JAMAICA SHIP REGISTRY APPLICATION FOR REGISTRATION AND NOTICE OF NAME OF A YACHT 1. APPLICANT DETAILS Name of Owner Address of Owner ( if different from above) Contact Person 1 Contact Person 2 No: No: Fax No: Fax No: Address: Address: Company ID Number Company ID Number Nationality Nationality 2. TYPE OF REGISTRATION SERVICE(S) REQUIRED (Please check all that Apply) Registration - Private Yacht Registration-Commercial Yacht Registration- Private Charter Yacht Under Construction 2A. NOTICE OF NAME AND DETAILS/ MEASUREMENTS OF YACHT (AS SPECIFIED ON YACHTS TONNAGE CERTIFICATE OR CERTIFICATE OF SURVEY) Name of Yacht Official Number Flag Desired Name Desired Registration Date Desired Port of Registry IMO Number (if applicable) Year of Current Registry (dd/mm/yyyy) Hull/Serial Number Sail Steam Motor Region of Operation Location of vessel HULL INFORMATION Number of Decks Length in metres Number of Bulkheads Beam in metres Frame Work Molded Depth in metres Stem Year Built (dd/mm/yyyy) Stern Gross Tons (GT) Rigged Net Tons (NT) ENGINE INFORMATION Engine Model Number Method of Propulsion Propulsion Rating (kw) Year of Build Builders Name Builders Address Page 1 of 5
2B. APPOINTMENT OF A MANAGING OWNER OR AGENT (JAMAICAN AUTHORIZED REPRESENTATIVE) I hereby confirm the appointment of the named Individual or entity as Managing Owner or Agent (Jamaican Authorized Representative) for the a bove described yacht: Name of Individual or Entity Street Address (if different from above) Number Fax Number Address A copy of this instrument has been forwarded to the Authorized Representative who will communicate acceptance of the appointment directly to the Registrar. 2C. DECLARATION 1 OF OWNERSHIP OR ELIGIBILITY OF A COMPANY/BODY CORPORATE/FOREIGN MARITIME ENTITY/ PARTNERSHIPS/INDIVIDUAL (i) The Company/Body Corporate/Foreign Maritime Entity/Partnerships I Name of Director Declare as follows: of Name of Owner That the said Body Corporate Foreign Maritime Entity Partnership 1. Was established on the subject to the laws of (dd/mm/yyyy) (Name of Jurisdiction/Country) and remains in good standing. 2. Has its registered office at Address Registered Office and place of business at Address Place of Business where meetings of the Directors of the Company are regularly held. 3. Is entitled to be registered as owner of shares or joint owners of Number of Shares Number of Shares in the said yacht, in accordance with the Shipping Act (1998). (ii) Individual I of, Name of Individual Address of Individual (i), holder of Jamaican Address of Individual (ii) declares that I am entitled to be registered as owner of shares in the said yacht. Shares owned (iii) To be completed by Company/Body Corporate/Partnerships/Foreign Maritime Entity/Individual 1. The aforementioned general description of the yacht is correct. 2. The said yacht was built at in the year. Place of Built (dd/mm/yyyy) 3. The said yacht is free from encumbrances. 1 Declarations must be made before the Registrar of Ships or other authorized officer of the Jamaica Ship Registry, a Jamaican Consular Officer, A notary Public, Justice of the Peace or a Person authorized by law to administer oaths. The qualification of the person making the declaration and the place of attestation are to be added by signature Page 2 of 5
4. To the best of my/our knowledge and belief, all interest in the said yacht is owned by person(s) entitled to be owner(s) of Jamaica Ship(s) in accordance with the Shipping Act (1998), as amended. I / We Owner(s)/Authorized Personnel(s) voluntarily make this declaration conscientiously believing the same to be true. Name of Declarant 1 Signature of Declarant 1 Date (dd/mm/yyyy) Company Seal Name of Declarant 2 Signature of Declarant 2 Date (dd/mm/yyyy) In the presence of the below witness Name of Witness 2 Signature of Witness Date (dd/mm/yyyy) Address (i) Address (ii) The Common Seal of the Owning Entity /signature of the Owner (s) was affix hereto in the presence of the below witness (see note 3). 2D. DECLARATIONS AND UNDERTAKINGS I/we A. Private Use Declare that the above vessel is for private use and will not be engaged in trade. B. Private Charter Declare that the above vessel is for private use with Charter option. This yacht may charter for no more than 84 days within a Calender year. The number of persons carried onboard to sea, in addition to crew, will never exceed twelve (12). C. Commercial Yacht Declare that the above vessel is for Commercial use. D. Carving & Marking Undertake to have the above named vessel marked with its Port of Registry, Official Number, Net or Registered Tonnage and IMO Number (if applicable), within 30 days or prior to permanent registration of the vessel in accordance with the relevant provisions of the Shipping Act, as amended, or before the vessel proceeds to sea, whichever is sooner. E. Original Documents Undertake to have the original documents of the electronic copies for the above named vessel submitted to the Jamaican Registry within 30 days of the issue date of the Certificate of Registry. 2 Notary Public, Justice of Peace, Jamaican Registrar Page 3 of 5
2E. DECLARATION OF OWNERSHIP OR ELIGIBILITY ON BEHALF OF JOINT OWNERS - JOINT OWNERSHIP DECLARATION 3 3A. SUPPORTING DOCUMENTATIONS ENCLOSED (REGISTRATION OF ALL YACHTS) The following documents have been included with this application in accordance with the prescribed requirements of the Jamaican Registry. PLEASE TICK ( ) ALL THAT HAVE BEEN INCLUDED (or) Bill of Sale Certificate of Incorporation Notice of Director Certificate of Good Standing Builder s Certificate Court Order Shipyard Letter Transcript of Register Certificate of Survey Tonnage Certificate Application for Minimum Safe Manning Certificate Owner s/mortgagee s Consent If Jamaican, Certified copy of Passport Certificate of Registry Carving Note Deletion Certificate Charter Party (Agreement) Construction Contract Resolution to Sell Application for Radio Station Licence Application for a Jamaican Endorsement If Jamaican, TRN Other (please specify) For Private Charter Only Certificate of Charter Survey * Applicable for Yachts 200 GT & Above 3 If Joint Owners exceed space provided please provide additional information on another sheet Page 4 of 5
3B. SUPPORTING DOCUMENTS ENCLOSE (SURVEY COMMERCIAL VESSELS) PLEASE TICK ( ) ALL THAT HAVE BEEN INCLUDED International Ship Security Certificate Cargo Ship Safety Construction Certificate International Oil Pollution Prevention Certificate Cargo Ship Safety Equipment Certificate Document of Compliance Safety Management Certificate Cargo Ship Safety Radio Certificate Other (please specify) 4 International Load Line Certificate 4 County Clerk Certificate (American Notaries Public) Page 5 of 5