DEPARTMENT OF PLANNING AND NATURAL RESOURCES
GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS DEPARTMENT OF PLANNING AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL ENFORCEMENT Application for U.S. Virgin Islands Vessel Number and Certificate Registration Notarized proof of ownership is required and registration must be renewed annually by June 30th. VI NUMBER CLASS FEE PAID EXPIRATION DATE TYPE OF APPLICATION June 30,__________ □New □Renewal □Original □Transfer □Duplicate □Salvaged DO NOT WRITE ABOVE THIS LINE Owner Name Email Address Telephone Date of Birth Residence Address Business or Mailing Address Citizenship Identification with number ************************************************** Co-Owner Name Telephone Date of Birth Residence Address Business or Mailing Address Citizenship Identification with number ************************************************** 1) Make and Model of Boat 2) Name of Vessel 3) Length in feet/inches 4) Depth in feet/inches 5) Manufacturer Number (HIN) 6) Year Manufactured or Year Model Number: 7) Use: □ Pleasure □ Other Commercial Operation □Commercial Fishing □Recreational Fishing □Commercial Pass …
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GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS DEPARTMENT OF PLANNING AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL ENFORCEMENT Application for U.S. Virgin Islands Vessel Number and Certificate Registration Notarized proof of ownership is required and registration must be renewed annually by June 30th. VI NUMBER CLASS FEE PAID EXPIRATION DATE TYPE OF APPLICATION June 30,__________ □New □Renewal □Original □Transfer □Duplicate □Salvaged DO NOT WRITE ABOVE THIS LINE Owner Name Email Address Telephone Date of Birth Residence Address Business or Mailing Address Citizenship Identification with number ************************************************** Co-Owner Name Telephone Date of Birth Residence Address Business or Mailing Address Citizenship Identification with number ************************************************** 1) Make and Model of Boat 2) Name of Vessel 3) Length in feet/inches 4) Depth in feet/inches 5) Manufacturer Number (HIN) 6) Year Manufactured or Year Model Number: 7) Use: □ Pleasure □ Other Commercial Operation □Commercial Fishing □Recreational Fishing □Commercial Passenger Carrying □ Charter Fishing □Rent or Lease □ Dealer or Manufacturer Demo Commercial License Number 8) Propulsion: □ Propeller □Water Jet □Sail □Air Thrust □Manual □Other 9) Engine Drive Types □ Inboard □ Outboard □ Other □Pod Drive □ Sterndrive 10) Total Horse Power: 11) Engine Make and Serial Number on ALL Engines: Engine #1 Make Serial Number Engine #2 Make Serial Number Engine #2 Make Serial Number 12) Vessel Type: □ Cabin Motorboat □ Open Fishing □Personal Watercraft □ Sail Only □ Auxiliary Sail □Inflatable boat □ Paddlecraft □ Houseboat 13) Hull Material: □ Wood □Steel □ Aluminum □Plastic □ Fiberglass □ Rubber/vinyl/canvas 14) Color of Boat (Specify) 15) Type of Fuel: □ Gas □ Diesel □ Electric □ Other 16) Which Island is the vessel normally kept? 17) Location of vessel: Area □Dry Storage □ Trailered □ Dock □ Mooring □ Anchor 18) Number of Bunks (Beds): 19) Does the vessel have a galley? □ YES □NO 20) Does vessel have a Marine Sanitation Device (MSD)? □YES □ NO If yes, what type? □ I □ II □ III 21) State of Principal Operation ______________________ I (WE) declare to the best of my (our) knowledge that I (we) own the vessel and engine(s) described and all matters stated herein are true and correct. Signature Date Co-owner Date Vessel Application/USCG, May 2017 _________________________________________________________________________________ SIGN