Section 1

Fisheries Resources [Reg. 2(2)] To be completed in full and accompanied by two full face photographs of the applicant not exceeding one half inches by one inch in size. For first issue, money should not be sent with the Form. For first issue, proof of citizenship or valid work permit must be furnished with the application or at the time of actual issue of the licence. To: The Fisheries Administrator. I hereby apply for a first issue/renewal of a sea cucumber special fishing licence. Name: ________________________ Age: _____ years (block capitals) Fishing experience _____ years (Full time__ yrs; Part-time __ yrs. Home Address: _________________ I am a boat owner ______ (yes/no) Boat operator _____ (yes/no) Crewman _____ (yes/no) I am/ am not a member of a Fishermen’s Co-operative Society. Name of Co-operative if a member: ______________________________ Membership No. __________ Previous Fisherman’s Licence No. _______ Date issued: ____________________ THIS PART IS FOR OFFICE USE ONLY: Passport No. _______ ( ) Received in Office: _____________ Work Permit: ____________( ) Fee received _______________( ) Birth Certificate: _________ ( )