Innovation Technology UK Ltd
Equipment Registration Form
Details of Ship
Ship's name:
Callsign:
MMSI Nr:
Type of Vessel:
Merchant
Fishing
Rig/Platform
Pleasure
Other
Maximum number of persons carried:
Details of Equipment Carried
Serial number of Guard Receiver:
Year fitted:
2002
2003
2004
2005
2006
2007
2008
2009
2010
Month fitted:
January
February
March
April
May
June
July
August
September
October
November
December
FIRST EPIRB
EPIRB Hexadecimal Code:
Beacon Manufacturer:
EPIRB Beacon Type:
SECOND EPIRB
EPIRB Hexadecimal Code:
Beacon Manufacturer:
EPIRB Beacon Type:
THIRD EPIRB
EPIRB Hexadecimal Code:
Beacon Manufacturer:
EPIRB Beacon Type:
FOURTH EPIRB
EPIRB Hexadecimal Code:
Beacon Manufacturer:
EPIRB Beacon Type:
Details of Owners
Name of Owners:
Office Address:
Telephone contact number:
Alternative telephone contact Nr:
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