Jotron AS TRON40VDR Float Free EPIRB with VDR User Manual Registration Form
Jotron AS Float Free EPIRB with VDR Registration Form
Contents
- 1. Registration Form
- 2. User Manual
Registration Form
Save Tunel Register your beacon online ar‘ www.beaconreglstratlon noaa gov .5," mm.“ SMSAT BEACON REGISTRATION NOM NSOF. EJSPOSI! 406 MHz EPIRB Registration Form .3152“.me Silver Spring. Muznmo '1 “"“m-a " Fax Nnv 301—517-4555 EPIRB Information Beacon ID (Unique Identifier Number) EA|DC|D02|9F0 41 1‘ 4 3 is my - i it m, h) My: my FPan mmmlu W. m Category | (Automatic Deployment) C Category II (Manual Deployment) EPIRB Manufacturer Jotron AS Model No. Tron 4 Purpose of EPIRB Registration ' D New EPIRB Registration DChenge oi Regisnation Information E Replacement of Decal Only U Renewal of EPIRB Registration UReplacemant for a previously registered §PIRB ] Change of Ownershlp Please enter the old unique ID number l 1 I i Owner/Opera tor Infonna (ion Name Telephone (Last First Middle Initial) ( ) 7 _ Mailing Address A V, ‘— LlNum-Tlvm HoslualjF-xfiom ( , ) [1”..me Ham-Dru Dom-r City State/Province ( )— Tuml‘lwm Emu-Dru Dom-r ZIP (F'Ostal) Code ______C°unlry ( ) jumem Dam-Urn Dom E-mail ‘ Vessel Informaflpn . Radio Equipment: (Check all that apply) Usage: D Commercial D Nun Cwmemal E F jMF DHF 1555 _0m [1 Government Military D GovernmentNun military V" 4 °" Type: Vessel Telephone Numbers Sail: Number of Masts Radio Call sign Power: Washing l‘l‘rug flcargo E ] Tanker releasing orarl Cellular______ MMSI Number f other INMARSAT Non-power: # We Boa. l. We Ralt fl 0M, Federal I State Regletratlon Number Vessel Name Length Overall (ft)— capacity—l —"’—’——— m Passengers Vessel Color Homeport M m i . om Survival Grains) on Vessel: Life Boat Life Raft No «i w it smu- Is your EPIRB equlpped wlth 3 Voyage Data recorder Addltlonal Data VDR or SVDR7 [ ‘Vee E No Emergency Contact Informatlon (Flam mt. someone omen/tan m mm Name of Primary 24 Hour Emergency Contact: Name ol Alternate 24 Hour Emergency Contact: Telephone Telephone < ) [mam Balsam Em t j—Demjwm Do-mlaflru Dom ‘ )—C«om-pwark Drum-Cm Com-t ( ) DHoijuk Hamel lFex Clum- l ) [mam Delmar" Em t > Dammit l 1cm; 1;“ £10.... L ( ) :Nnm-Dwm DEIIMI-ijhx Com-v ( _)—Dnum"lmrk llcamaLlF-x [loam Slgnature Date it you have any quuuons anwllms lulrn nrwlltl EPIRB reglwabon In general. please call wan-21 2-SAVE(7zna) nr ”MW-4515. For Information on m: u 5 seem: end Heme satanic-Arden Tildtmfl Iyelem pleete vielt wwwurnt non gov Important Notice - Please Read Before Completing Registration Registration is an important facet for all Cospas-Sarsat 406 MHz emergency beacons. Not only is it required by Federal Regulations but the information you furnish is used by Search and Rescue (SAR) agencies in the event of beacon activation. The registration information is an important tool to assist the United States Coast Guard, United States Air Force. and other SAR agencies in locating and quickly responding to you, your vessel, or your aircraft. Failure to register your beacon may delay a rescue response. AccurateI up-to«date registration information will also be used to conserve resources by helping to eliminate false alert deployments. as an inadvertent activation can be resolved with a phone call when the beacon is properly registered. There is no charge for beacon registration. This is a service provided by the U.S. National Oceanic and Atmospheric Administration (NOAA). All online registrations will be entered into “1e National 406 MHz Beacon Registration Database on the same day of entry. Registration forms received via postal mail or fax will be entered within 2 business days of receipt. A confirmation letter with your completed registration information will be sent to you immediately via e-mail or fax (if provided). Confirmation letters sent via postal mail should arrive within two weeks. Once your registration continuation is received, please review all information. Any changes or updates to your registration information can be done via the internet, fax, e-mail or postal mail. If you do not receive your registration confirmafion from NOAA please call 1-BBB~212-SAVE (7283) or 301-817-4515 for assistance. Alter initial registration or renewal you will receive a NOAA Registration Decal by postal mail. This decal may be affixed to the beacon and should be placed in such a way that it is clearly visible. If for some reason you do not receive the registration decal within two Weeks. please call NOAA at: 1-888-212-SAVE (7283) or 301-817-4515. Failure to register. reregister (as required every two years), or to notify NOAA of any changes to the status of your 406 MHz beacon could result in penalties and/or fines being issued under Federal Law. More lmportantly, failure to maintain accurate and complete Information could result in a delayed response by rescue forces. The owner or user of the beacon is required to notify NOAA immediately of any changes to the registration information at any time. By submitting this registration the owner. operator, or legally authorized agent declares under penalty of law that all information in the registration information is true. accurate. and complete. Providing information that is knowingly false or inaccurate may be punishable under Federal Statutes. Solicitation of this information is authorized by Title 47. Part 87 of the U.S. Code of Federal Regulations (CFR) and the US. Office of Management & Budget (OMB) Control Number: 0648- 0295. Additional registration forms can be found on the NOAA-SARSAT Registration website at: www.beaconregistration.noaa.gov. Please note. NOAA will complement or update your registration informah'on if your registration is outdated and credible information is provided from other sources. NOAA will also seek information from other databases to update and/or complement the existing information for an expired beacon registration. Although the information provided will become a matter of public record. there is no intent to circulate beyond its intended purpose. I.e., to assist SAR agencies in carrying out their mission. Public reporting burden for the collection of this information is estimated to average 15 minutes per response, Including the time for reviewing instructions. searching existing data sources, and completing and reviewing the collection of information. Comments regarding this burden or any other aspect of this collection of information. including suggestions for reducing this burden should be sent to: SARSAT Beacon Registration NOAA NSOF. EISPO53 1315 East West Hwy Silver Spring, MD 20910 Or call: 1-888—212-SAVE (7233) or 301-817-4515 Finally. false alerts remain a chief concern for SAR agencies. We ask that you carefully refer to the beacon’s user manual for instructions on properly operating. installing. testing, performing required maintenance, and/or stowage of your beacon. We find that these are Important factors in reducing the number of false alerts. Please use the utmost care at all times!
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