Filing Agents

	Seafarers
	Filing Agents
	Marketing Communication

Data Privacy Consent Form – Filing Agents

In order for the Republic of the Marshall Islands (RMI) Maritime Administrator to provide you with the requested service(s), please complete this consent form. You may withdraw your consent at any time, but doing so may affect your application and the availability of other services. Your information will be stored for as long as legally permitted. You have the right to receive a copy of and to correct your data at any time. Contact dataprivacy@register-iri.com for any data withdrawal requests or other questions or concerns. The full privacy policy is available at: www.register-iri.com (free hardcopy available upon request). This Consent Form shall be valid for five (5) years.

I consent to allow my personal information to be:

Provided to the RMI Maritime Administrator (the information controller) and International Registries, Inc. and its affiliates (IRI) or third parties contracted by one of the preceding entities to carry out administrative and technical support;

Processed by a contracted third-party to ensure compliance with due diligence requirements and trade restrictions. I understand that I may be required to provide additional information in order to meet these requirements; and

Transferred and stored internationally for incidental purposes such as port State control requests, marine safety investigations, and other legal requirements.

Physical and technological safeguards are in place to keep your information secure. Please be aware that these may not meet the same standard as is required by the country in which you reside.

Optional:

Please check the box to opt-in to allow your personal information to be used for marketing purposes which includes event invitations, newsletters, blog, maritime, and corporate updates, among others.

Filing Agent Information:

Title

*First Name

(Name as mentioned in the National Identity document)

Middle Name

*Surname

*Nationality

*Date of Birth

*Email Address

*Re-enter Email Address

(An email with a confirmation number will be sent to this address acknowledging receipt of this consent form)

*Company

*Address1

Address2

*City

*State

*Country


*Phone

*Number


	Submit

Please Contact dataprivacy@register-iri.com for any questions regarding your consent or to withdraw your consent.

Please confirm if Consent information entered is correct

Please check the box to opt-in to allow your personal information to be used for marketing purposes which includes event invitations, newsletters, blog, maritime, and corporate updates, among others.


Title
*First Name
	(Name as mentioned in the National Identity document)
Middle Name
*Surname
*Nationality
*Date of Birth
*Email Address
*Re-enter Email Address
	(An email with a confirmation number will be sent to this address acknowledging receipt of this consent form)
*Company
*Address1
Address2
*City
*State
*Country


*Phone


*Number

Consent

Cancel

INTERNATIONAL REGISTRIES, INC.

Data Privacy Consent