EPIRB REGISTRATION FORM Ensure information is current. Notify the Communications Commission of Kiribati if ownership of the beacon is transferred. Please complete this form.1. 15 Hex ID / Unique Identifier Number (UIN) shown on beacon shell: *Type & Model: *Serial No: *Battery Expiry Date:2. Owners / Operator's Name: *FirstLast3. Area Code & Home Telephone No : *-Area CodePhone Number4. Area Code & Work Telephone No: *-Area CodePhone Number5. Mobile and other Phone number: *-Area CodePhone Number6. Fax Number:-Area CodePhone Number7. E-mail Address: *8. Postal Address: *Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry24 Hour Contacts.Please supply 2 names, one of whom must be contactable in the case of distress beacon activation.Name 1: *FirstLastName 1 Home phone: *-Area CodePhone NumberName 1 Work Phone:-Area CodePhone NumberName 1 Mobile Phone:-Area CodePhone NumberName 2: *FirstLastName 2 Home Phone: *-Area CodePhone NumberName 2 Work Phone:-Area CodePhone NumberName 2 Mobile Phone:-Area CodePhone NumberMaritime InformationVessel Name: *MMSI / Radio Call Sign: *DWT (tonnes) : *Length (metres): *Type of Vessel (eg passenger/general cargo/tanker/fishing): *Number of Crew/Passengers: *Home port: *INMARSAT mobile if any:Other satellite mobile number if any:Type of Radio terminal HF/MF/VHF/Other used on vessel (specify): *Serial #:Word Verification:type_submit_reset_38Submit FormReset