MSD-252PY-PRE-REG

5REPUBLIC OF THE MARSHALL ISLANDSMARITIME ADMINISTRATORVERIFICATION REPORT OF PRIVATE YACHT (>24 METERS)PRE-REGISTRATION INSPECTIONThis report must be utilized by an authorized Yacht Inspector(YI)or Appointed Representative(AR)during the pre-registration inspection of a private yacht subject to the pre-registration requirement as per the Maritime Regulations(MI-108).It sets out the minimum areas to be verified and should not restrict the inspector from verify ing other equipment,areas and/or records as may be necessary and appropriate.A copy of this preliminary report may not be submitted to the Captain or any representative.Where deemed necessary,the Administrator will forward the final report to the owner's representative.Once completed,this report must be submitted to the Administrator with a minimum of two (2)pictures each of theexterior,accommodation,decks,and engine spaces taken during the inspection.Any questions or concerns regarding the particulars of carrying out the pre-registration inspection must be forwarded tovacht-inspections@register-iri.com.Part A:Inspection and Yacht's ParticularsDate of Inspection (Day/Mond/Year):Port of Inspection:Time Started:Time Ended:Intended Name of the YachtIntended Port of Registry:IMO Number (if assiged):Official Number (ifassigned):☐Bikini☐JaluitCurrent Name of the Yacht:Current Flag:Classed:☐No☐Yes Class Society::Yacht Type:Builder:Hull Material:Year Built:Keel Laid:☐Motor☐Sail Other::Length Overall:Breadth:Depth:Gross Tonnage:Net Tonnage:No.of engines:Engine output per engine:No.of sleeping berths:Main:Main:kWCrew:Auxiliary:Auxiliary:kWGuests:Rev.Jun/2024Page 1 of 12MSD 252PYPRE-REG+24