Application For Candidate Document Number (CDN) ?

PROTECTED A (WHEN COMPLETED)
Print
For office use
Application no.
APPLICATION FOR CANDIDATE DOCUMENT NUMBER (CDN) ?
CDN no.
First issue Corrections
Surname Given name(s) Initial(s)
Date of birth (dd-mm-yyyy) Gender Nationality Language preference

English
Male Female French
MAILING ADDRESS
Apt./unit number Street number Street P.O. Box
City Province Postal code Country
Telephone number E-mail
DOCUMENTS TO CONFIRM THE IDENTITY

Documents to confirm the identity of the applicant must be issued by a federal, provincial or municipal authority. The document must be valid and must include
the bearer's name, signature and picture.
SEAFARER'S IDENTITY DOCUMENT PERMANENT RESIDENT CARD OLD AGE SECURITY CARD PROVINCIAL HEALTH CARE CARD
NO.: NO.: NO.:

NO.:
CANADIAN MARITIME DOCUMENT CERTIFICATE OF INDIAN STATUS FEDERAL, PROVINCIAL OR MUNICIPAL EMPLOYEE IDENTIFICATION CARD
NO.: NO.: NO.:
BIRTH CERTIFICATE NO. CANADIAN PASSPORT FIREARMS LICENCE DRIVER'S LICENCE
NO.: NO.: NO.: NO.:
Remarks
I CERTIFY THAT THE ABOVE PARTICULARS ARE CORRECT
Date (dd-mm-yyyy) City Signature of applicant
The personal information provided on this form is collected under the authority of Section 16 of the Canada Shipping Act, 2001. This information is required for a
Seafarer to obtain a Candidate Document Number (CDN). The information is then used to issue a Canadian Maritime Document and other marine documents in
order to comply with the Act and the Marine Personnel Regulations. The information collected is described in personal information bank entitled Seafarers'
Certificates and Documents (TC PPU 030). Under the provisions of the Privacy Act, individuals have the right of access to, correction of and protection of their
personal information. Instructions for obtaining your personal information are provided in Info Source, a copy of which is available in major public and academic
libraries or online at: http://www.infosource.gc.ca .
82-0701E (1309-06)
Instruction: Application for a Candidate Document Number (CDN)
Persons who require a Canadian Maritime Document (CMD) or other Transport Canada Marine Safety & Security (TCMSS) document, issued by or on behalf of
TCMSS, under Part 3 of the Canada Shipping Act, 2001, must first obtain a CDN. Persons who provided identity information (names, date of birth or other) that
is not consistent with the information already recorded in the TCMSS databank system, must complete this application.
This form must be presented in person to the closest TCMSS office, together with documents that will clearly identify the candidate.
http://www.tc.gc.ca/eng/regions.htm
This form applies to any person who is required to obtain a CMD or other document issued by TCMSS such as, but not limited to:
● Certificate of Competency
● Endorsement
● Certificate of Service
● Provisional Medical Certificate
● Medical Certificate
● Training Certificate
● Application for Direct Examination - assessment
● Application for Examination
A completed application, together with two (2) documents; one as proof of identity and one as proof of citizenship, must be submitted in person to the closest
TCMSS office.
Persons living in remote locations or who cannot visit a TCMSS office may apply by mail to the closest TCMSS office. They must include:
● the completed “Application for a Candidate Document Number (CDN)” form;
and
● a certified copy of both required documents (certified by a Commissioner for Oaths at the candidate's expense).
Documents to confirm the identity of the applicant must be issued by a federal, provincial or municipal authority. The document must be valid and must include the
bearer's name, signature and picture. For example:
● Passport
● Seafarer's Identity Document
● Canadian Maritime Document
● Permanent Resident Card
● Certificate of Indian Status
● Firearms Licence
● Old Age Security Card
● Federal, Provincial or Municipal Employee Identification Card
● Driver's Licence
● Provincial Health Care Card
● Birth Certificate
● Work, Student, Visitor or Temporary Resident permit issued by the Department of Citizenship and Immigration Canada
Documentation to support the proof of citizenship or permanent residency must be a valid:

● Passport
● Provincial or Territorial Birth Certificate
● Naturalization Certificate
● Registration of Birth Abroad Certificate
● Certificate of Retention
● Citizenship Certificates
● Permanent Resident Card
Documents to confirm the identity of a person must be issued by a federal, provincial or municipal authority. The documents must be valid and must include the
bearer's name, date of birth, signature and the candidate's picture must be part of one of the documents. This application form is available on TCMSS website at
the following link: http://wwwapps.tc.gc.ca/Corp-Serv-Gen/5/Forms-Formulaires/search.aspx.
82-0701E (1309-06)

Application For Candidate Document Number (CDN) ?

Uploaded by

Copyright:

Available Formats

Application For Candidate Document Number (CDN) ?

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Application For Candidate Document Number (CDN) ?

Uploaded by

Copyright:

Available Formats

PROTECTED A (WHEN COMPLETED)

Surname Given name(s) Initial(s)

Date of birth (dd-mm-yyyy) Gender Nationality Language preference

City Province Postal code Country

Telephone number E-mail

DOCUMENTS TO CONFIRM THE IDENTITY

NO.: NO.: NO.:

NO.: NO.: NO.:

BIRTH CERTIFICATE NO. CANADIAN PASSPORT FIREARMS LICENCE DRIVER'S LICENCE

NO.: NO.: NO.: NO.:

I CERTIFY THAT THE ABOVE PARTICULARS ARE CORRECT

Date (dd-mm-yyyy) City Signature of applicant

Documentation to support the proof of citizenship or permanent residency must be a valid:

You might also like

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.