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INTERNATIONAL REGISTRIES, INC.
RETURN TO IRI
Data Privacy Consent
Seafarers
Filing Agents
Marketing Communication
Data Privacy Consent Form – Seafarers
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:
Used to obtain seafarer documentation to serve on board an RMI flagged vessel pursuant to RMI laws and regulations. I understand that I may be required to provide additional information in order to maintain and/or update my documentation;
Accessible online for document verification purposes;
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.
Seafarer Information:
Title
Mr
Mrs
Miss
Ms
*
First Name
(Name as mentioned in the National Identity document)
Middle Name
Surname
*
Nationality
AFGHANISTAN
ALBANIA
ALGERIA
ANDORRA
ANGOLA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
AUSTRALIA
AUSTRIA
AZERBAIJAN
AZORES
BAHAMAS, COMMONWEALTH OF
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BRAZIL
BRITISH ISLANDS: BAILIWICK OF GUERNSEY
BRITISH ISLANDS: BAILIWICK OF JERSEY
BRITISH ISLANDS: ISLE OF MAN
BRITISH VIRGIN ISLANDS
BRUNEI
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS, B.W.I.
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA, PEOPLES REPUBLIC OF
CHINA, REPUBLIC OF
CITIZENSHIP NOT CITED
COLOMBIA
CONGO
CONGO, DEM. REPUBLIC
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA, W. I.
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FAROE ISLANDS
FIJI
FINLAND
FRANCE
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUATEMALA
GUINEA BISSAU
GUINEA, REPUBLIC OF
GUYANA
HAITI
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, PEO. DEM. REP.
KOREA, REPUBLIC OF
KOSOVO
KUWAIT
KYRGYZ REPUBLIC
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MALAWI, REPUBLIC OF
MALAYSIA
MALDIVES
MALI, REPUBLIC OF
MALTA
MARSHALL ISLANDS
MAURITANIA
MAURITIUS
MEXICO
MICRONESIA
MOLDOVA
MONACO
MONGOLIA
MONTENEGRO
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NEPAL
NETHERLANDS ANTILLES
NETHERLANDS, THE
NEW CALDONIA
NEW HEBRIDES
NEW ZEALAND
NICARAGUA
NIGERIA
NORTH MACEDONIA, REPUBLIC OF
NORWAY
OMAN
OTHER
PAKISTAN
PALAU
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
QATAR
REPUBLIC OF MADAGASCAR
ROMANIA
RUSSIA
RWANDA
SAO TOME
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRE LEONE
SINGAPORE
SLOVAK REPUBLIC
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH SUDAN, REPUBLIC OF
SPAIN
SRI LANKA
ST. KITTS
ST. LUCIA
ST. VINCENT & THE GRENADINES
SUDAN
SURINAM
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAJIKISTAN
TANZANIA
THAILAND
TIMOR-LESTE
TOGO
TONGA
TRINIDAD & TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS & CAICOS
TUVALU
UGANDA
UKRAINE
UNION OF THE COMOROS
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES OF AMERICA
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
YEMEN
ZAMBIA
ZIMBABWE
*
Date of Birth
FIN Number
*
Email Address
*
Re-enter Email Address
(An email with a confirmation number will be sent to this address acknowledging receipt of this consent form)
*
Phone
Main Line
Direct Dial
Mobile
*
Number
Submit
Please Contact
dataprivacy@register-iri.com
for any questions regarding your consent or to withdraw your consent.
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