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Data de nascimento
Dia
01
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04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Mês
01
02
03
04
05
06
07
08
09
10
11
12
Ano
1918
1919
1920
1921
1922
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Canada
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Chile
China
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Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
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Cote D'Ivoire
Croatia
Cuba
Curacao
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Dominican Republic
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Endereço
Cidade
MMSI Detalhes
Forneça todo o seu equipamento na caixa abaixo: (nota: se você possui um EPIRB, precisamos conhecer o código de 15 caracteres fornecido pelo fabricante do EPIRB)
EPIRB
Arqueação bruta
TIPO DE NAVIO
AB = Air Boat
AS = Auxiliary Sail
CM = Cabin Motorboat
HB = Houseboat
IN = Inflatable
OM = Open Motorboat
OT = Other
PB = Pontoon Boat
PW = Personal Watercraft
Fabricação de beacon
Número de Serial do Beacon
Tipo de baliza
ID Hex
Equipamento 1
Equipamento 2
Equipamento 3
Adicionar mais equipamentos
A quantidade máxima de passageiros são permitidos no barco
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
A quantidade de jangadas
1
2
3
4
5
6
7
8
9
10
Bote a bordo
1
2
3
4
5
6
7
8
9
10
Contact 1
Nome Completo
Endereço Completo
Email:
Telefone:
Contact 2
Nome Completo
Endereço Completo
Email:
Telefone:
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