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AIS Static Data Programming Form

This document is a form that must be filled out with vessel and owner information before purchasing a Class B AIS transponder. It requests information like MMSI number, vessel name, position of the GPS antenna on the vessel, vessel type, and login credentials for the owner's AIS transponder account. The completed form and a copy of the owner's MMSI registration must be emailed to the company.

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Diego Rodriguez
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88 views2 pages

AIS Static Data Programming Form

This document is a form that must be filled out with vessel and owner information before purchasing a Class B AIS transponder. It requests information like MMSI number, vessel name, position of the GPS antenna on the vessel, vessel type, and login credentials for the owner's AIS transponder account. The completed form and a copy of the owner's MMSI registration must be emailed to the company.

Uploaded by

Diego Rodriguez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AIS Static Data Programming Form

This form is required with your purchase of a Class B AIS and must be completed before your
order can be processed. Please e-mail this document completely filled out to:
[email protected] along with a copy of your MMSI registration.

For vessels that sail internationally:


Please e-mail [email protected] a copy of FCC Ships Station License with MMSI and Call Sign.

For vessels on domestic voyages only:


Please e-mail [email protected] a copy of MMSI Registration From Sea Tow, US Power
Squadron, Boat US or Other.

Record the following information on this document. (*=required)

* MMSI number:

* Re-Enter MMSI number:


 

* Vessel Name:

Call Sign (If applicable):


 
 
Determine position of GPS antenna on vessel.
Round distance to nearest meter
(*=required)
Distances must be in rounded meters, with no decimal points.
 
A. * Distance from bow to the GPS antenna: meters
B. * Distance from stern to the GPS antenna: meters
C. * Distance from the port side to the GPS antenna: meters
D.* Distance from the starboard side to the GPS antenna: meters
Determine type of Vessel - Choose from drop down menu below
(*=required)* Please Select
Vessel - Commercial Fishing

Vessel - Commercial Towing

Vessel - Towing And The Length Of The Tow Exceeds 200m Or The Breadth Exceeds 25 m

Vessel - Engaged In Dredging Or Underwater Operations

Vessel - Engaged In Diving Operations

Vessel - Engaged In Military Operations

Vessel - Recreational Sailing

Vessel - Pleasure Craft (Powerboat)

Pilot Vessel

Search & Rescue Vessel

Tugs

Port Tender

Vessel With Anti-Pollution Facilities Or Equipment

Law Enforcement Vessel

Medical Transports (As Defined In The 1949 Geneva Convention & Additional Protocols)

Ships According To RR Resolution No. 18 (Mob-83)


 
 
Please provide the following information for your AIS CB2 online account. This will be the
login information you use in the future to easily access the CB2 via WiFi:

Email:

Password: (must be at least 8 characters)

First Name:

Last Name:
Owner Consents to receive messages: Yes ☐ No ☐

WARNING: It is a violation of the rules of the Federal Communications Commission to input


an MMSI that has not been properly assigned to the end user, or to otherwise input any
inaccurate data in an AIS Transponder.

Please e-mail this document completely filled out to: [email protected] along with a copy of
your MMSI registration.

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