CCI IMIR™ Instrument Edit Form Back CCI IMIR™ Instrument Edit Form Step 1 of 5 20% CCI IMIR™ Content Provider of Record (CPR) Full Name* Please select...Mr.MissMs.Mrs.Mx. Prefix First Name Middle Name Last Name Date of Birth* Date Format: MM slash DD slash YYYY MM/DD/YYYYEmail Address* Email used to register as CCI IMIR™ CPRCCI IMIR™ Content Provider of Record Identification Number*9-digit number provided to CPRs Statement of Ownership Drop files here or Submit statement of ownership, power of attorney, appraisal, or any document that states that you are the current owner of the instrument. If you do not such a document, click the following for an attestation of ownership (this document requires notarization). This document will NOT be uploaded to the registry. Instrument TypePlease select...ViolinViolaCelloDouble BassViolin BowViola BowCello BowDouble Bass BowSelect Type of Instrument Maker First Name Middle Full Last Name Submit in original languageCommon Maker NameSubmit in original languageMaker Birth YearMaker's birth yearMaker Death YearMaker's death year; Leave blank if Maker is still aliveMade Country, City, and Region Made City Made Region (if city is unkown) e.g. ItalyAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Made Country Submit in English Made YearSpecific or approximate date the instrument was made Workshop or ManufacturerWorkshop or manufacturer where this instrument was madeMonikerIf available. Name(s) by which the instrument is commonly knownLabel, Brand or StampIf available, please enter the label exactly as it appears on the instrumentUpload Images of Label, Brand or Stamp Drop files here or RecommendedInstrument DescriptionDescription in bulleted formatEndangered Species Materials Ivory Tortoiseshell Whalebone Please indicate whether the following materials are present in your instrument Length of Back MeasurementsLength in centimetersUpper Bout MeasurementsLength in centimetersMiddle Bout MeasurementsLength in centimetersLower Bout MeasurementsLength in centimetersString Stop MeasurementsDistance in metric units of centimeters from edge of top (next to the neck) to the inner nick of the F-holeLength of Stick MeasurementsLength in centimetersWeight MeasurementsMeasurement in grams Additional MeasurementsMeasurement TypeLength in centimeters Narrative This may include the maker's biography, instrument history, and additional information.Picture of Maker Instrument Images Drop files here or High resolution is preferable; we highly recommend that the image size does not exceed 8 MB. Certificates Drop files here or High resolution is preferable; we highly recommend that the file size does not exceed 5 MB.Press Drop files here or We highly recommend that the file size does not exceed 5 MB. Press and Reference LinksFile TitleLink For the links to be uploaded to your instrument, please include a titleMedia Links (Photo/Video/Audio)File TitleLink e.g. Lena Yokoyama at the Villa Reale di Monza https://www.youtube.com/watch?t=890&v=wsvt2crouL8&feature=youtu.be, etc.Other Drop files here or Upload additional instrument files. High resolution is preferable; we highly recommend that the file size does not exceed 5 MB. Additional Comments Instrument Registration Consent* As agreed upon in my CCI IMIR™ CPR Terms and Conditions, I consent to CCI IMIR™ to upload this instrument.Copyright* I confirm that I either own the media that I have provided or that I have permission to use the media in this manner.CAPTCHA Δ