Form D — Ship station group

For inquiries regarding MMSIs, contact your nearest ISED district office. Completed MMSI applications must be submitted to the district office by regular mail, email or fax.

IMPORTANT: Radio equipment must be certified under the applicable Canadian Radio Standard Specifications for use in Canada.

Return to CPC-2-3-07, Obtaining Identities in the Maritime Mobile Service.

This form D cannot be submitted online. However, this form can be filled out and then printed using your browser's print function. Select the print option from the File menu (or menu) at the top of your browser, or use the keys Ctrl+p (for a PC) or Command+p (for a Mac).

The information entered on this form cannot be saved; however, it can be printed.

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For cancelling an existing MMSI, refer to our MMSI cancellation formMMSI cancellation form.

Applicant Information












Ship Station Group Information


















Emergency Contact Information







Radio Information


Additional Information and/or Instructions

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