To Upgrade The Tonnage Of A Deputy Marine Pilot License - Department Of Commerce And Economic Development

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MAR
State of Alaska
FOR OFFICE USE ONLY
Department of Commerce and
Economic Development
Division of Occupational Licensing
Board of Marine Pilots
333 Willoughby Avenue, 9th Floor
P.O. Box 110806
Juneau, Alaska 99811-0806
(907) 465-2548
E-mail: License@commerce.state.ak.us
APPLICATION TO UPGRADE THE TONNAGE
OF A
DEPUTY MARINE PILOT LICENSE
A tonnage upgrade for a Deputy Marine Pilot license will normally be issued on the anniversary date of the license
issuance, provided that a complete application is received before the anniversary date and provided that the
anniversary date does not fall on a weekend or holiday. An application will be considered complete when the
following have been submitted:
1. A completed application form.
2. The application fee of $100.00. Checks should be made out to the State of Alaska.
Please provide the following information:
Name:
Pilot Association Affiliation:
Social Security No.:
Address:
Street
City
State
ZIP Code
Home Telephone:
Work Telephone:
I request my tonnage limitation to be increased to 40,000 GT. “ Yes “ No “ N/A
I request my tonnage limitation to be increased to 60,000 GT. “ Yes “ No “ N/A
I have enclosed a check for $100.00 made out to the State of Alaska. “ Yes “ No
$
SIGN HERE
Signature of Applicant
Date
08-4356 (New 4/98)

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