Use this form if you are applying for a new Pilot Licence for a Victorian port, even if you already hold a Pilot Licence for a different Victorian port.

"*" indicates required fields

Applicant Details

Name*
Date of birth*
Gender*

Residential address*
Postal address*

Your employer details

Ports and areas of operation

For which port(s) and areas of operation is the pilot licence required?*

Training

Provide details of all relevant training you have undertaken
Name of course
Training provider
Date completed
 

Attachments

As part of the application you must attach the following supporting documentation:
Max. file size: 3 MB.
Max. file size: 3 MB.
Max. file size: 3 MB.
Max. file size: 3 MB.
Max. file size: 3 MB.
Max. file size: 3 MB.
Max. file size: 3 MB.
Max. file size: 3 MB.
Max. file size: 3 MB.
Photo must be less than 12 months old, showing a full front view of your head and shoulders without any head covering or tinted glasses. If you wear a head covering for religious reasons, a photograph showing your facial features is acceptable. If you normally wear prescription glasses, you must be wearing glasses with untinted lenses. The photograph must have a plain and lightly coloured background.

Declaration and signature

Declaration
DD slash MM slash YYYY

What happens next?

Once we have reviewed your form we will get in touch using the contact details supplied.