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PART A: To be completed by the Master of the Vessel. Please use black ink | |||||||||
Name of Vessel: | IMO Numbera | Radio Call Sign | Flag 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 areas | Catch to be landedb | ||||||||
Speciesc | Productd | Area of catch | Conversion factor | Product weight (kg) | Product weight (kg) | ||||
NEAFC CA (ICES subareas and divisions) | NAFO RA | 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 box ‘Yes’ or ‘No’ | NEAFC CA | NAFO RA | |||||
Yes | No | Yes | No | ||||
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: … |
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 Numberb | Radio Call Sign: | Flag State: | ||||||||||
Email Address: | Telephone Number: | Fax Number: | Inmarsat Number: | ||||||||||
Port of Landing or Transhipment: | Estimated Time of Arrival: | ||||||||||||
Date | Time UTC: | ||||||||||||
Catch Information for Donor Vesselsa | |||||||||||||
Name of Vessel: | IMO Numberb | Sign | Flag State | ||||||||||
Total catch on board — all areas | Catch to be landedc | ||||||||||||
Speciesd | Producta | Area of catch | Conversion factor | Product 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 CA | NAFO RA | |||||
Yes | No | Yes | No | ||||
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:… |