Fishing Vessel Outward Clearance

• Name Of Vessel

• Conducted on

  Date

A: VESSEL VERIFICATION

• Vessel Name

• License No.:

• Vessel Type

  Select PURSE SEINER LONGLINER PRAWN TRAWLER POLE AND LINE MOTHERSHIP REEFER CARRIER SCOUT BOAT OTHER

  • PURSE SEINER
  • LONGLINER
  • PRAWN TRAWLER
  • POLE AND LINE
  • MOTHERSHIP
  • REEFER CARRIER
  • SCOUT BOAT
  • OTHER

• describe

• Foreign or Domestic

  Foreign

  Domestic

• IRCS

• VMS No.:

• Licensed to carry (crew)

• National Crew

• Foreign Crew

• Duration in Port

• Clearance Date

  Date

• Port of Clearance

B: CLEARANCE CHECKLIST

• Date/Time Departing Port

  Date

• Destination

• Fishing Operation

  Select PURSE SEINER LONGLINER PRAWN TRAWLER POLE AND LINE MOTHERSHIP REEFER CARRIER SCOUT BOAT OTHER

  • PURSE SEINER
  • LONGLINER
  • PRAWN TRAWLER
  • POLE AND LINE
  • MOTHERSHIP
  • REEFER CARRIER
  • SCOUT BOAT
  • OTHER

• Specify

• Target Fish Stock

• License Valid Until

  Date

• Total Fish Onboard

• Logbook Reference/Check

• Observer on-board

  YES

  NO

• Full Name

• RFMO or Programme

• Vessel Captain

  Sign

• Photograph of Vessel Captain

  Media

• Nationality

CERTIFICATION

• The Vessel is:

  CLEARED

  NOT CLEARED

• In accordance with the Fisheries Management Act. 1998 section 48 and 49 (No.48 of 1988)
  
  As a Gazetted Fisheries Officer/Inspector with the National Fisheries Authority I do solemnly declare that I have inspected the vessel and I 'am SATISFIED that all necessary requirements have been met.

• FISHERIES INSPECTOR

  Sign

• VESSEL CAPTAIN

  Sign

• In accordance with the Fisheries Management Act. 1998 section 48 and 49 (No.48 of 1988)
  
  As a Gazetted Fisheries Officer/Inspector with the National Fisheries Authority I do solemnly declare that I have inspected the vessel and I 'am NOT SATISFIED that all necessary requirements have been met.

• FISHERIES INSPECTOR

  Sign

• VESSEL CAPTAIN

  Sign

• Comments: