SOUTH GEORGIA AND SOUTH SANDWICH ISLANDS
FISHING LICENCE APPLICATION FORM
To:
Director of Fisheries
Government House
Stanley
Falkland Islands
dof@gov.gs
Tel: + 500 28214
KRILL (Euphausia superba) 2015 SEASON
This application form plus the required documentation must be submitted by e-mail to the Director of
Fisheries by 16:30 (Stanley time; 19:30 GMT) on March 13th 2015.
Please consult the Krill Licensing 2015 Information for Applicants document before completing this
form.
1. APPLICATION SUMARY
APPLICANT DETAILS
Name
Company
Address
Role of applicant (owner,
charterer or operators)*
Telephone
E-mail address
Vessel
Flag state
Intended start date
*Note the applicant should ordinarily be the operator of the vessel.
2. VESSEL INFORMATION (Please provide supporting documentation)
VESSEL DETAILS
Vessel name
Previous name of vessel
Call sign
Previous call sign
IMO Number
Flag state of vessel
Port of registry
Age of vessel
Ice classification
Yes
Type (Conventional trawl or
pumping system)
No
Torremolinos
Yes
Date of Torremolinos
compliance assessed by
GSGSSI or MCA?
Inspection by GSGSSI or
No
MCA
Previous seasons in the
South Georgia fishery
RECENT HISTORY OF VESSEL
Please provide details of the vessel’s operations for the previous two years (Jan 2013 to Feb 2015)
Start Date
End Date
Activity
Location
Target species
FISHING MASTER AND CREW
Name (s)
Fishing master
Officers
Nominated English speaker
and their position
Crew (number)
Experience
3. OWNERS, CHARTERERS AND OPERATORS
(Please provide the full legal name and correspondence address)
Vessel owners and address
Parent company or companies of
owners
Vessel charterers and address
Parent company or companies of
charterers
Vessel operator and address
Parent company or companies of
operators
Agent (in Stanley) and address
Relationship between applicant, owners, charterers and operators
4. FISHING PERIODS
Operators are requested to indicate when their vessel is likely to fish in the SGSSI Maritime Zone.
This is for guidance for GSGSSI and vessels will not be limited to the boxes that are ticked.
Month
South Georgia (48.3)
South Sandwich (48.4)
April
May
June
July
August
September
October
5. OBSERVER INFORMATION
Applicants should indicate if a CCAMLR observer will be on board the vessel when it is fishing in
the SGSSI Maritime Zone and whether that observer is a national or international observer.
Will the vessel carry a CCAMLR
Yes
International Observer?
No
Will the vessel carry a CCAMLR
Yes
National (same flag state) Observer?
No
Nationality of observer
Regardless of the presence of an international or national observer on the vessel, GSGSSI are likely
to deploy an observer on the vessel for some of the time that she is fishing in the SGMZ.
6. PRODUCTS AND CONVERSION FACTORS
Operators are requested to indicate when their vessel is likely to fish in the SGSSI Maritime Zone.
This is for guidance for GSGSSI and vessels will not be limited to the boxes that are ticked.
Product
Produced
(Y/N)
Estimated Conversion Factor
Percent of catch likely used
for each product (should add
to 100%)
Whole Frozen
Boiled
Peeled
Meal
Oil
7. DETAILS OF ANY SUPPORT VESSELS OR REEFERS
Please provide details of any support vessels that are likely to visit South Georgia to support the
applicant vessel. Note that any vessels that wish to receive transhipments must apply to the Director
of Fisheries for a transhipment licence.
Support
Vessel
Flagstate
IMO
Number
Owner
Role (e.g. reefer,
bunkers)
8. FURTHER INFORMATION IN SUPPORT OF YOUR APPLICATION
Please use this box to provide any other information in support of your application
9. DOCUMENTATION
Please provide a list of documents that have been appended (electronically) to this application. Note that
documents should be in English or with an English translation.
Document number
Content
10. DECLARATION
I,
hereby apply for a licence for the fishing vessel
to fish for krill in the Maritime Zone of South Georgia and the South Sandwich Islands for the 2015
season. In so doing, I declare that:
a) I have read and understood the information in the document entitled Krill Licensing 2015 Information
for Applicants;
b) The vessel will conform to all the mandatory requirements detailed in Annex A of the Krill Licensing
2015 Information for Applicants;
c) I understand that GSGSSI will impose conditions on any offer of a licence to fish for krill in the
Maritime Zone, and that these conditions will include, but are not limited to, those set out in Annex B
of the document;
d) I will promptly inform the Director of Fisheries of the Government of SGSSI of any changes to the
information contained in this application, which occur prior to and during either season;
e) I understand that all vessels that are approved for licences will be inspected at King Edward Point
where their compliance with all relevant CCAMLR Conservation Measures and all relevant terms of
their licence will be verified;
f) I understand that if a vessel fails her licensing inspection, her licence will not be issued until, in the
opinion of the Government Officer, the grounds upon which she failed that inspection have been put
right. I understand that during the period of suspension the vessel will not be licensed to fish for krill;
g) I understand that, as part of GSGSSI’s commitment to the safety of fishing activities, the vessel must
be compliant with the provisions of the Torremolinos Protocol of 1993 relating to the Torremolinos
International Convention for the Safety of Fishing Vessels 1977;
h) I understand that in submitting an application there is no guarantee of a licence.
Signed:
Full name:
Dated: