Please Read the Cover Letter Before You Fill in the Form

Please Read the Cover Letter Before You Fill in the Form

ApplicationformforexpeditionsinGreenland

Send the completed form to:
Danish Polar Center
Strandgade 102

DK-1401 Copenhagen K, Denmark

/ Phone: +45 3288 0100
Fax: +45 3288 0101
E-mail: or

Please read the “Cover letter” before you fill in the form

Reserved for the Danish Polar Center

General information

Sportexpedition / x
/ Scientific
expedition / x / Cruiseship
Date of arrival in Greenland / Date of departure from Greenland
April 05, 2010 / May`12, 2010
Titleofexpedition
Greenland crossing sport and scientific expedition devoted to 150th annivesary of Fritjof Nansen birth
Numberofparticipants / Nameofexpeditionleader
5 persons
/ AndreyKorolev
Addressofexpeditionleader
DruzhbyStreeet 16-58, Perm, Russia, 614070
Citizenship / Dateofbirth
RussianFederation / June, 02, 1976
Phone / Fax
+7902 80 64 970 / +7 (342) 2 396 354
E-mail

Name, address and contact information of contact in home country during the expedition
Shafranskaya Natalia,
AnriBarbiussa Street, 60-92, Perm, Russia
Phone: +7912884 58 38
Have you applied for a permit before? / Yes /
/ No / x
Will the expedition need access to the National Park? / Yes /
/ No / x
If yes, cf. Cover Letter and Firearm Licence Form
Activity area in Greenland(Indicate local geographical longitude and latitude of boundaries and base camp locations. Encloseamap – preferablyinscale 1 : 250.000 – withtheinformation)
Kulusuk – Tasiilaq – Sermelik Fjord – Johan Petersen Fjord (N 65° 58'01 . 26"
W 38° 18'33 . 89") – Ice cap ascent - Mont Forel (N 66° 53'00 . 64" W 36° 44'26 . 28"; NW face N 66° 55'05 . 46" W 37° 09'32 . 69") – Ice cap crossing along 67’ latitude - Descent: - ice camp above the beginning of descent (N 67° 08' 27,19"; W 49° 59' 05,09") - Marked route (N 67° 08' 46,47"; W 50° 03' 08,11") - Ice road (N 67° 08' 55,94"; W 50° 05' 28,87") - Kangerlussuaq
No base camps
See map attached
Which radio equipment will be used in Greenland apart from PLB, which is compulsory?
Satellite PhoneTelit Sat 550 Globalstar
Description of expedition objectives in Greenland(max. 100 words in English)
Scientific objective is to investigate an anthropological influence to the nature of Greenland including the uninhabited areas.
Sport objective is to cross Greenland and to devote this crossing to 150th anniversary of Fritjof Nansen birth.

Logistics

Means of transportation to and from the activity area
Rejkjavik – Kulusuk by airplane (Icelandaire)Kulusuk – Tasiilaq by scheduled helicopter
Further by ski up to Tiniteqilaq. Than if iceconditions on the Sermilik fjord allow, by boat to the Johan Petersen fjord iceedge.
From here by ski up to the Icecap.
Than by ski up to Kangerlussuaq.
Further flight by Air Greenland to Narsarsuaq and further to Rejkjavik.
Will you be bringing firearms? / Yes / No / x
If yes, you will need a Firearm Licence
Doyouplanairdrops? / Yes / No / x
If you plan airdrop(s), state locality / localities
Access to the below locations will be required (check appropriate)
ThuleAirBase / StationNord / Daneborg / Mestersvig
Name and address of any local contact in Greenland
Tuning Expedition SERVICE Greenland
DK 3913 TASIILAQ B 1025 Postboks 81
Robert Peroni, e-mail:
Description of emergency, safety and general equipment to be used
List of group equipment
  1. Tentfor 6 persons, two layered, frames – 1 unit
  2. Multifuel torches – 2 units
  3. Kettle for 5 liters – 2 units
  4. Small saw for snow wall construction – 1 unit
  5. Shovel for snow wall construction – 1 unit
  6. Ice-axe – 2 units
  7. Repair set – 1 unit
  8. The first-aid set– 1 unit
  9. Camera – 3 units
  10. Video camera – 1 unit
  11. Sets of batteries
List of personal equipment
  1. Touristrug – 1 unit
  2. Backpack for 120 liters – 1 unit
  3. Dragharrowsledge - 1 unit
  4. Touristskis "Beskids" –1 pair
  5. Skisticks– 1 pair
  6. Safetysystem – 1 unit
  7. Climbing carbine – 3 units
  8. The elevating device – 1 unit(to lift from a crevasse)
  9. To go down device – 1 unit (to descent on a rope)
  10. Rope6 mm, 6 m – 1 unit
  11. Crampons – 1 pair
  12. Ice hook – 1 unit
  13. Sun glasses – 1 unit
  14. Sleepingbag (for - 30 degrees below zero) – 1 unit
  15. Set of wind-shelter clothes – 1unit
  16. Set of warm clothes – 2 units
  17. Warm jacket for -30 degrees – 1 unit
  18. Warm vest – 1 unit
  19. Avalanche tape, 15-20 m – 1 unit
  20. Warm external boot socks – 1pair
  21. Warmbootsforskis – 1pair
  22. Toilet accessories
  23. Kitchen utensils
  24. Forehead flash-light – 1 unit
Special safety equipment
  1. SatellitePhoneGlobalstar, Telit 550 – 1 unit
  2. GPS – 2 units
  3. Radio stations for communication in the group – 3 units
  4. Rope, 50 mlong, 1 smthick, topasscrevasses
  5. Additional rope, 50 m long, 6 mm thick
  6. Compass – 3 units

See also separate list. Report any change before departure for Greenland.

By my signature below I confirm

that all participants in the expedition will be made aware of the contents of “Information and stipulations” and further that the information submitted in this application form can be made public.

Placeanddate
December 28, 2009 / Signatureofresponsibleleader

Titleofexpedition
Greenland crossing sport and scientific expedition devoted to 150th annivesary of Fritjof Nansen birth

Compulsory information about participants

1st participant – group leader.

  1. NAME _AndreyKorolev______

ADDRESS _Druzhby Street, 16-58, Perm, Russia, 614070

E-MAIL ______

TELEPHONE _+ 7902 80 64 970______

DATE OF BIRTH_June, 02, 1976______

  1. ANY KNOWN MEDICAL CONDITIONS, HANDICAP OR ALLERGIES

Healthy, no special medical conditions, handicap or allergies

  1. DETAILS OF ANY MEDICATIONS

No

2nd participant.

  1. NAME _Igor Mokhov______

ADDRESS Kosmonavtov Avenue, 72-43, Perm, Russia, 614000

E-MAIL _ _No______

TELEPHONE _+ 7951_93 11 805______

DATE OF BIRTH_October, 15, 1964______

  1. ANY KNOWN MEDICAL CONDITIONS, HANDICAP OR ALLERGIES

Healthy, no special medical conditions, handicap or allergies

  1. DETAILS OF ANY MEDICATIONS

No

3rd participant.

  1. NAME _Igor Ponomarev______

ADDRESS Podolskaya Street, 35 -28,Perm, Russia, 614000

E-MAIL _ _No______

TELEPHONE _+ 7902 83 61 708______

DATE OF BIRTH_September, 23, 1980______

  1. ANY KNOWN MEDICAL CONDITIONS, HANDICAP OR ALLERGIES

Healthy, no special medical conditions, handicap or allergies

  1. DETAILS OF ANY MEDICATIONS

No

4th participant.

  1. NAME _Alexander Rande______

ADDRESS PushkarskayaStreet, 86a - 43,Perm, Russia, 614000

E-MAIL _ ______

TELEPHONE _+ 7902 64 71 465______

DATE OF BIRTH_February, 28, 1985______

  1. ANY KNOWN MEDICAL CONDITIONS, HANDICAP OR ALLERGIES

Healthy, no special medical conditions, handicap or allergies

  1. DETAILS OF ANY MEDICATIONS

No

5th participant.

  1. NAME _RafaelSharafutdinov ______

ADDRESS Dzirciemaiela, 21-63,Riga,Latvia

E-MAIL _ ______

TELEPHONE _+ 371 22 0669 35______

DATE OF BIRTH_June 28, 1973______

  1. ANY KNOWN MEDICAL CONDITIONS, HANDICAP OR ALLERGIES

Healthy, no special medical conditions, handicap or allergies

  1. DETAILS OF ANY MEDICATIONS

No

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