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I. DETAILS OF THE NOTIFYING VESSEL
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Notifying vessel is UNLOADING / RECEIVING vessel (strike out as appropriate)
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II. DETAILS OF THE UNLOADING FISHING VESSEL
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Name of vessel
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Vessel flag CCP
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CCP where the vessel is registered (3–alpha country code)
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IMO number
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Registration number
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External registration number if available, or national registration number
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Radio call sign
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International radio call sign of the vessel
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Vessel owner and/or company information
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Name, complete address, email, phone number
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Vessel contact information (name, address, email and phone number)
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Master name, nationality, address, email, phone number
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III. DETAILS OF THE RECEIVING FISHING VESSEL
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Name of vessel
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Vessel flag CCP
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CCP where the vessel is registered (3–alpha country code)
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IMO number
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IMO number of the vessel
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Registration number
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External registration number if available, or national registration number
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Radio call sign
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International radio call sign of the vessel
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Vessel owner / company information
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Last name, name / complete address / email / fax/phone number
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Vessel contact information
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Master name / nationality / address / email / fax/phone number
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IV. DETAILS OF TRANSHIPMENT
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Transhipment authorisation identifier, if any
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Transhipment authorisation identifier, if assigned
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Transhipment authorisation issued by
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Name and email of the competent authority
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Transhipment authorisation validity period
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Start and end date UTC of the transhipment authorisation (YYYY-MON-DDT)-(YYYY-MON-DDT)
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Estimated date of transhipment
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Predicted date UTC when the master intends to conduct the transhipment (YYYY-MON-DDT)
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Estimated start time of transhipment
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Predicted time UTC when the master intends to start the transhipment (hh:mm)
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Estimated end time of transhipment
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Predicted time UTC for the ending of transhipment (hh:mm)
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Estimated location time of transhipment
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Estimated position where the master intends to conduct the transhipment expressed as latitude/longitude in decimal degrees, to the nearest 0.01 degrees
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Fishery resources to be transhipped
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Quantities to be transhipped
Species
Catch area
Weight
Product form
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FAO 3-alpha species code/group code/scientific name
RFMO/A /geographical location / FAO Statistical Area
Weight in Kilograms
Preservation type and presentation type
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Number of units
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Boxes / packages
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Net wight of a unit
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Weight in Kilogram
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In port |Y/N__| (strike out as appropriate) Name of port |____ | Port State |____ |
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At Sea| Y/N__| (strike out as appropriate) Latitude/Longitude |____| (expressed in decimal degrees, to the nearest 0.01 degrees)
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Declaring vessel is UNLOADING or RECEIVING Vessel (strike out as appropriate)
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Name of declaring vessel: Name of other vessel:
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IMO number of declaring vessel: IMO number of other vessel:
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Radio Call sign of declaring vessel: Radio Call sign of other vessel:
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External identification of declaring vessel: External identification of other vessel:
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Flag CCP of declaring vessel: Flag of other vessel:
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Transhipment authorization identifier:
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Transhipment authorisation issued by (name and email of competent authority):
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Start of transhipment operation day/month/year | | | | | | | | | from (time: hour/minutes, UTC) | |
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End of transhipment operation day/month/year | | | | | | | | | to (time: hour/minutes, UTC) | |
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Declaring master’s name & nationality: Signature: Date:
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TRANSHIPPED FISHERY RESSOURCES
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Species(FAO 3-alpha species code/group code/scientific name and catch area(s)/RFMO/geographical location/FAO Statistical Area)
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Product form (preservation & presentation) 1: |_____|
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Product form (preservation & presentation) 2: |______|
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Product form (preservation & presentation) 3: |_____|
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TOTAL Weight (Kg)
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No units:
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Weight per unit:
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Total weight:
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No. units:
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Weight per unit:
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Total weight:
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No. units:
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Weight per unit:
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Total weight:
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TOTAL
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FISHERY RESSOURCES REMAINING ON BOARD AFTER TRANSHIPMENT
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Species (FAO 3-alpha species code/group code/scientific name and catch area(s)/RFMO/geographical location/FAO Statistical Area)
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Product form (preservation & presentation) 1: | |
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Product form (preservation & presentation) 2: | |
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Product form (preservation & presentation) 3: | |
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TOTAL Weight (Kg)
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No. units:
|
Weight per unit:
|
Total weight:
|
No. units:
|
Weight per unit:
|
Total weight:
|
No. units:
|
Weight per unit:
|
Total weight:
|
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TOTAL
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I. DETAILS OF THE OBSERVER
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Observer onboard the UNLOADING / RECEIVING vessel (strike out as appropriate)
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Observer name
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Observer nationality
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Observer competent authority
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name, address, email and phone number
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II. DETAILS OF THE UNLOADING FISHING VESSEL
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Name of vessel
|
|
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Registration number
|
External registration number if available, or national registration number
|
|
Radio call sign
|
International radio call sign of the vessel
|
|
Vessel flag CCP
|
CCP where the vessel is registered (3–alpha country code)
|
|
IMO number
|
|
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Master’s name and nationality
|
|
|
III. DETAILS OF THE RECEIVING FISHING VESSEL
|
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Name of vessel
|
|
|
Registration number
|
External registration number if available, or national registration number
|
|
Radio call sign
|
International radio call sign of the vessel
|
|
Vessel flag CCP
|
CCP where the vessel is registered (3–alpha country code)
|
|
IMO number
|
|
|
Master’s name and nationality
|
|
|
IV. DETAILS OF TRANSHIPMENT
|
|
Transhipment authorisation identifier, if any
|
|
|
Transhipment authorisation issued by
|
name and email of competent authority
|
|
Transhipment authorisation validity period
|
Start and end date UTC of the transhipment authorisation (YYYY-MON-DDT)-(YYYY-MON-DDT)
|
|
Date of transhipment
|
Date UTC when the transhipment was conducted (YYYY-MON-DDT)
|
|
Start time of transhipment
|
Time UTC when the transhipment started (hh:mm)
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|
End time of transhipment
|
Time UTC when the transhipment ended (hh:mm)
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|
Location of transhipment
|
Position where the transhipment was conducted, expressed as latitude/longitude in decimal degrees, to the nearest 0.01 degrees
|
|
Fishery resources transhipped
|
|
Species
Catch area
Weight
Product form
|
FAO 3-alpha species code/group code/scientific name
RFMO/A /geographical location / FAO Statistical Area
Weight in Kilograms
Preservation type and presentation type
|
|
Number of units
|
Boxes / packages
|
|
Net weight of a unit
|
Weight in Kilogram
|
|
V. SIGNATURE
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Observer’s name and signature
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Remarks or observations, if any
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I. DETAILS OF THE DECLARING VESSEL
|
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Name of vessel
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Registration number
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Radio call sign
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International radio call sign of the vessel
|
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Vessel flag CCP
|
CCP where the vessel is registered (3–alpha country code)
|
|
IMO number
|
|
|
Master's name and nationality
|
|
|
II. DETAILS OF THE OTHER VESSEL
|
|
Name of vessel
|
|
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Registration number
|
External registration number if available, or national registration number
|
|
Radio call sign
|
International radio call sign of the vessel
|
|
Vessel flag
|
Vessel flag (3–alpha country code)
|
|
IMO number
|
|
|
Master's name and nationality
|
|
|
III. DETAILS OF TRANSFER
|
|
Estimated date of transfer
|
Predicted date UTC when the master intends to conduct the transfer (YYYY-MON-DDT)
|
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Estimated time of transfer
|
Predicted time UTC when the master intends to conduct the transhipment (hh:mm)
|
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Estimated location of transfer
|
Estimated position where the master intends to conduct the transfer expressed as latitude/longitude in decimal degrees, to the nearest 0.01 degrees
|