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Step Required for a Name Change: Form(s): 1B No Pages 3-4: GMDSS Pre-Survey Form VDR/SVDR Pre-Survey form Different classes have different requirements. Mackay is certified by 8 major classes for onboard reprogramming and will complete Class Society's specific name/flag change checklist. Lloyd's Register (LR), Registro Italiano Navale (RINA), Korean Register of Shipping (KR), DNV GL, Nippon Kaiji Kyokai (ClassNK), China Classification Society (CSS), Bureau Veritas (BV), American Bureau of Shipping (ABS) Step Required for a Name Change: Form(s): TASKS PERFORMED WITH MACKAY WORLD SERVICE (MWS) [email protected], +1 919 850 3100 [email protected], +1 281 478 6245 Mackay, as a PSA, provides activation/deactivation services for all legacy terminals. However, the vessel owner/management needs to contact their current service provider to request deactivation of the terminals under the previous flag. *If option 2 is selected on page 1: The vessel owner complete "GMDSS Pre-Survey Form" *If option 3 is selected on page 1: The vessel owner completes "GMDSS Pre-Survey Form" and "VDR/SVDR Pre-Survey form" TASKS PERFORMED WITH MACKAY SATELLITE SERVICES DEPARTMENT Yes Mackay Offers an SBM Certificate featuring a 5 year validity for $75. The PSA will deactivate all legacy terminals onboard and reactivate under the new flag. This will generate new Inmarsat Mobile Numbers (IMNs). 2 The vessel must obtain a new GMDSS Shore Based Maintenance (SBM) Certificate. Mackay Customer Checklist: Flag and/or Vessel Name Change Description The vessel owner completes and submits the two page "Onboard Radio and Satcom Survey" and submit to Mackay World Service (MWS). Yes 1C The owner coordinates for cataloging equipment & reprogramming with Class Society. Note: The autopilot & gyro do not require reprogramming. Description 3 The vessel owner selects a Point of Service Activator (PSA) and Accounting Authority (AA) to activate Legacy Terminals (Sat C and/or Fleet 77). Vessel Owner or Management contacts their current airtime service provider to update vessel name. Mackay is authorized to be a PSA and/or AA for 100+ different flag states; please see "Flag State Listing ". 4 The vessel owner arranges with MWS for the onboard radio and satcom survey. Pages 1-2: Onboard Radio & Satcom Survey Note: The flag state may require additional equipment to be surveyed. 1A Yes Page 6, Sections 2 & 3: Fee Schedule for Satellite Services NOTE: A new LRIT test is not required if the existing ASP is recognized by the new flag . Mackay coordinates obtaining the LRIT CTR certificate and conducts the LRIT test if necessary. Mackay Marine Global Line Card Page 5: Mackay SBM Request Form Page 6, Section 1: Fee Schedule for Satellite Services Inmarsat SARF Form (Service Activation/Registration Form) 5 The vessel may need to test for LRIT and/or obtain a new Conformance Test Report (CTR) certificate. Mackay Flag and Name Change Checklist Version June 2019

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  • Step Required for a

    Name Change:Form(s):

    1B No

    Pages 3-4:

    GMDSS Pre-Survey Form

    VDR/SVDR Pre-Survey form

    Different classes have different requirements.

    Mackay is certified by 8 major classes for onboard

    reprogramming and will complete Class Society's

    specific name/flag change checklist.

    Lloyd's Register (LR), Registro Italiano Navale (RINA),

    Korean Register of Shipping (KR), DNV GL, Nippon

    Kaiji Kyokai (ClassNK), China Classification Society

    (CSS), Bureau Veritas (BV), American Bureau of

    Shipping (ABS)

    StepRequired for a

    Name Change:Form(s):

    TASKS PERFORMED WITH MACKAY WORLD SERVICE (MWS)

    [email protected], +1 919 850 3100

    [email protected], +1 281 478 6245

    Mackay, as a PSA, provides activation/deactivation services for all legacy terminals. However, the

    vessel owner/management needs to contact their current service provider to request deactivation

    of the terminals under the previous flag.

    *If option 2 is selected on page 1:

    The vessel owner complete "GMDSS Pre-Survey Form"

    *If option 3 is selected on page 1:

    The vessel owner completes "GMDSS Pre-Survey Form" and "VDR/SVDR Pre-Survey form"

    TASKS PERFORMED WITH MACKAY SATELLITE SERVICES DEPARTMENT

    YesMackay Offers an SBM Certificate featuring a 5 year validity for $75.

    The PSA will deactivate all legacy terminals onboard and reactivate under the new flag.

    This will generate new Inmarsat Mobile Numbers (IMNs).

    2The vessel must obtain a new GMDSS Shore Based Maintenance (SBM) Certificate.

    Mackay Customer Checklist: Flag and/or Vessel Name Change

    Description

    The vessel owner completes and submits the two page "Onboard Radio and Satcom

    Survey" and submit to Mackay World Service (MWS).

    Yes

    1C

    The owner coordinates for cataloging equipment & reprogramming with Class Society.

    Note: The autopilot & gyro do not require reprogramming.

    Description

    3

    The vessel owner selects a Point of Service Activator (PSA) and Accounting Authority (AA)

    to activate Legacy Terminals (Sat C and/or Fleet 77). Vessel Owner or

    Management

    contacts their

    current airtime

    service provider

    to update vessel

    name.

    Mackay is authorized to be a PSA and/or AA for 100+ different flag states; please see

    "Flag State Listing".

    4

    The vessel owner arranges with MWS for the onboard radio and satcom survey.

    Pages 1-2:

    Onboard Radio & Satcom SurveyNote: The flag state may require

    additional equipment to be surveyed.

    1A Yes

    Page 6, Sections 2 & 3:

    Fee Schedule for Satellite ServicesNOTE: A new LRIT test is not required if the existing ASP is recognized by the new flag .

    Mackay coordinates obtaining the LRIT CTR certificate and conducts the LRIT test if necessary.

    Mackay Marine Global Line Card

    Page 5:

    Mackay SBM Request Form

    Page 6, Section 1:

    Fee Schedule for Satellite Services

    Inmarsat SARF Form (Service Activation/Registration Form)

    5

    The vessel may need to test for LRIT and/or obtain a new Conformance Test Report (CTR)

    certificate.

    Mackay Flag and Name Change Checklist Version June 2019

    mailto:[email protected]?subject=Flag%20or%20Name%20Change%20Servicemailto:[email protected]?subject=Flag%20or%20Name%20Change%20Servicemailto:[email protected]?subject=Flag%20or%20Name%20Change%20Servicehttps://www.mackaycomm.com/wp-content/uploads/2016/12/Mackay_Marine_Global_Line_Card_and_Locations.pdf?mod=2019-03-04mailto:[email protected]?subject=Flag%20or%20Name%20Change%20Servicemailto:[email protected]?subject=Flag%20or%20Name%20Change%20Servicemailto:[email protected]?subject=Flag%20or%20Name%20Change%20Servicehttps://www.mackaycomm.com/wp-content/uploads/2019/05/Flag-State-Listing-04-2019_Mackay-PSA-AA-Service-Authorization.pdfmailto:[email protected]?subject=Flag%20or%20Name%20Change%20Servicemailto:[email protected]?subject=Flag%20or%20Name%20Change%20Servicehttps://www.mackaycomm.com/wp-content/uploads/2019/05/Flag-State-Listing-04-2019_Mackay-PSA-AA-Service-Authorization.pdfhttps://www.mackaycomm.com/wp-content/uploads/2019/05/Flag-State-Listing-04-2019_Mackay-PSA-AA-Service-Authorization.pdfhttps://www.mackaycomm.com/wp-content/uploads/2019/05/Flag-State-Listing-04-2019_Mackay-PSA-AA-Service-Authorization.pdfhttps://www.mackaycomm.com/wp-content/uploads/2019/05/Flag-State-Listing-04-2019_Mackay-PSA-AA-Service-Authorization.pdfhttps://www.mackaycomm.com/wp-content/uploads/2016/12/Mackay_Marine_Global_Line_Card_and_Locations.pdf?mod=2019-03-04https://www.mackaycomm.com/

  • Page 1 of 6 | Version June 2019

    Mackay World Service [email protected]

    [email protected] (24/7) Tel +1 281 478 6245

    FLAG and/or VESSEL NAME CHANGE:

    ON-BOARD RADIO AND SATCOM SURVEY

    Please choose: Option 1 Vessel Name Change USD $1,000Option 2 Flag Change and Radio Survey USD $2,265

    Option 3 Flag Change, Radio Survey and VDR APT/COC USD $4,155 or $4,655 depending upon the brand of the vessel's VDR.

    VESSEL’S CURRENT DETAILS: VESSEL’S NEW DETAILS:

    Vessel’s Name : ______________________

    IMO number : ______________________

    Call sign : ______________________

    M.M.S.I : ______________________

    Port of registry : ______________________Flag : ______________________

    Sea Areas : A1 A2 A3 A4

    Vessel Class : ______________________

    Vessel’s Name : ______________________

    Call sign : ______________________

    M.M.S.I : ______________________

    Port of registry : ______________________

    New Flag : ______________________

    Sea Areas : A1 A2 A3 A4

    Vessel Class : ______________________

    Inmarsat-C IMN Numbers:Sat-C Nº1 : 4_____________________Sat-C Nº2 : 4_____________________Sat-C Nº3 : 4_____________________

    Inmarsat-C New IMN Numbers: Sat-C Nº1 : 4_____________________Sat-C Nº2 : 4_____________________Sat-C Nº3 : 4_____________________

    Additional Sat-Coms: F77 FBB VSAT FBB Tel Number: ______________________

    Additional Sat-Coms: F77 FBB VSATFBB Tel Number: ______________________

    Pre-Attendance Survey to be submitted by Vessel Owner/Management

    Y N COMMENTS

    1. Is the Radio equipment in satisfactory operating condition?

    2. Was the Ship Radio Station License amended? (Issued by Flag – provisional accepted) 3. Is a suitable Shore Based Maintenance Contract posted in the bridge? Must contain vessel new details. This can be arranged with our Mackay World Service department. 4. GMDSS GOC certification for Deck Officers: (Is “Endorsement” for Flag required) 5. Will a Class Surveyor be present onboard? 6. LRIT: Is the vessel fitted with a Stand-alone LRIT or integrated into GMDSS / SSAS equipment?

    Please Specify: Make __________________________ Model ______________________ 7. Is the LRIT Conformance Test certificate present? A new Conformance Test Report certificate will need to be issued. The new LRIT test and/or amended CTR certificate can be arranged with our Satellite Services Dept.�� 8. SSAS: Do you have the contact details for re‐programming SSAS? (Check Flag requirements) Please Specify: Make _____________________________ Model ________________________�� 9. Do you have equipment passwords available for the technician?��10. Did you request to deactivate the Inmarsat Terminal(s) old numbers? **IMPORTANT NOTE** This is the responsibility of the current owner if there is no change in ownership. Inmarsat terminals cannot be commissioned until the terminal(s) previous flag numbers have been deactivated. The terminal(s) new flag activations may be arranged with our Satellite Services Dept. for authorized flags.��11. Do you have the new Inmarsat numbers?(Please enter in “Vessel’s New Details” above)��12. Does the ship have a Telex with NBDP capability?��13. Do you require additional services? (eg. Configuration of new email service / client.)��

    **Please complete next page with radio equipment details**

    V-SAT Number: ___________________________ V-SAT Number: ___________________________

    Note: Above fees include local travel within 30 miles from local office. Please read additional terms and conditions bottom of page 2.

    yherreraCross-out_

  • Equipment Make Model Yes No N/A CommentsVHF Radio

    Nº1 VHF Radio

    Nº1 VHF DSC − Part of above equipment:

    Nº2 VHF Radio

    Nº2 VHF DSC − Part of above equipment:

    MF Radio N/A:

    MF Controller

    DSC Receiver − Part of above equipment:

    Watch Receiver − Part of above equipment:

    MF / HF Radio N/A:

    MF / HF Controller

    DSC Receiver − Part of above equipment:

    Watch Receiver − Part of above equipment:

    Radio Telex Terminal

    Inmarsat-C

    Nº1 Inmarsat-C

    Nº2 Inmarsat-C

    Nº3 Inmarsat-C

    AISSART`sNº1 SART Nº2 SART

    Battery Expiry date: _______________ Battery Expiry date: _______________

    EPIRBFloat Free Manual Release

    Battery Expiry date: _______________ HRU Expiry date: ________________

    (2nd Epirb on bridge) N/A: Battery Expiry date: _______________

    VHF Handheld Radio´sNº1 VHF Nº2 VHF

    Rechargeable Batt Emergency Battery Expiry date: _________________

    Rechargeable Batt Emergency Battery Expiry date: _______________

    Nº3 VHF

    Rechargeable Batt Emergency Battery Expiry date: _________________

    Page 2 of 6 | Version June 2019

    VESSEL RADIO EQUIPMENT

    Comments:

    PRICING and GENERAL TERMS: Regarding Option 1 Vessel Name Change. The price does not include new Class GMDSS or VDR paperwork (most Class Societies do not require new paperwork for name only change) If Class requires new paperwork, please refer to the Flag Change pricing (option 2 or 3), at the top of page 1.

    Regarding Option 3 Flag Change, Radio Survey and VDR APT A) The ANYTIME rate of USD$4,155.00 applies to vessels having VDRs made by JRC, Furuno, Netwave or Danelec. The ANYTIME rate of USD$4,655.00 applies to vessels having VDRs made by Sperry, Maris, Highlander, Kelvin Hughes, Samsung, AMI, Intershalt, AVECs or Broadgate. B) Dockside attendance only, additional charges for offshore attendance cannot be quoted or properly estimated. C) Not all VDRs are supported in every office, and additional travel charges would apply for techs to attend from different offices. Regarding attendance preparation. Detailed vessel equipment information must be received by the attending Mackay office 72 hours before attendance to ensure that proper programming software and hardware can be obtained.

  • GMDSS Pre-Survey Form

    VESSEL DETAILS

    Vessel Name *

    IMO Number *

    Vessel Flag *

    Vessel Class Society *

    PREREQUISITES *

    Conduct the SSAS test prior to entering port – have results available for technician. Please note: SSAS test must be conducted no more than 90 days prior to radio survey date.

    Have LRIT COC available for technician.

    REPORT ANY OPEN DEFICIENCIES FROM PORT STATE CONTROL AND / OR CLASS

    CONDUCT THE SELF-TESTS FOR ALL GMDSS EQUIPMENT AND REPORT ANY ALARMS OR FAILURES

    LIVE RADIO CHECK RESULTS AND DATES *

    VOICE Test DSC Test TELEX Test

    Last MF/HF Test Date:

    Comments/remarks:

    Last VHF #1 Test Date:

    Comments/remarks:

    Last VHF #2 Test Date:

    Comments/remarks:

    Last Inmarsat C #1 P.V. Test Date: Remarks:

    Last Inmarsat C #2 P.V. Test Date: Remarks:

    EQUIPMENT MAKE / MODEL * BATTERY CONDITION & EXPIRATION DATE *

    GMDSS Reserve Batteries

    -- Batteries Fully Charged -- YES (Check to confirm GMDSS batteries have a full charge on them.)

    SART #1

    SART #2

    EPIRB

    EPIRB Hydrostatic Release Unit

    2nd EPIRB (on bridge)

    2nd EPIRB Hydrostatic Release Unit

    GMDSS Hand Held Radio #1

    GMDSS Hand Held Radio #2

    GMDSS Hand Held Radio #3

    LICENSES EXPIRATION DATE *

    Shore Based Maintenance Certificate

    Ship’s Radio Station License

    MARITIME ITU AND GMDSS PUBLICATIONS YEAR OF EDITION ON BOARD *

    List of Ship Stations and Maritime Mobile Service Identity Assignments (List V)

    List of Coast Stations and Special Service Stations (List IV)

    Manual for Use by the Maritime Mobile and Maritime Mobile-Satellite Services

    Global Maritime Distress and Safety System Manual [GMDSS Manual]

    Page 3 of 6 | Version June 2019

    https://www.mackaycomm.com/

  • VDR / SVDR Pre-Survey Form

    Please note that failure to complete this form accurately may result in the APT having to be suspended until such time as any found deficiencies are corrected.

    VESSEL DETAILS

    Vessel Name *

    IMO Number *

    Hull Number

    Vessel Flag *

    Vessel Class Society *

    Contract Number Order Number

    PREREQUISITES *

    All navigational equipment switched on prior to APT (12 hours for old VDR/SVDR or 48 hours for new VDR/SVDR)

    Last APT test report – revert with this completed form

    VDR / SVDR DETAILS *

    VDR/SVDR Manufacturer

    VDR/SVDR Model

    VDR/SVDR Serial Number

    VDR/SVDR Software Version

    VDR/SVDR Date of Installation

    Manufacturer / Model of Acoustic Beacon

    Capsule Type Fixed Capsule Float Free Capsule

    Manufacturer / Model of Capsule (FRM/HSM)

    Serial Number of Capsule (FRM/HSM)

    VDR / SVDR CONDITION

    Indicate any present or recent alarms displayed by the VDR/SVDR

    Note any change of the bridge navigational equipment since the last survey ie… GPS, Gyro…

    Expire date - VDR/SVDR Internal Backup Batteries *

    Expire date - Acoustic Beacon *

    Expire date - Float Free Capsule Battery (if installed)

    Expire date - Float Free Capsule HRU (if installed)

    REPORT OF ANY DEFICIENCIES

    CONTACT DETAILS

    Provide a postal address where the Certificate of Compliance can be sent if the APT is successful.

    Page 4 of 6 | Version June 2019

    mailto:[email protected]://www.mackaycomm.com/

  • SBM (Shore Based Maintenance) Request Form

    A. Vessel Name:

    B. Call Sign:

    C. Owner and/or management company: (as it will appear in the certificate)

    D. IMO:

    E. MMSI:

    F. Gross Tons:

    G. Vessel Type:

    H. Flag:

    I. Registry Class:

    J. Certificate effective Month:

    K. Certificate Mailing Instructions: Hard copy will be sent by regular post mail unlessrequested by courier. Regular post mail fee is includedand delivery time is approx. 7 to 10 business days.

    Hard Copy

    If 'Courier' chosen, additional fe e will app ly. Please provide the following information for courier:

    Email:

    Tel:

    Company Name:

    Contact:

    Shipping Address:

    City, State and Zip Code:

    Country:

    L. Invoice Billing Instructions: Invoice to be received by: MAIL EMAIL Billing email address:

    P.O. number:

    Company Name:

    Contact:

    Billing Address:

    City, State and Zip Code:

    Country:

    M. Mackay Account Number:

    .

    Mackay Communications, Inc. provides a Shore Based Maintenance (SBM) contract as specified by Regulation IV/15.7 of the 1974 SOLAS Convention and amended by the 1988 GMDSS Conference. The GMDSS certificate is $75.00 and is valid for 5 years. This certificate will become invalid if the vessel(s) changes name, flag, or owner/management company. We will send you a PDF copy of the certificate along with the SBM agreement by email. Please check any of the below mailing options if you need to receive the hard copy.

    COURIERPOST MAIL

    Page 5 of 6 | Version June 2019

  • Satellite Services Department 3691 Trust Drive

    Raleigh, NC 27616-2955 Phone +1 919 850 3100

    Fax +1 919 954 1707 [email protected]

    Please contact our Satellite Services Department at +1 919 850 3100 or [email protected] to arrange for the above-mentioned services.

    FLAG and/or VESSEL NAME CHANGE: FEE SCHEDULE FOR SATELLITE SERVICES

    SECTION REQUIRED SERVICES FEES (USD) DESCRIPTION

    1

    PSA terminal activation: Sat C’s Qty _____

    F77 Qty _____

    $250 per terminal*1

    New Inmarsat Mobile Numbers (IMNs) will be provided.

    Please note F77 EOL is December 1, 2020.

    Radio Accounting Authority (AA) $250

    per terminal

    Annual AAIC fee per terminal for authorized flags.

    2 LRIT Sat C Test*2 $350 Additional fees may apply if test does not pass

    the first time.

    3 Conformance Test Report (CTR) Certificate

    $350*3 CTR Certificate issued by ASP provider

    Example: 1. $850 – Activating only one terminal without LRIT test but adding the CTR certificate *4

    2. $1,200 – Activating only one terminal with LRIT test and CTR certificate *4

    Notes: *1 Mars hall Islan ds an d Belize flag termin al a ctivati on prices m ay va ry. C ontac t Satellite Services department fo r current pricing.Charges above do not include the airtime usage.

    *2 W hen a ve ssel chan ges flag , th e existing LRIT Conforma nce te st results are considered va lid if th e te sting Applicati on

    Service Provider w hich conducted the conforma nce test is also re cognized by th e new flag , but a new ame nded LRIT

    Co nforma nce Test Report certificate w ill need to be issued.*3 Additional f ees ma y a pply if LRIT Conforma nce Test Report certificate is issued by f lag au thority. *4 For eac h additional te rmin al ad d $500 for te rmi nal a ctiva tion an d accounting authority f ees.

    ADDITIONAL SERVICESFEES

    (USD) DESCRIPTION

    SSAS (Ship Security Alert System via Pole Star)

    $100 Terminal registration fee with Purplefinder web

    interface.

    $720 yearly

    SSAS alert management subscription per terminal. Pole Star SSAS Alert Management includes their

    vessel tracking services with up to four daily position reports.

    ITU / IMOMandatory Publications to carry on board:1) List V – List of Ship Stations and Maritime Mobile Service Identity

    Assignments (CD-ROM)2) List IV – List of Coast Stations and Special Service Stations (CD-ROM)3) Manual for Use by the Maritime Mobile and Maritime

    Mobile-Satellite Services Vol. 1 & 2 (CD-ROM)4) Global Maritime Distress and Safety System Manual (HARD COPY)

    $960 yearly

    Maritime Publications contract per vessel. Vessels are required to have the most current

    publications. Customer responsible for publications freight

    charges.

    Page 6 of 6 | Version June 2019

    Flag & Name Change Form 06-27-19.pdf

    Vessel Name Change USD1,000: OffFlag Change and Radio Survey USD2,265: OffFlag Change, Radio Survey and VDR USD4,155: OffVessels Name: IMO: Call Sign: MMSI: Port of registry: Flag: A2: OffA3: OffA4: OffChkBox: OffVessel Class: Sat C #1 IMN: Sat C #2 IMN: Sat C #3 IMN: F77: OffFBB: OffFBB Tel Number: Vessel New Name: New Call Sign: New MMSI: New Port of registry: New Flag: A2-0: OffA3-0: OffA4-0: OffChkBox-0: OffNew Vessel Class: Sat C #1 New IMN: Sat C #2 New IMN: Sat C #3 New IMN: F77-0: OffFBB-0: OffFBB Tel Number-0: ChkBox-3: OffChkBox-4: OffResponse 1: ChkBox-5: OffChkBox-6: OffResponse 2: ChkBox-7: OffChkBox-8: OffResponse 3: ChkBox-9: OffChkBox-10: OffResponse 4: ChkBox-11: OffChkBox-12: OffResponse 5: ChkBox-13: OffChkBox-14: OffLRIT Make: LRIT Model: Response 6: ChkBox-15: OffChkBox-16: OffResponse 7: SSAS Make: SSAS Model: ChkBox-17: OffChkBox-18: OffResponse 8: ChkBox-19: OffChkBox-20: OffResponse 9: ChkBox-21: OffChkBox-22: OffResponse 10: ChkBox-23: OffChkBox-24: OffResponse 11: ChkBox-25: OffChkBox-26: OffResponse 12: ChkBox-27: OffChkBox-28: OffResponse 13: V-SAT Tel Number: V-SAT: OffV-SAT-0: OffV-SAT Tel Number-0: VHF Radio Make: VHF Radio Model: Comment 1: Comment 2: VHF 2 Radio Make: VHF 2 Radio Model: Comment 3: ChkBox-29: OffChkBox-30: OffChkBox-31: OffComment 4: ChkBox-32: OffMF Make: MF Model: ChkBox-33: OffChkBox-34: OffChkBox-35: OffComment 5: ChkBox-36: OffChkBox-37: OffChkBox-38: OffChkBox-39: OffComment 6: ChkBox-40: OffChkBox-41: OffChkBox-42: OffChkBox-43: OffComment 7: ChkBox-44: OffMF/HF Make: MF/HF Model: ChkBox-45: OffChkBox-46: OffChkBox-47: OffComment 8: ChkBox-48: OffChkBox-49: OffChkBox-50: OffChkBox-51: OffComment 9: ChkBox-52: OffChkBox-53: OffChkBox-54: OffChkBox-55: OffComment 10: Telex Make: Telex Model: ChkBox-56: OffChkBox-57: OffChkBox-58: OffComment 11: Sat C No 1 Make: Sat C No 1 Model: ChkBox-59: OffChkBox-60: OffChkBox-61: OffComment 12: Sat C No 2 Make: Sat C No 2 Model: ChkBox-62: OffChkBox-63: OffChkBox-64: OffComment 13: Sat C No 3 Make: Sat C No 3 Model: ChkBox-65: OffChkBox-66: OffChkBox-67: OffComment 14: AIS Make: AIS Model: ChkBox-68: OffChkBox-69: OffChkBox-70: OffComment 15: SART 1 Make: SART 1 Model: SART 2 Make: SART 2 Model: SART 1 Battery Expiry date: SART 2 Battery Expiry date: EPIRB Make: EPIRB Model: Manual Release Make: Manual Release Model: Epirb Battery Expiry date: HRU Expiry date: ChkBox-71: Off2nd Epirb Battery Expiry date-2: No1 VHF Make: No1 VHF Model: ChkBox-72: OffNo1 VHF Emergency Battery_Exp date: No2 VHF Make: No2 VHF Model: ChkBox-73: OffNo2 VHF Emergency Battery_Exp date: No3 VHF Make: No3 VHF Model: ChkBox-74: OffNo3 VHF Emergency Battery Expiry date: Text10: SSAS Test Results Available for Tech: OffLRIT COC Available for Tech: OffPort or Class Open Deficiencies: GMDSS Self-Test Alarms or Failures: Last MFHF VOICE Test - Month: [January]Last MFHF VOICE Test - Year: YYYYLast MFHF DSC Test - Month: [January]Last MFHF DSC Test - Year: YYYYLast MFHF TELEX Test - Month: [January]Last MFHF TELEX Test - Year: YYYYLast MFHF Test Comments: Last VHF1 VOICE Test - Month: [January]Last VHF1 VOICE Test - Year: YYYYLast VHF1 DSC Test - Month: [January]Last VHF1 DSC Test - Year: YYYYLast VHF1 Test Comments: Last VHF2 VOICE Test - Month: [January]Last VHF2 VOICE Test - Year: YYYYLast VHF2 DSC Test - Month: [January]Last VHF2 DSC Test - Year: YYYYLast VHF2 Test Comments: Last InmarsatC1 PV VOICE Test - Month: [January]Last InmarsatC1 PV Test - Year: YYYYLast InmarsatC1 PV Test Remarks: Last InmarsatC2 PV VOICE Test - Month: [January]Last InmarsatC2 PV Test - Year: YYYYLast InmarsatC2 PV Test Remarks: GMDSS Reserve Batteries MakeModel: GMDSS Reserve Batteries Condition: GMDSS Reserve Battery Expire Month: [January]GMDSS Reserve Batteries Expire Year: YYYYGMDSS Batteries Fully Charged: OffSART1 Battery Condition: SART1 Battery Expire Month: [January]SART1 Expire Year: YYYYSART2 Battery Condition: SART2 Battery Expire Month: [January]SART2 Expire Year: YYYYEPIRB1 Battery Condition: EPIRB1 Battery Expire Month: [January]EPIRB1 Expire Year: YYYYEPIRB1 HRU MakeModel: EPIRB1 HRU Battery Condition: EPIRB1 HRU Battery Expire Month: [January]EPIRB1 HRU Expire Year: YYYYEPIRB2 MakeModel: EPIRB2 Battery Condition: EPIRB2 Battery Expire Month: [January]EPIRB2 Expire Year: YYYYEPIRB2 HRU MakeModel: EPIRB2 HRU Battery Condition: EPIRB2 HRU Battery Expire Month: [January]EPIRB2 HRU Expire Year: YYYYGMDSS Hand Held Radio1 Battery Condition: GMDSS1 Battery Expire Month: [January]GMDSS Hand Held Radio1 Expire Year: YYYYGMDSS Hand Held Radio2 Battery Condition: GMDSS2 Battery Expire Month: [January]GMDSS Hand Held Radio2 Expire Year: YYYYGMDSS Hand Held Radio3 Battery Condition: GMDSS3 Battery Expire Month: [January]GMDSS Hand Held Radio3 Expire Year: YYYYSBM Certificate Expire Month: [January]SBM Certificate Expire Year: YYYYShips Radio License Expire Month: [January]Ships Radio Station License Expire Year: YYYYList V Edition Year: Edition YearList IV Edition Year: Edition YearMaritime Mobile Edition Year: Edition YearGMDSS Manual Edition Year: Edition YearHull Number: Contract Number: Order Number: Nav Equipment Switched On prior to APT: OffRevert Last APT Test Report: OffVDRSVDR Make: VDRSVDR Model: VDRSVDR Serial Number: VDRSVDR Software Version: VDRSVDR Install Date - Month: JanVDRSVDR Install Date - Year: 2010Acoustic Beacon MakeModel: Capsule Type - Fixed: OffCapsule Type - Float Free: OffFixed Capsule MakeModel: Float Free Capsule MakeModel: Fixed Capsule Serial Number: Float Free Capsule Serial Number: VDRSVDR Present or Recent Alarms: Any Change of Bridge Nav Equipment: VDRSVDR Internal Backup Batteries Expire Date - Month: JanVDRSVDR Internal Backup Batteries Expire Date - Year: 2010Acoustic Beacon Expire Date - Month: JanAcoustic Beacon Expire Date - Year: 2010Float Free Capsule Battery Expire Date - Month: JanFloat Free Capsule Battery Expire Date - Year: 2010Float Free Capsule HRU Expire Date - Month: JanFloat Free Capsule HRU Expire Date - Year: 2010Deficiencies: APT COC Delivery Address: C Owner andor management company as it will appear: Gross Tons: G Vessel Type: ComboBox14: [DNV-German Lloyd]ComboBox11: [January]HARD COPY: OffCOURIER: OffEmail: Text1: Textfield: Textfield-0: Text2: Text3: Country: EMAIL: OffText9: Textfield-1: Text4: Text8: Text5: Text6: Text7: M Mackay Account Number: POST MAIL: OffSat Cs Qty: F77 Qty: LRIT Sat C Test: OffConformance Test Report: OffSSAS Ship Security Alert System: OffITU IMO: Off