THE NORTHERN TERRITORY OF AUSTRALIA FISHERIES ACT – AQUARIUM FISHING/DISPLAY FISHERY LICENCE NON-CITES LISTED SPECIES (Species not listed in Schedule 1 and 2 of the Licence conditions) A12/__9999__ LICENCE HOLDER NAME Company___ LICENCE NO: (operator’s name):__G MONTH:____December__ YEAR:____2014____________ NIL RETURN (tick, if appropriate): VESSEL REGO NO.:__IL888____ NO. OF OF FISHERS ACTIVE:_______2___ TRIP LOG No. OF HOURS START DATE END DATE *LATITUDE *LONGITUDE FISHED 3/12/2014 3/12/2014 5 S_12 _35 . _00 E_129 _52._00 ‘ ‘ Quantity Species Fishing Method Harvested Hand net 50 Melanotaenia splendida Cast net 20 Mogurnda mugurnda Continue on next page if required. I _______________________________________ declare that the information on this (print operator’s name) return is true and accurate, including to the best of my knowledge, identification of coral species. official use only SIGNATURE OF LICENCE HOLDER:____________________________________ DATE:____/____/____ (operator’s signature) Continue on this page if required.
THE NORTHERN TERRITORY OF AUSTRALIA – FISHERIES ACT AQUARIUM FISHING/DISPLAY FISHERY LICENCE NON-CITES LISTED SPECIES (Species not listed in Schedule 1 and 2 of the Licence conditions) LICENCE NO: A12/__9999__ LICENCE HOLDER NAME (operator’s name):__G Company___ MONTH:____December__ YEAR:____2014____________ NIL RETURN (tick, if appropriate): VESSEL REGO NO.:__IL888____ NO. OF OF FISHERS ACTIVE:_______2___ TRIP LOG START DATE END DATE No. OF HOURS FISHED *LATITUDE *LONGITUDE 3/12/2014 3/12/2014 5 S_12 _35 . _00 ‘ E_129 _52._00 ‘ Species Fishing Method Quantity Harvested Melanotaenia splendida Hand net 50 Mogurnda mugurnda Cast net 20 Continue on next page if required. I _______________________________________ (print operator’s name) declare that the information on this return is true and accurate, including to the best of my knowledge, identification of coral species. SIGNATURE OF LICENCE HOLDER:____________________________________ DATE:____/____/____ (operator’s signature) official use only Continue on this page if required.
aquarium-fishing-display-example-completed-form-part-a.docx