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ANNEX IX

PART IPort State control forms

PORT STATE CONTROL FORM — PSC 1

PART A: To be completed by the Master of the Vessel. Please use black ink
Name of Vessel:IMO NumberaRadio Call SignFlag State:
Email Address:Telephone Number:Fax Number:Inmarsat Number:
Port of Landing or Transhipment:Estimated Time of Arrival:
Date:Time UTC:
Total catch on board – all areasCatch to be landedb
SpeciescProductdArea of catchConversion factorProduct weight (kg)Product weight (kg)

NEAFC CA

(ICES subareas and divisions)

NAFO RAOther areas
PART B: For official use only — to be completed by the Flag State
The Flag State of the vessel must respond to the following questions by marking in the box ‘Yes’ or ‘No’NEAFC CANAFO RA
YesNoYesNo
a)

The fishing vessel declared to have caught the fish had sufficient quota for the species declared

b)

The quantities on board have been duly reported and taken into account for the calculation of any catch or effort limitations that may be applicable

c)

The fishing vessel declared to have caught the fish had authorisation to fish in the area declared

d)

The presence of the fishing vessel in the area of catch declared has been verified according to VMS data

Flag State confirmation:

I confirm that the above information is complete, true and correct to the best of my knowledge and belief.

Name and Title:Date:Signature:Official Stamp:
PART C: For official use only — to be completed by the Port State
a

Fishing vessels not assigned an IMO number shall provide their external registration number

b

If necessary an additional form or forms shall be used

c

FAO Species Codes — NEAFC Annex V — NAFO Annex II

d

Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex XX (C)

Name of Port State:Authorisation:Date:Signature:Official Stamp:

Yes: …

No: …

PORT STATE CONTROL FORM — PSC 2

PART A: To be completed by the Master of the Vessel. A separate form shall be completed for each donor vessel. Please use black ink
a

Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex XX (C)

Name of Vessel:IMO NumberbRadio Call Sign:Flag State:
Email Address:Telephone Number:Fax Number:Inmarsat Number:
Port of Landing or Transhipment:Estimated Time of Arrival:
DateTime UTC:
Catch Information for Donor Vesselsa
Name of Vessel:IMO NumberbSignFlag State
Total catch on board — all areasCatch to be landedc
SpeciesdProductaArea of catchConversion factorProduct weight (kg)Product weight (kg)

NEAFC CA

(ICES subareas and divisions)

NAFO RA

(Sub Division)

Other areas
PART B: For official use only — to be completed by the Flag State
The Flag State of the vessel must respond to the following questions by marking in the ‘Yes’ or ‘No’NEAFC CANAFO RA
YesNoYesNo
a)

The fishing vessel declared to have caught the fish had sufficient quota for the species declared

b)

The quantities on board have been duly reported and taken into account for the calculation of any catch or effort limitations that may be applicable

c)

The fishing vessel declared to have caught the fish had authorisation to fish in the area declared

d)

The presence of the fishing vessel in the area of catch declared has been verified according to VMS data

Flag State confirmation:

I confirm that the above information is complete, true and correct to the best of my knowledge and belief.

Name and Title:Date:Signature:Official Stamp:
PART C: For official use only — to be completed by the Port State
a

A separate form shall be completed for each Donor Vessel

b

Fishing vessels not assigned an IMO number shall provide their external registration number

c

If necessary an additional form or forms shall be used

d

FAO Species Codes — NEAFC Annex V — NAFO Annex II

e

Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex XX (C)

Name of Port State:Authorisation:Date:Signature:Official Stamp:

Yes:…

No:…