COSPAS-SARSAT ""
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FEDERAL STATE UNITARY ENTERPRISE "MORSVIAZSPUTNIK" / COSPAS MISSION CENTRE
127018, , . , , 18
./TEL. +7(495) 236-01-09, +7(495) 236-01-10
E-MAIL: CMC@MARSAT.RU

-406 / 406MHz BEACON REGISTRATION FORM

/ REASON FOR EPIRB REGISTRATION
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/ EPIRB INFORMATION
15- / 15 Hexadecimal identificator

/ Model       / Serial

/ Manufacturer

/ VESSEL INFORMATION

/ Vessel name

/ Type of vessel

/ MMSI     / Call sign

/ Home port

/ Max. persons on the board

/ / OWNER/OPERATOR INFORMATION

/ Owner name

/ Operator name

/ Mailing address

/ EMERGENCY COMMUNICATION

/Telephone: ./Work     ./Cell     Email

/ ADDRESS OF PERSON RESPONSIBLE FOR REGISTRATION

/ Responsible Person

./Tel.     Email

(.)

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