THE OF FISHERIES ACT – MOLLUSC FISHERY A9/9999________ G. Company_______________________ LICENCE No: LICENCE HOLDER NAME (operator’s name): NIL RETURN December_____________ 2011 (tick, if appropriate): : YEAR: Darwin_______________ VESSEL REGO No’s: OF LANDING: TOTAL DAYS FISHED: ____1____ GRID NUMBER 1230 AREA (specify) Shark Beach FISHING Hand collection METHOD START FINISH 6/12 6/12 DATE DATE WEIGHT WEIGHT WEIGHT WEIGHT NUMBER NUMBER NUMBER NUMBER (list species) (kg) (kg) (kg) (kg) Molluscs 2.5 37 Periwinkles 2.1 70 * (whole, meat only, half shell, etc) DESTINATION STORAGE WEIGHT PRODUCT SOLD FORM* N.T. INTERSTATE (fresh, SOLD (list species) frozen, etc ) (public or traders no.) and traders name) (kg) NT Public Molluscs whole fresh 2.5 NT Public Periwinkles whole fresh 2.1 official use only COMMENTS:_____________________________________________________________________________ Company________________________________ I ___Good declare that the information on this return is true and accurate. (print operator’s name) G. Company_____________ 9 / 1 / 2012 SIGNATURE OF LICENCE HOLDER DATE: (operator’s signature):
THE OF – FISHERIES ACT MOLLUSC FISHERY LICENCE No: A9/9999________ LICENCE HOLDER NAME (operator’s name): G. Company_______________________ : December_____________ YEAR: 2011 NIL RETURN (tick, if appropriate): VESSEL REGO No’s: OF LANDING: Darwin_______________ TOTAL DAYS FISHED: ____1____ GRID NUMBER 1230 AREA (specify) Shark Beach FISHING METHOD Hand collection START DATE FINISH DATE 6/12 6/12 (list species) WEIGHT (kg) NUMBER WEIGHT (kg) NUMBER WEIGHT (kg) NUMBER WEIGHT (kg) NUMBER Molluscs 2.5 37 Periwinkles 2.1 70 * (whole, meat only, half shell, etc) PRODUCT SOLD (list species) FORM* STORAGE (fresh, frozen, etc ) WEIGHT SOLD (kg) DESTINATION N.T. (public or traders no.) INTERSTATE and traders name) Molluscs whole fresh 2.5 NT Public Periwinkles whole fresh 2.1 NT Public official use only COMMENTS:_____________________________________________________________________________ I ___Good Company________________________________ declare that the information on this return is true and accurate. (print operator’s name) SIGNATURE OF LICENCE HOLDER (operator’s signature): G. Company_____________ DATE: 9 / 1 / 2012
mollusc-fishery-example-completed-form.docx