Yachts sailing to Bermuda - Safety and Pre-arrival Questionnaire.
Rescue Co-ordination Centre Bermuda / Bermuda Radio /ZBR
1. Vessel Name
*
2. Radio Callsign
3. MMSI (9 digit)
4. Country of Registry
*
5. Homeport
*
6. Official Registration Number
7. Length
*
8. Hull Colour and Trim
*
9. Sailing Rig (i.e. Sloop, Ketch,etc.)
*
10. Draft
11. Liferaft Manufacturer and Capacity
12. EPIRB Type (Check Box)
406 MHz Auto
406 MHz Manual
13. 406 MHz EPIRB COSPAS-SARSAT ID (Alphanumeric, 15 characters in length)
14. PLB(s)Carried Onboard? Include details in remarks section
YES
NO
15. Equipment
VHF DSC
SSB
AIS
16. Number of Persons Onboard
17. Satellite Telephone Number
18. Email address
19. Last Port of Call before arriving Bermuda
20. Next Port of Call after departing Bermuda
21. Expected Departure date from Last Port of Call before Bermuda
22. Emergency Contact Ashore - Name and Tel. No.
23. Crew List - Name/Nationality/Date of Birth (Day/Month/Year
24. Remarks
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