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: *
3. Area Code & Home Telephone No : *
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4. Area Code & Work Telephone No: *
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5. Mobile and other Phone number: *
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6. Fax Number:
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7. E-mail Address: *
8. Postal Address: *

24 Hour Contacts.

Please supply 2 names, one of whom must be contactable in the case of distress beacon activation.

Name 1: *
Name 1 Home phone: *
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Name 1 Work Phone:
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Name 1 Mobile Phone:
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Name 2: *
Name 2 Home Phone: *
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Name 2 Work Phone:
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Name 2 Mobile Phone:
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Maritime Information

Vessel 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: