MSD-252PAXY

REPUBLIC OF THE MARSHALL ISLANDSMARITIME ADMINISTRATORE】REPORT OF COMPLIANCE VERIFICATIONFOR PASSENGER YACHTS (PAXY'S)AND YACHTS ENGAGED IN TRADE (YETs)(CARRYING UP TO THIRTY SIX (36)PASSENGERS)This flag State Report of Compliance Verification is intended to assist in maintaining compliance with applicable internationaland Republic of the Marshall Islands(RMI)safety,security and pollution prevention requirements.An RMI MaritimeAdministrator Appointed Representative (AR)shall complete this form in accordance with the guidance set forth in the"Guidelines for Appointed Representatives in conducting Compliance Verifications"(MI-290).This report sets out theminimum areas to be verified and should not restrict the AR from verifying other equipment,areas and/or records as may benecessary and appropriate.The AR should provide written observations and remarks when appropriate to document theyacht's condition and crew competence.A copy of this preliminary report should be submitted to the Captain or the Captain'srepresentative upon completion and signing.Part A:Compliance Verification ParticularsStart Date (Day/Month/Year):Finished Date(Day/Month/Year):Verification Type:InitialAnnualRenewalTime Started:Time Ended:Pre-assessment Other:Part B:Yacht's ParticularsName of the Yacht:Port of Registry:IMO Number (if assigned):Official Number: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)PAXYYETVoluntaryCat.0 (Unlimited)Cat.1 (150NM)Cat.2 (60 NM)Other:Class Society:Statutory Certificates issued by:AR:Class:Rev.May/20211MSD252PAXY