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Tourist and non-Governmental Activities in the Antarctic
This information is requested in compliance with Antarctic Treaty Recommendation XVIII-1 and Resolution XIX-3.
Please print this form and fax back to Antarctic Policy Unit, Ministry of Foreign Affairs and Trade on Fax: +64 4 439 8103
Company name:
Contact person:
Company address:
National registration of Company:
International phone:
Total number of Expedition Staff1:
International fax:B: Details of transport and equipment to be used for the Tour / Expedition
(Complete these panels only once if all Tours / Expeditions planned do not vary in their use of transport or equipment: where these vary, complete the panel for every Tour or Expedition)B.1 Vessel / aircraft used for transport to / from Antarctica
Vessel / aircraft registered name:Vessel / aircraft type:
National registration:Vessel / aircraft passenger carrying capacity:
Vessel ice rating (if applicable):Ship Yacht Aircraft
Vessel / aircraft fuel capacityVessel / aircraft fuel type:
Intended use of vessel / aircraftVessel / aircraft call sign:
inmarsat number/fax:Radio frequency:
Captains' / commanders' name(s):Total number of crew2:
| Number and types of aircraft to be used: | Number and types of other vessels or vehicles (e.g. small boats, snowmobiles) to be used: |
| Number Type Use
|
Number Type Use |
1 Staff: Expedition personnel, guides, lecturers, small boat drivers (exclude crew serving these functions).
2 Crew: Vessel’s
captain and officers, helicopter pilots, crew and hotel / catering staff
(exclude Staff, Passengers and Observers).
Arrangements for self-sufficiency and contingency plans, including for medical evacuations and search and rescue in the event of an emergency:
Planned port of embarkation:
Planned date of embarkation:
Planned port of disembarkation:Planned date of disembarkation:
Planned Cruise/Flight number or Voyage Name:Estimated number of Passengers1 to be carried:
Activities to be undertaken and purpose:
Intended itinerary — places to be visited, giving estimated dates:
Signature: Tour / Expedition Organizer
Date: