MSD-252CY

REPUBLIC OF THE MARSHALL ISLANDSMARITIME ADMINISTRATORREPORT OF COMPLIANCE VERIFICATIONFOR COMMERCIAL YACHTS(CYs)AND YACHTS ENGAGED IN TRADE (YETs)(CARRYING UP TO TWELVE (12)PASSENGERS)This flag State Report of Compliance Verification is intended to assist in maintaining compliance with applicable international andRepublic of the Marshall Islands (RMI)safety,security and pollution prevention requirements.An RMI Maritime AdministratorAppointed Representative (AR)shall complete this form in accordance with the guidance set forth in the "Guidelines for AppointedRepresentatives in conducting Compliance Verifications"(MI-290).This report sets out the minimum areas to be verified and shouldnot restrict the AR from verifying other equipment,areas and/or records as may be necessary and appropriate.The AR should providewritten observations and remarks when appropriate to document the yacht's condition and crew competence.A copy of this preliminaryreport should be submitted to the Captain or the Captain's representative upon completion and signing.Part A:Compliance Verification ParticularsStart Date (Day/Month/Year):Finished Date (Day/Month/Year):Port:Verification Type:InitialAnnual RenewalTime Started:Time Ended:Pre-assessmentOther:Part B:Yacht's ParticularsName of the Yacht:Port of Registry:IMO Number (if assigned):BikiniJaluitYacht Type:Keel laid:Year built:Builder/Model:MotorSailOther:Gross Tonnage:Length Overall (LOA):Length (Load Line):Hull/Superstructure Material:No.of sleeping berths:Type of Compliance:Operational Limitations:(as per Compliance Certificate)CYYETVoluntaryCat.0 (Unlimited)Cat.1 (150NM)Cat.2(60 NM)Other:Classed:Statutory Certificates issued by:NoYes Class Society:AR:Class:May/20211MSD252CY