Both side of the copy stamp shall be' used. Not more than 175 words may be written on the fir.st (embose) page of the C?py stamp paper and the copying fee for this page shall be Re. 1. Not more than Z5D words may be written on the reverse side of the copy stamp paper.
Fee for copying on this side shall be Re. 1 if the number of words written exceeds 175. Where the reverse side of the copy stamp paper is used adhesive court-fee stamp of the appropriate value shall be affixed at the top right hand corner of the side and space shall be left at the top left hand cor~er for the endorsement of .the copyist.
270 LA GAZETTE DE L'ETAT <Cost 0.( Application form.-13.
. . for registration of crafts /ApplIcatIOn .
allied industries.
Application for ~ licence for fishing in the sea.
Application for the issue of ~·uplic.ate licence or Certificate of Registranon.
Form - VI Application for change of notified place of berth or anchoring .
Form - I Form - III Form - V Price <in rupees 10 5 5 5 .FORM-I APPLICATION FOR REGISTRATION [See rule 3(1) of the Puducherry Marine Fishing Regulation Rules, 2009] •
1. Name of the applicant
2. Father's name
3. Age .. .
4. Permanent address
5. Type of fishing vessel for which registration is required. ~lechanised Motorised Country Craft Non-wlotorised Country Crafts.
1 ·\!H ·111 I.A GAZETTE JJE L'ETAT 271--- ....... _ ...: .. _ - - --- ~tatt'rial Steel/wooden/Fibre Glass/ Ferro Cement/Aluminium!
Plywood.
L tl&lh overall Drau~ht....
I Length of catamaran Engine make Horse power Whether provided with winch
7. Application fee paid and receipt No .: :
8. Re z ion in which the registration is~ .
required.
9. Port where the fishing vessel would be berthed or anchored.
J, .. -- / hereby deulure that the in f I)t tr.a ri0n fu rn J:; h e dab 0yea ret rue tot h c be s t 0 f' my k 1\ 0w 1e d ge and be lief.
S ig nut II rt'/II,III1,b ~i"'/,,.(',\'.\'ltl,, (1/ tlut tlfJIJli,·tlflt.Ot=.r.e :
- _ ~~ __!Ll_:A~G~A!:_Z~ET~T~E~D~E~L::_:'E=-T=-f\_T --:-[PART-lI ~72 FORM - 11 CERTIFICATE OF REGISTRATION.
M'lrine Fishing RegulatIon Rules, 2009) [See rule 3(2) of the puducherry ~ « .
Name of the owner of the fishing
1.
ve s se l
2. Father's name
3. Age
4. Permanent address ,
5. Type of fishing vessel for which registration is required.1 Me chan ised Motorised Country Craft Non-Motorised Country Crafts.
6. Specification of the fishing vessel -.
Material Steel/Wooden/Fibre Glass/ Ferro Cement! Aluminium!
Plywood.
Length overall Beam Draught Length of catamaran Engine make Horse power " Whether provided With winch
7. Application fee paid and recr . •l:Clpt N0, I ' • , '
PART-II] LA GAZETTE DE L'ETAT 273
8. Region in which the re g istr ation is made.
9. Port where the fishing vessel is to be berthed or anchored.
10. Registration num be r II. Date of registration
12. Office seal of the registering authority :
Office seal Signature and designation of the Registering Authority.
FORM - III (Two Passport size photos to be attached) APPLICATION FOR A LICENCE FOR FISHING IN THE SEA [See rule 4(1) of the Puducherry Marine Fishing Regulation Rules, 2009]
1. Registration number and the date
2. Name of the applicant,
3. Father's name • 4. Age
5. Permanent address \ ".
6. Type of fishing vessel for which licence is required.
7. Licence fee paid with remittance details
8. Period for which licence is required
9. Port where the fishing vessel would be .. berthed or anchored.
:.27~4~ =-LA~G..:_A__Z_E_T1_'_E_D_E_L_' F._: T_J\_T -::_[P A~T-II 1, , here by dec lare that the information Iut nished above are true to the best of my knowledge' and helief.
Place: Signature/thumb-impreSSion of the applicant.Date:
FORM - IV LICENCE FOR FlSHING IN THE SEA Licence No.Passport size photo [See rule 4(2) of the Puducherry'Marine Fishing Regulation Rules, 2009]
1. Registration No. and date
2. Name of the licensee
3. Father's name
4. Age'
5. Permanent address
6., . Type of fishing vessel for which licence '.
is issued.
7. Period for which licence is issued
8. Port where the fishing vessel is permitted:
to be berthed or anchored.
9. Area of operation Place:
Date :
Signature of the Authorised Officer.
Designation: .
Office seal •
PART-II) LA GAZETTE DE L'ETAT 275 DECLARATION L '" , hereby agree to obey all conditions spe .i tie d in the. licence and 1 bind myself to forfeit to the Government the ~1I1l1 of Rs . .s00 in case of breach of any of the conditions of the Ii .ence.
Signature/thumb-impression' of the Licensee.
Conditions of the licence
(1) This licence is subject to the provisions of the Puducherry Ia ri ne Fishing Regulation Act, 2008, the rules made thereunder.
2) The licence shall be pro.duced on demand by the authorised officer or by any person' speciaJJy authorised by him in this behalf.
(3) The person In charge of the mechanised fishing vessel shall obtain a token from the authorised officer before such mechanised fishing vessel leave the notified place of berth or anchoring and shall hand over the said token on return to the said noti fied place of berth or anchoring.
(4) This licence is valid up to : .
FORM - V APPLICA'l'10N FOR THE ISSUE OF DUPLICATE LICENCE OR CERTJf'ICATE OF REGISTRATION (See ruie 5 of the Puduche rry Marine Fishing Regulation Rules, 2009) .'
1. Name. uf the applicant
2. Father's flume
3. Present ad dr ess LA GAZETTE DE L'ETAT ~27~6~ ------~~~~~--~~~~-----~A~~11 d date of the licence or ~ 4 Nlltn[lCr on ," r . . T " tc for which du p reater('gl~ll anon cern 1(;(' is ,ought Ior Rea, on for applying for the is~u,e of
5. '. o'SIl"ltion certificate.du] lir ate licence 01 regis < Place: . .
Sie na ture/thumb-impression of the applicant ..
Period for which the original licence or6.
registration certificate is valid.
7. Details of the fee paid I hereby declare that the information furnished above are true to the best of my knowledge and belief. I agree to obey the orders of the authorised officer and abide by the provisions of the Puducherry Marine Fishing Regulation Act, 2008.
I also a gr ee to return the duplicate licence/cert~ficate of registration if the original is traced.
Date:
FORM - VI APPLICATION FOR CHANGE OF NOTIFIED PLACE OF BERTH OR ANCHORING (See rule 7. of the Puducherry Marine Fishing Regulation Rules, 2009)
1. Registration number and date
2. Licence number and dale
3. Name of the applicant
PART-II] LA GAZETTE DE L'ETAT 277
4. Father's name 5 A c e• b . "
6. Permanent address
7. Present notified place of berth/anchoring
8. Pr e s en l speci fied area of fish ing
9. Proposed place of berth/anchoring to which the mechanised fishing vessel is to be shifted. .
10. Proposed specified area of fishing Place: Signature/thumb-impression of the applicant.
Date .
FORM - VII , ' [See rule 8(1) of the Puducherry Marine Fishing Regulation Rules, 2009:]
I
1. . Registration number ~ 2. Licence number and date
3. Return for the quarter ending
4. Details of the fishing vessel-
5. Port from which the boat was operated
6. Total number of days of fishing
7. Type of fishing conducted-
(i) Trawl
(ii) Gill net l 1 . , E'fTE DE· A.L~'E:..·:T:_~_T [Pl\fn-llLAGAZ . _ - -~ ~27r_::_8_~ -
(iii) purse seine (.1\1) Boat seine (v ) Long line . f fish landedS. Total quantIty 0 .c , t'es landed9. Important vane 1 ,
10. Fuel consumption-
(i) Diesel
(ii) Oil
11. Total revenue realised
12. Berthing charges paid '"
13. Wharfage paid
14. Value of ice used for the quarter
15. Wages to crew....
16. Repair char ges-e-
(i) For boat
(ii) For nets
17. Insurance amount remitted and cove~'age paid.
18. Cost of any 'new nets purchased
19. If the vessel had been idle, the reason:
for keeping it idle.
h .' . '. '. " -hedI, , ereby declare that the particulars tUfms above are true to the best of my knowledge and belief.
Place: Signature of the owner of the vessel.Date:
iif' )'s P i\RT-lJ] LA GAZETTE DE L'ETAT 279 FORM - YIn APPLICATION FOR REGISTRATION OF BOAT BUILDING YARD. ICE FACTORY,' PROCESSING PLANT, OR OTHER INDlISTRIES RELATED TO FISIIERIES [See rule 3(5) of the Puduchcrry Marine Fishing Regulation Rules, 2009] To Joint/Deputy! Assistant Director of Fisheries and Fishermen Welfare, Registration Office.
L'We hereby request you to register my/our fishery related industry. The particulars thereof are given below' :__
1. ,Name(s) and address(es) of the ownerjs) . _ of the industry.
2. Details of the industry-
(i) Boat Building Yard
(ii) Pro cess ing Plant _ .
(iii) Ice Factory
(iv) .Any other " '
3. Location where the industry is situated
4. Unit cost of factory/industry
5. Yearly production capacity
6. Particulars of payment of registration fees I1We hereby declare that I1we am/are aware of the provisions of the Puducherry Marine Fishing Regulation Act, 2008 and the rules made thereunder and that I/we shall abide by the terms and, conditions of the licence granted.
Place:
, Signature of the' app/icant(s).
Date : Name:
LA GAZETTE DE L'ETAT FOR~ -IX . Certificate of .
RegistratIOn .
Registration No.
1. Name of applicant(s) '.
2. Address(es)
3. Place and location of the industry /tactory , This registration certificate is issued to the provisions made in the Puducherry Marine Fishing Regulation Act, 2008 and Rules.
Any modification or diversions or di versification of activity shall be carried out with prior permission of the Rez istration Officer.. e Place: (Signature) Name and designation of the Licensing Officer.
Date Seal of Office