LICENSE INFORMATION

    License
  • Country

  • License No.

  • License active on

  • License expires on

LICENSING ARRANGEMENT

  • Indicate one of the following license arrangements that applies to the vessel.

  • State the Access Agreement to which the vessel is licensed.

VESSEL MARKINGS

  • 1. Is the PNG No. clearly displayed on both sides and the top of the wheel-house?

  • 2. Does the vessel carry any utility crafts on-board to support her fishing activities?

  • Indicate which of these utility crafts on-board comply with the License Conditions "Marking Requirements".

  • SKIFF

  • DINGHIES

  • HELICOPTER

  • TOW BOAT

  • SPEED BOATS

  • OTHER (specify)

  • Specify

VESSEL SPECIFICATION

  • Vessel Name

  • Vessel type

  • IRCS

  • Registration No.

  • Overall Length (m)

  • Beam (m)

  • Year Built

  • IMO Number

  • Port of Registry

  • Gross Registered Tonnage

  • Moulded Depth (m)

  • Fuel Capacity (klt)

  • WCPFC Number

  • Country of Registration

  • Net Tonnage

  • Engine Power (hp)

  • Cruise Speed (kts)

  • FFA VID

OWNERSHIP & MANAGEMENT DETAILS

  • Registered owner(s) / Vessel Owner(s)

  • Name

  • Address (include both Postal and Location address)
  • Telephone No.

  • Facsimile No.

  • Email

  • Vessel Management Detail / Vessel Operator

  • Name

  • Address (include both Postal and Location address)
  • Telephone No.

  • Facsimile No.

  • Email

  • Vessel's Captain

  • Name (full)

  • Address (include both Postal and Location address)
  • Telephone No.

  • Facsimile No.

  • Email

ELECTRONICS

  • NFA VMS/MTU ONBOARD

  • Make

  • Model

  • System Type

  • Serial Seal

  • Phone No.

  • Fax No.

  • Email

  • Security Seal

  • OTHER VMS/MTU

  • RFMO

  • Make

  • Model

  • System Type

  • Serial Seal

  • Phone No.

  • Fax No.

  • Email

  • Security Seal

  • NAVIGATIONAL

  • Navigational Radar #1

  • Make

  • Model

  • Condition

  • Navigational Radar #2

  • Make

  • Model

  • Condition

  • Bird Radar

  • Make

  • Model

  • Total No.

  • Condition

  • Depth Sounder #1

  • Make

  • Model

  • Condition

  • Depth Sounder #2

  • Make

  • Model

  • Condition

  • Track Plotter

  • Make

  • Model

  • Total No.

  • Condition

  • Radio Beacon Directional Finder

  • Make

  • Model

  • Total No.

  • Condition

  • Radio Buoys - Non Call-Up

  • Make

  • Model

  • Total No.

  • Condition

  • Radio Buoys - Call-Up

  • Make

  • Model

  • Total No.

  • Condition

  • Satellite Buoys

  • Make

  • Model

  • Total No.

  • Condition

  • Remote Echo Sounding Buoys

  • Make

  • Model

  • Total No.

  • Condition

  • Doppler Current Meter

  • Make

  • Model

  • Total No.

  • Condition

  • Sea Surface Temperature Gauge

  • Make

  • Model

  • Total No.

  • Condition

  • Wind Speed/Direction Finder

  • Make

  • Model

  • Total No.

  • Condition

  • Weather Facsimile

  • Make

  • Model

  • Total No.

  • Condition

  • NOAA Weather Facsimile Monitor

  • Make

  • Model

  • Total No.

  • Condition

  • Fixed Binoculars

  • Make

  • Model

  • Total No.

  • Condition

  • Satellite/HF Telex

  • Make

  • Model

  • Total No.

  • Condition

AWARENESS of PNG LICENSING CONDITIONS, REQUIREMENTS and PROHIBITATION

  • 1.License on-board -

  • Is the Original or is a copy of the current license on-board?

  • 2. Crew

  • Vessel licensed to carry a total of;

  • Number of citizens (PNG Nationals)

  • Vessel's crew number at the time of Inspection:

  • 3. License conditions and endorsement - Has the Captain Read and Understood;

  • a) The Conditions at the back of the license?

  • b) The Special Conditions, Prohibited Areas (attachment B)?

  • c) The Endorsement to License (attachment G)?

  • d) The Requirements for Markings?

  • Captain's signature

  • 4. Transhipment - Is the Captain aware that the License conditions require;

  • a) That he as the Captain must request permission to tranship fish or to re-provision 72 hours in advance? (Conditions 5 - Attachment D)

  • b) That once permission has been granted then an Observer of a NFA Fisheries Officer must be onboard the vessel before transhipment or re-provisioning can start?

  • Captain's signature

  • 5. Catch Recording - Does the Captain that he is responsible for ensuring that the catch is recorded;

  • a) Daily on the Logsheet supplied by NFA?

  • b) Using his own or his Fishing Master's best estimate of the catch and of the catch composition?

  • Captain's signature

  • 6. Formal Clearance - Does the Captain know that he must report to port for formal clearance;

  • a) On entering PNG waters before meeting any other vessel?

  • b) Before departing the country, after the last transhipment, re-provisioning or other meeting with any other vessel?

  • Captain's signature

  • Offences and Penalties - Is the Captain aware that;

  • a) Failure to comply with these and any other terms and conditions of the License, National Laws and Regulations may, in addition to any judicial penalties that may be incurred, result in the suspension or loss of the license either temporarily or permanently.

  • b) As Captain of the vessel he will be charged for offences under the Fisheries Management Act if found in breach of any of these conditions.

  • Captain's signature

ACTION TAKEN

  • 1. Major discrepancies identified

  • 2. Corrective actions taken

CERTIFICATION

  • This vessel is;

  • In accordance with section 48 of the Fisheries Management Act, 1998.

    As a Gazetted Fisheries Officer / Inspector with the National Fisheries Authority, I solemnly declare that I have inspected the vessel and I am satisfy that all necessary requirements have been met.

    I carefully and clearly explained the conditions and other requirements of the license to the Captain of the vessel and has indicated that he understood them and will comply.

    The License remains in force until the EXPIRY DATE unless sooner cancelled under the provisions of the Fisheries Management Act, 1998.

  • Dated

  • At the Location
  • License EXPIRY DATE

  • In accordance with section 48 of the Fisheries Management Act, 1998.

    As a Gazetted Fisheries Officer / Inspector with the National Fisheries Authority, I solemnly declare that I have inspected the vessel and I am not satisfied that all necessary requirements have been met.

  • Dated

  • At the Location
  • National Fisheries Authority Compliance Officer / Inspector

  • Vessel Name

  • Fishing Captain of the Vessel

  • Fishing Captain

  • Witness 1 (Full Name / Position)

  • Witness 1

  • Witness 2 (Full Name / Position)

  • Witness 2

  • Was there a Translator present for the purpose of translating to and for the Fishing Captain during the Inspection?

  • Translator

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