Yacht Pre-Arrival online Form

Vessel Name:
Vessel Type:
Radio Call Sign:
MMSI:
IMO Number:
Country of Registration:
Home Port:
Registration No:
Length (in feet):
Draft (in feet):
Hull Colour:
Trim Colour:
Liferaft Manufacturer:
Liferaft Capacity:
EPIRB Type:
Beacon ID: (15 hex Code)
PLBS:
VHF DSC:
SSB:
AIS:
Total People on Board:
Satellite Tel:
Vessel Email Address:
Last Port of Call:
Expected Departure from Last Port:
Expected Arrival in Bermuda:
Expected Departure from Bermuda:
Next Port (After Bermuda):
Emergency Contact ashore name:
Emergency Contact ashore Tel:
Emergency Contact ashore Email:
Has vessel applied to be an America's Cup Race Spectator:
Is intention for vessel to charter while in Bermuda:
Pre-approved Yacht Reporting Clearance Centre (Customs):
Berthing / Anchor Location:
Have you completed the Bermuda Pre-arrival Health declaration form:
Arrival as part of Yacht Race Event:
Race Name:
Local agent appointed:
Name of local agent:
Contact number of local agent:
Do you have approach charts of Bermuda waters on-board:
Fire arms (Please note that flare and spear guns are illegal in Bermuda):
Any plants on-board:
Any animals on-board:
Cellular / Radio / Internet Repeater system on-board:
Crew Name-Nationality-DOB:

Remarks:
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