UKMPA Application Form - Demo - United Kingdom Maritime Pilots Association

Full Name:

Phone Number:

Email Address:

Port (District)/ Company:

Position Title (IE. Pilot):

Membership Category:

Requested UKMPA Joining Date:

A current member must be named as proposer to validate joining application

Proposer: Name & Port
(A1, A2 & Trainee only)

As part of our quality procedures and to gain a better understanding of our member's competencies
please complete the following in the space provided

Highest Professional Qualifications Held (IE. STCW certification/ Degree or Diploma):

Career Experience (Briefly list any relevant seagoing experience, port or maritime work starting with the latest first including positions held and dates appointed):

Upload Your CV:

Circle Insurance Services Ltd provide the compulsory marine pilot insurance for UKMPA members. Tick the box below to confirm that you consent to your personal data shared being sent to Circle Insurance Services Ltd 118 Holyhead Road, Coventry, CV1 3LY to provide you with the necessary insurance application form and information

I consent to my personal data being sent to Circle Insurance Services Ltd for marketing purposes
I consent to my personal data being sent to Circle Insurance Services Ltd for marketing purposes

The UKMPA is a branch of Unite the Union. If your UKMPA application is granted, you will be sent a link to join the UKMPA branch of Unite the Union. For information regarding data processing including your rights, please see our full privacy policy at www.unitetheunion.org/legal-information/privacy-policy/

Latest Members' Circulars

application to join UKMPA