Mechanical Office

Location:

Posted:

December 11, 2012

For Office Use:

Approved/Declined

HORIZON YACHT CHARTERS LTD

By ..

PO BOX 68, Jolly Harbour Marina, Antigua, West Indies

E-mail: *******@*****.**

SAILING EXPERIENCE RESUME

Please complete this sailing resume. It will advise us of your skippering ability and basic seamanship skills, so please ensure you

provide us with as much information as you can. Please DO NOT leave any questions blank.

Charter Dates (mm/dd/yy): from to Vessel

Flight Number, Airline & Time Date of Arrival

Name Date of Birth Nationality

Address City

State/County Zip Code Country

E- mail Occupation

Home Tel # Fax # Office Tel #

How many years as a cruising skipper (fully responsible for crew and vessel) yrs

On average, how many days a year do you sail?

Type of Boat Sailed Position Owned, Chartered or Other Location Dates

(make and length) (skipper or crew) (if Other, please explain) (including charter company

name if applicable)

Have you done any of the following on a vessel over 30ft in the last 2 years (please tick appropriate):

q Sailed on to a Mooring q Sailed in winds 25 Knots+

q Anchored

q MoB (under sail) q Docked stern to q Reefed a mainsail

q Estimated a Position q 3 Point Fix q Dead Reckoned

PLEASE LIST EACH PERSON IN YOUR PARTY (Please use separate sheet if necessary)

Contact Information Proposed Position

Name Age Sailing Experience

(Email, Telephone or Address) (First Mate, Crew etc.)

Have you had any marine claims in the past 5 years ? If so, please explain:

Are you competent to deal with basic mechanical tasks, such as checking oil and monitoring engine

performance and temperature? Yes/ No

ARE YOU COMPETENT & CONFIDENT TO SAIL THIS YACHT? Yes / No

I hereby declare that the information given above is true and accurate.

Signed by skipper Date (mm/dd/yy) ..

Please enclose photocopies of your sailing qualifications such as RYA, ASA or any other sailing

certificates you may have.