Form E — Coast station

*Indicates mandatory fields.

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

Once you have completed the form, click Submit at the bottom of the page. The form will be directed to the appropriate district office based on the applicant's address. For inquiries regarding MMSIs, contact your nearest ISED district office.

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

Please select one: (required)

Assign a new MMSI

Modify an existing MMSI

For cancelling an exisiting MMSI, refer to our MMSI cancellation form.

Applicant Information

Name of applicant (last, first) or company (required)

Name of contact person (required)

Address (required)

City (required)

Province (required)

Postal code (required)

Telephone number including area code (required)

MMSI: nine digits beginning with 00316

Station Information

Station location (name of geographical location of radio station) (required)

Latitude (in degrees, minutes and seconds of radio station, per NAD83) (required)

Longitude (in degrees, minutes and seconds of radio station, per NAD83) (required)

Company code (nine-digit company code issued by ISED) (required)

Licence number (seven-digit licence number issued by ISED) (required)

Radio call sign (issued by ISED) (required)

Radio Information

Make and model of radio (required)

Additional Information and/or Instructions

Date modified:: 2022-04-13

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Form E — Coast station

Applicant Information

Station Information

Radio Information

Additional Information and/or Instructions