Orolia KANNADXS3GPS Kannad 406 PLB User Manual PLB Form

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Document ID	898483
Application ID	hR0A8Yuzc/SHb04XjVrTKw==
Document Description	PLB Registration Form
Short Term Confidential	No
Permanent Confidential	No
Supercede	No
Document Type	User Manual
Display Format	Adobe Acrobat PDF - pdf
Filesize	3.14kB (39305 bits)
Date Submitted	2008-02-04 00:00:00
Date Available	2008-02-09 00:00:00
Creation Date	2003-06-03 14:46:25
Producing Software	Acrobat PDFWriter 4.0 for Windows NT
Document Lastmod	2008-01-31 11:04:54
Document Title	PLB Form.PDF
Document Creator	PLB Form.doc - Microsoft Word
Document Author:	dkarlson

Official 406 MHz PLB Registration Form
Fax to: 301-568-8649
or
Mail to:
SARSAT Beacon Registration
NOAA
E/SP3, RM 3320, FB-4
5200 Auth Road
Suitland, MD 20746-4304
When submitting by mail delivery,
please check here if this form was
also faxed to NOAA.
Check the appropriate box:
? New PLB Registration
? Renewal of PLB Decal
? Change of PLB Information or Ownership
1. Enter Unique Identifier Number
(15 digit number provided by PLB manufacturer)
PLB Information:
2. PLB Manufacturer:
3. Model No
Owner Information:
4. Owners Name
(Last, First, Middle Initial)
5. Mailing Address
City
State/Province
Postal Code
6. Country
7. Telephone
(Home)
(Work)
General Use Data:
8. Usage (check one):
Land Vehicle
Hiking
Hunting
Boating
Aircraft
Other
Fishing
9. Additional Data
Emergency Contact Information (please indicate someone other than the owner):
10. Name of Primary 24-Hour Emergency Contact
11. Telephone
: (Home)
(Work)
12. Alternate 24-Hour Emergency Contact
13. Telephone
: (Home)
(Work)
? Check here if this PLB is a replacement for a previously registered PLB.
? Please enter the old PLB unique identifier number
Signature
Date
If you have any questions about this form or with PLB registration in general please call 1-888-212-SAVE or 301-457-5678.
For information on the U.S. Search & Rescue Satellite Aided Tracking system please visit: www.sarsat.noaa.gov
OMB 0648-0295 / exp. 30 September 2004
IMPORTANT NOTICE – Please Read
The information you furnish is mandatory and is intended to assist search and rescue teams in locating
your craft in the event of beacon activation. The information will be provided to United States Coast
Guard and United States Air Force Search and Rescue (SAR) teams as appropriate in the event of
beacon activation. It will also be used to conserve SAR resources by virtually eliminating all false alarm
deployments.
WARNING
Failure to register this 406 MHZ beacon with NOAA could result in penalties and/or fines
being issued to the owner. Solicitation of this information is authorized by Parts 80 and 87, Title 47 CFR.
There is no charge for this registration, this is a service provided by the U.S. government.
All registration forms will be entered into the 406 MHZ Beacon Registration Database within 48 hours of
receipt. A confirmation letter, a copy of the actual registration, and a proof-of-registration decal will be
mailed to you within two weeks. When you receive these documents, please check the registration
information carefully and affix the decal to your beacon. If for some reason you do not receive
confirmation back from NOAA, please call toll-free 1-888-212-7283 or 301-457-5678 for assistance.
Additional forms can be found on NOAA’s SARSAT website at: www.sarsat.noaa.gov
Public reporting burden for this collection of information is estimated to average 15 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the collection of information. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing this
burden, to:
SARSAT
E/SP3, RM 3320, FB4
NOAA
5200 Auth Road
Suitland MD 20746-4304
Although the information provided will become a matter of public record, there is no intent to circulate the
information furnished beyond its intended purpose, i.e. to assist SAR forces in carrying out their mission of
rescue and false alarm abatement. Notwithstanding any other provision of the law, no person is required
to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of
information subject to the requirements of the Paperwork Reduction Act, unless that collection of
information displays a currently valid OMB Control Number.

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