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Crew MLC 2006 Questionnaire

In order that we may be able to assist you in establishing your status under MLC 2006 please answer the following questions accurately. All the answers will remain private and confidential.

Declaration

I understand that Lesia will charge €75 for the service and
that the resulting guidance note does not constitute financial advice

Name

Mobile

Email

Nationality

Yacht Name

Flag State

Position

Salary

In which country is the owning company based

Are you paid by the owning company

Yes No

If No are you paid by a yacht management company

Yes No

If Yes in which country are they based

If No are you paid by an employing company

Yes No

If Yes in which country are they based

In which country was your contract signed

Are you married or living with a long term partner

Yes No

If Yes in which country do they live

Do you have any dependent children

Yes No

If Yes how many do you have

Do they live with you or your partner

Yes No

If No in which country do they live

Do you own or rent a property

Own Rent Neither

If so in which country

Do you pay property taxes

Yes No

If Yes in which country

Do you pay a television licence

Yes No

If Yes in which country

Do you own a vehicle

Yes No

If Yes in which country is it registered

In which year did you last pay income tax

In which country

Have you ever paid National Insurance or Social Security

Yes No

In Yes in which country

Do you have any other information that you feel is relevant in establishing your residence status