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AIS Static Data Programming Log: Step Description Comments

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AIS Static Data Programming Log (Please Print)

Vessel Owner: Programming Date:


MMSI Registered To: AIS Model #:
Vessel Name: AIS Serial #:
Address: Phone #:
E-Mail:
Step Description Result Comments
1 Copy of FCC Ships Station License with MMSI and Required for vessels that sail internationally
Call Sign. (If applicable)
Copy of MMSI Registration from Boat US, Sea Tow, Acceptable for vessels on domestic voyages
US Power Squadron, or Other. (If applicable) only

2 Record the following information on this document


(* = required)
*MMSI number:
*Vessel Name (20 characters)
Call Sign (If applicable)

3 Determine position of GPS antenna on vessel A B


Round distance to the nearest meter
A Distance from bow to the GPS antenna meters
D
B Distance from stern to the GPS antenna meters
C Distance from port side to the GPS antenna meters GPS C
Antenna
D Distance from starboard side to GPS antenna meters

4 Determine type of Vessel and record See Vessel Type Description Below

As vessel Owner or Captain, I certify that


the above vessel identification
Company Name:
information is correct and valid.
Technician Name: Name:
Signature: Date: Signature: Date:

Step Vessel Type # Vessel Type Description


4 30 Vessel – Fishing
31 Vessel – Towing
32 Vessel – Towing and the length of the tow exceeds 200 m or the breadth exceeds 25 m
33 Vessel – Engaged in dredging or underwater operations
34 Vessel – Engaged in diving operations
35 Vessel – Engaged in military operations
36 Vessel – Sailing
37 Vessel – Pleasure craft
38 Vessel – Reserved for future use
39 Vessel – Reserved for future use
50 Pilot Vessel
51 Search and Rescue vessels
52 Tugs
53 Port tenders
54 Vessels with anti-pollution facilities or equipment
55 Law enforcement vessels
56 Spare – for assignments to local vessels
57 Spare – for assignments to local vessels
58 Medical transports (as defined in the 1949 Geneva Conventions and Additional Protocols
59 Ships according to RR Resolution No. 18 (Mob-83)
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.
AIS Static Data Programming Log
FLIBS

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