Please complete the following information fields to proceed with your registration…

Position
First Name
Surname
Date of Birth
Licences held

Telephone (land line)
Telephone (mobile)
Email address

Please complete the following details regarding your sailing experience…

Years of Experience

General Experience	Novice Professional
Cooking
Cleaning
Polishing
Special training

Mechanical

Gas
Diesel
Rig
Carpenty
Paint
Varnish
Electrical

Years of Experience

Navigational

GPS
SSB
Celestial Navigation
VHF
Radar
Plotter
Read Charts
Stand Watch
Line Handling

Years of Experience

Maritime Experience

Power
Sail
Cat/Tri
Commercial
Largest size as captain

USA East coast
USA West coast
Mediterranean
Caribbean
South Atlantic
Indian
SA Coastline
Madagascar Channel

Number of Trips

Transatlantic
Transpacific
Circumnavigation

High School		Where?
College		Where?
Trade School		Where?
Majors

Surname
Visas Held
Passport Number
Country of Passport
Languages
Smoker ?	Yes No Occasionally
Drinker ?	Yes No Occasionally

Present or last employer

Position
From		To
Vessel
Size
Type
Employer Name
Address
Telephone
Reason for leaving
Is employer contactable?

Last employer

Position
From		To
Vessel
Size
Type
Employer Name
Address
Telephone
Reason for leaving
Is employer contactable?

Have you ever been convicted?
Details