Name of yacht          
 Flag                   
 Port of registry       
 Registration number    
 Shipyard               
 Year of building       
 Gross / Net tonnage    
 Maximum Length          Feet    Meters
 Beam                    Feet    Meters
 Maximum Draft           Feet    Meters
 Hull color             
 Engines:           HP    Speed 
 Owner                  
 Nationality            
 
 Mailing Address
 
 
 Office phone           
 Office Fax             
 Office Email           
 Web site               
 Satcom phone           
 Satcom fax             
 Yacht Email            
 Other                  
 
 Number of crew             Passengers   
 
 Origin of trip (List all ports 3 month back before French Polynesia)
 
 First port of arrival in FP       Date 
 Other islands visited in FP before arrival in Papeete
 
 Date of arrival in Papeete       
 Time at the pass                 
 Next foreign port                
 Expected departure date          
 
 Requirements  (Electricity, water, fuel, shore lines, GSM cards...)
 
  
 Made by       Date