Application for Registration of a Fishing Vessel

FORM “E” [See sub-rule (1) of rule 6] Issued by the Government of Goa, Daman & Diu Application for Registration of a Fishing Vessel Under section 12 of the Goa, Daman and Diu Marine Fishinig Regulation Act, 1980 To, The Authorised Officer, Directorate of Fisheries, Panaji-Goa. Sir, I/We ... of ... son of ... and ... BEING THE OWNER(S) OF FISHING VESSEL CALLED ... hereby request that the said vessel be registered in my/our name and a certificate of Registration issued to me/us. 2. The particulars in respect to the said vessel are as under: (1) Owner's name and address in full:…….. (2) Occupation: …….. (3) Where, when and how the vessel was secured: ………….. (4) Place and year of build:…….. (5) Type of craft: Whether open/semi-decked/decked/fitted with auxiliary engine: ……… (6) Description and type of engine with the name of the manufacturers, horsepower and speed in full loaded condition: ………. (7) Nature of Employment ………. (8) Port of Registry and Official No. if registered previously ………… (9) Whether the craft has any previous mortgage, if so, the particulars thereof ….. (10) Any other information …….. Signature or L. T. I. of Owner Place: Date: ANNEXURE Notice of Name Proposed for a Vessel (Note: The form is not to be used for an application to change the name of a vessel already on the register) 1. NAME PROPOSED: (In block letters) 1. Alternative name(s) in order of preference 2. should be given in case the first name 3. cannot be authorized. 2. NAME AND ADDRESS OF THE OWNER: 3. IF A NEW VESSEL STATE: (a) Name and address of builder: (b) Yard No. 4. IF THE VESSEL HAS BEEN PURCHASED STATE: (a) Previous name(s) if any: (b) Port at which ship is now plying: 5. TONNAGE OF VESSEL (approx.) and method of propulsion: Steam or Motor: Applicant's Signature Dated ……..day of ……19……