DBCYA Darwin to Ambon Yacht Race 2008
Entry Form and C.A.I.T. Application

Before you complete this form, please make sure you have read the Notice of Race (pdf).

Once we have received your entry form, we will email you with details of how to process your entry payment. Refer to item 6 in the Notice of Race with regard to fees.

NB: Fees MUST have been received by the organisers before the documents are sent to Indonesia for processing – no exceptions.

This form contains an application for entry as well a list of requirements for a yacht C.A.I.T (for further information see Item 6 in the Notice of Race).

ALL THE INFORMATION REQUESTED IN THIS DOCUMENT IS REQUIRED IN ORDER TO OBTAIN A CRUISING AUTHORITY FOR INDONESIAN TERRITORY WATERS (C.A.I.T)

CLOSING DATE for receipt of this form and attachments:

1700 hours, Darwin Time 14th June 2008

Late entries will ONLY be accepted if an additional fee of AUD$250.00 is paid to cover the cost of a DHL airbag to ship the C.A.I.T. documents (see Item 5.1 in the Notice of Race) to and from Jakarta Indonesia for processing. The Committee accept no responsibility whatsoever for the non arrival of these, prior to the race.

Your Name
Your Email (you will receive a copy of this completed form)
Yacht name
Previous Yacht Name
Identifying Sail Numbers
Please indicate the category you wish to enter (each entrant may only race in one category)
If your Yacht has a current or past handicap, indicate the category and enter the handicap. (please note that Racing Mono’s will require a IRC rating and Racing Multi’s a Offshore Multihull Rule (OMR rating)

YACHT OWNERSHIP AND CHARTER ARRANGEMENT DETAILS

Owner’s Name
Is the yacht being chartered YES NO
If YES enter Charterer details below. If NO, enter Owner’s details below
Name
Home phone Mobile / Cell
Facsimile Email
Street address Suburb / City
State Postcode Country

YACHT REPRESENTATIVE (for correspondence/communication, if different from above)
Name
Home phone Mobile / Cell
Facsimile Email
Street address Suburb / City
State Postcode Country

YACHT DETAILS
Please provide all measurements in METRIC UNITS. See below for how to convert.

METERS = FEET x 0.3048
SQUARE METERS = SQUARE FEET x 0.0929
TONNES = TONS x 1.102
Length Overall (LOA)
Length Water Line (LWL)
Builder
Beam
 Year Built
 Year Launched
Draft
 Displacement (weight)
 Hull Material
One Design Class (If applicable)
 Designer
 Hull Colour
Deck Colour
 Rig Type
Home Port
 Country of Registration
 Registration Number
Boat telephone (Satphone/CDMA/GSM)
 Yacht Club
 Engine Type and H.P
Fuel Capacity
 Range with Full Tanks
 Propeller Type eg. Rigid, Folding
EQUIPMENT
Radio Equipment (HF SSB)
Type
 Rated Output
 Frequencies
 Radio Call Sign
Radio Equipment (VHF)
Type
 Rated Output
 Frequencies
 Radio Call Sign
Radio Equipment (Other)
Type
 Rated Output
 Frequencies
 Radio Call Sign
EPIRB (406 MHz)
ID Number
 Manufacturer

RACING or CRUISING HISTORY (please give details and include best result or any results

 

CREW EXPERIENCE DECLARATION FORM

(Provide details of the most experienced of the crew)

Example:
Sydney Hobart Yacht Race - 2003, 2004, 2005 Watch Captain
Sydney to Mooloolaba Yacht Race - 1999, 2002 Navigator
Sydney Gold Coast Yacht Race - 2000, 2003 Helmsman
Gosford to Lord Howe Race - 1998 Navigator

CAPTAIN AND EACH CREW MEMBER PASSPORT MUST BE VALID UNTIL AT LEAST 01 FEBRUARY 2009 (Indonesia requires 6 months remaining on your Passport beyond the date of travel)

Maximum number of crew
Captain's Name
 Age
List ocean racing experience as per example above as well as any other relevant information.
Passport Number
 Where Issued
 Nationality
Expiry Date
 Next of Kin
 Relationship
Contact Phone Number
 Please indicate TShirt size

 

Please enclose AUD$50.00 with entry fee FOR EACH T-SHIRT ORDERED)

 
Crew Member 1 : Name
 Age
List ocean racing experience as per example above as well as any other relevant information.
Passport Number
 Where Issued
 Nationality
Expiry Date
 Next of Kin
 Relationship
Contact Phone Number
 Please indicate TShirt size
Crew Member 2 : Name
 Age
List ocean racing experience as per example above as well as any other relevant information.
Passport Number
 Where Issued
 Nationality
Expiry Date
 Next of Kin
 Relationship
Contact Phone Number
 Please indicate TShirt size

no more crew? please move to next question
Crew Member 3 : Name
 Age
List ocean racing experience as per example above as well as any other relevant information.
Passport Number
 Where Issued
 Nationality
Expiry Date
 Next of Kin
 Relationship
Contact Phone Number
 Please indicate TShirt size
Crew Member 4 : Name
 Age
List ocean racing experience as per example above as well as any other relevant information.
Passport Number
 Where Issued
 Nationality
Expiry Date
 Next of Kin
 Relationship
Contact Phone Number
 Please indicate TShirt size


no more crew? please move to next question
Crew Member 5 : Name
 Age
List ocean racing experience as per example above as well as any other relevant information.
Passport Number
 Where Issued
 Nationality
Expiry Date
 Next of Kin
 Relationship
Contact Phone Number
 Please indicate TShirt size
Crew Member 6 : Name
 Age
List ocean racing experience as per example above as well as any other relevant information.
Passport Number
 Where Issued
 Nationality
Expiry Date
 Next of Kin
 Relationship
Contact Phone Number
 Please indicate TShirt size

no more crew? please move to next question
Crew Member 7 : Name
 Age
List ocean racing experience as per example above as well as any other relevant information.
Passport Number
 Where Issued
 Nationality
Expiry Date
 Next of Kin
 Relationship
Contact Phone Number
 Please indicate TShirt size
Crew Member 8 : Name
 Age
List ocean racing experience as per example above as well as any other relevant information.
Passport Number
 Where Issued
 Nationality
Expiry Date
 Next of Kin
 Relationship
Contact Phone Number
 Please indicate TShirt size


no more crew? please move to next question
Crew Member 9 : Name
 Age
List ocean racing experience as per example above as well as any other relevant information.
Passport Number
 Where Issued
 Nationality
Expiry Date
 Next of Kin
 Relationship
Contact Phone Number
 Please indicate TShirt size
Crew Member 10 : Name
 Age
List ocean racing experience as per example above as well as any other relevant information.
Passport Number
 Where Issued
 Nationality
Expiry Date
 Next of Kin
 Relationship
Contact Phone Number
 Please indicate TShirt size
MEDIA CONTACT FOR YACHT (IF NOT THE CAPTAIN)
Name
Home phone Mobile / Cell
Facsimile Email
OTHER MEDIA INFORMATION
Yacht’s profile to appear on website
Captain's best result
Any other information about the boat or the crew that you would like to share with the media?

Can you please tell us how you heard about the DBCYA Darwin to Ambon Yacht Race?
C.A.I.T. REQUIREMENTS (see also "Attachments" below
Yacht's Radio Call Sign
Last Port of call prior to entering Indonesia
First Port of call after leaving Indonesia
List all expected Ports of call in Indonesia

 

Verification - please enter your POSTCODE again

 

ATTACHMENTS

In addition to the above you must also provide us with following information in order to obtain your C.A.I.T.

YOUR C.A.I.T. CANNOT BE ISSUED WITHOUT THEM AND YOU CANNOT SAIL WITHOUT THE C.A.I.T.

  1. Colour photograph of boat and a Passport quality photo of the Captain
  2. Scanned photographs of Captain, Crew and Passengers.
  3. Scanned copies of Captains and Crew Passports (pages showing photo and expiry date)
  4. Scanned copy of ships registration papers – BOTH SIDES

Please email these attachments to us separately at info@darwinambonrace.com.au

Please use appropriate file names for the attachments. For example, photographs of captain and crew should have their names as the file name. Indicate in the body of the email the name of the entered boat.

DECLARATION

By clicking on the submit button, I confirm that the information in this application for entry (or referred to under “Attachments” above with respect to the boat) is correct and up-to-date and acknowledge that this application is made subject to the conditions set out in the Notice of Race.

A copy of your completed entry form will be emailed to you.