CREW PROFILE FORM
Thank you for joining our team! As you will soon be boarding the Sea Dragon we need some information from you for a smooth voyage.
CONTACT DETAILS
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Address Line 1
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Address Line 2
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City
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State/County
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Trip
Select your voyage
Column 1
Row 1
Zip/Post Code
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Country
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Email
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Phone Number
No formatting please! For example: 19204121234
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Payment Currency (for crew who will not pay in USD)
What currency can you pay? (ie what currency does your bank use)
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Are you using World First to make your payment to us?
If so, please can you email info@panexplore.com a photo of your passport?
Are you using World First to make your payment to us?
If so, please can you email info@panexplore.com proof of your address - a utility bill, paper bank statement, or something originating from the local or country government
How did you find out about Pangaea Exploration / this expedition?
Please be as specific as possible
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Passport Details
Full Name as written on passport (first, middle, given/last name/surname)
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Passport Number
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Passport Reference Number
This is the number found on the bottom of your passport and is different from your passport number.
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Nationality
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Date of Birth
Format: dd-Mmm-yyyy For Example: 22-Jan-1985
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Date of Issue
Format: dd-Mmm-yyyy For Example: 22-Jan-1985
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Date of Expiry
Format: dd-Mmm-yyyy For Example: 22-Jan-1985
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Sex
Emergency Contact/Next of Kin
Name
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Relationship
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Home Phone Number
No formatting please! For example: 19204121234
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Mobile Phone Number
No formatting please! For example: 19204121234
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Email Address
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Travel Details
Arrival date and time
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Departure Date
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Please check if you require visas for departure and/or arrival ports
(if yes) Approved visa number
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Practical Information
Dietary requirements and food allergies
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Maritime training/experience (if any)
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Medical Conditions
Please remember offshore sailing can be a strenuous activity and you will be a long way (many days) from medical help. There is a separate comprehensive medical history form to fill out but please use this box to tell us if there is an ongoing health concern we should discuss beforehand. Thanks.
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Can you swim?
PUBLIC PROFILE
This information will be distributed to the team and posted on the Pangaea Exploration website
Background and area of expertise
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Goals and aims for the expedition
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SEND US A PICTURE OF YOU
As soon as you submit this form please send a head and shoulders photo of yourself to anita@panexplore.com
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