WILDERNESS SEARCH & RESCUE


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Data

Member's Personnel Data

Please enter your details below: 

Please Note: Submission of this form implies your full acceptance of the principles of, and your commitment to Wilderness Search and Rescue, as well as your willingness to work and cooperate with each and every one of it's members without exception, as tasked by the SAR Manager.

CONTACT DETAILS

Name:
Team, Club Organisation or Agency:
Team Position: (Team leader, training officer, squad leader etc.)
Member Status:
Callsign:
Home Phone:
Work Phone:

Ext: 
Fax:
Cell Phone:
Pager Tel Number:
Pager Code:
Pager Service Provider:
email:

ADDRESS DETAILS

Street 1:

     
Street 2:
Town:
Code:
Postal Address :
Town (postal):
Code (postal):

PERSONAL DETAILS
I.D. No:
Driver's Licence Code:
Sex:
Birth Date:
Date Joined SAR: (Or number of years involved in SAR)
Occupation:

NEXT OF KIN
Name:
Address:
Town:
Code:
Home Phone:
Work Phone:
Cell Phone:

MEDICAL DETAILS
Blood Type:
Medical History:

 
Allergies: (Are you allergic to beestings, penicillin, etc.?)

SKILLS 
(Make selection based on your own assessment of yourself, and not specifically on any qualifications obtained!)
SAR Skills:

Technical Rescue:
Search Management:
ICS:
Medical: Expires:
Communications:
Helicopter:
Caving:
Man Tracking:
Canine Tracking:
4x4 Skills:
Rock Climbing:
Survival Skills:
Swift Water:
Dive Rescue:
Lifesaving:
Urban SAR:
Map Skills:
Navigation Skills:
GPS:
Computer:
CISD:
Firefighting:
Pilot:
Special Skills:
Certificates or Awards: (If relevant to Search & Rescue)
Local Knowledge: (Wilderness areas that you are familiar with.)
 
 
 
Availability for SAR Callouts

Thank you for your time. The information above will help us to better manage WSAR!

 

 

 

 

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