AMSA forms
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Coastal Pilotage payment authorisation
Use this page to pay for your application. Once you have paid you will see a payment reference number that you should add to your form.
1
Coastal Pilot details
Family name
Given name
Email
We will send a receipt to this email
Company (if applicable)
ABN (if applicable)
2
What you are paying for
CERTIFICATES / LICENCES / ENDORSEMENTS
Add
$
Remove
$
Add
$
Remove
$
Add
$
Remove
$
Add
$
Remove
$
Add
$
Remove
$
Add
$
Remove
$
$
Remove
$
DETERMINATIONS, DECLARATIONS, EXEMPTIONS AND APPROVALS
Add
$
Remove
$
Total to pay (AUD)
$
0
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AMSA form: Coastal Pilotage payment authorisation
Version:
1
8/23
