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Vessel Name:
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A-Z 0-9 Only
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| Vessel Type:
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Radio Call Sign:
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A-Z 0-9 Only
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| MMSI:
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9 Digit Code Required |
| IMO Number:
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A-Z 0-9 Only
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| Country of Registration:
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A-Z Only
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| Home Port:
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A-Z 0-9 Only
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| Registration No:
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A-Z 0-9 Only
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| Length (in feet):
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Whole Numbers Only, decimals not required
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| Draft (in feet):
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Whole Numbers Only
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| Hull Colour:
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| Trim Colour:
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| Liferaft Manufacturer:
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A-Z 0-9 Only
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| Liferaft Capacity:
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Numbers Only
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| EPIRB Type:
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| Beacon ID: (15 hex Code) |
15 Digit Hex Code Required |
| PLBS:
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| VHF DSC:
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| SSB:
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| AIS:
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| Total People on Board:
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Number only
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| Satellite Tel:
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A-Z 0-9 Only
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| Vessel Email Address:
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An Email address is required
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| Last Port of Call:
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A-Z 0-9 Only
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| Expected Departure from Last Port: |
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| Expected Arrival in Bermuda: |
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| Expected Departure from Bermuda: |
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| Next Port (After Bermuda): |
A-Z 0-9 Only
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| Emergency Contact ashore name: |
A-Z 0-9 Only
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| Emergency Contact ashore Tel: |
A-Z 0-9 Only
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| Emergency Contact ashore Email: |
An Email address is required
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| Has vessel applied to be an America's Cup Race Spectator:
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| Is intention for vessel to charter while in Bermuda:
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| Pre-approved Yacht Reporting Clearance Centre (Customs):
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| Berthing / Anchor Location: |
A-Z 0-9 Only
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| Have you completed the Bermuda Pre-arrival Health declaration form:
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| Arrival as part of Yacht Race Event:
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| Race Name: |
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| Local agent appointed:
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| Name of local agent: |
A-Z 0-9 Only
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| Contact number of local agent: |
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| Do you have approach charts of Bermuda waters on-board:
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| Fire arms (Please note that flare and spear guns are illegal in Bermuda):
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| Any plants on-board:
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| Any animals on-board:
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| Cellular / Radio / Internet Repeater system on-board:
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| Crew Name-Nationality-DOB: |
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| Remarks: |
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Submit Visit Data
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