License Application and Authorisation for Port Activity and Exclusive Economic Zone (EEZ) Entry by a Foreign Vessel

Coastal Fisheries Protection Act (Section 5 of the Coastal Fisheries Protection Regulations)

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ORIGINAL AMENDMENT

Details of Vessel:

 

 

 

 

Name of Vessel Type of Vessel Side number Country and Port of Registry

 

 

Officers:            Seamen:            Others:           
Registered Number Canadian Licence Number Numbers in Crew

 

Calling:          Working:

 

 

Radio Call Sign Frequencies Year built Where Built

 

 

 

 

Gross Tonnage Registered Net Tonnage Overall length of vessel Hull Material

 

 

 

 

Colour of Vessel Hull-Wheelhouse Charter’s Name, if applicable Observer Name  

 

 

Owner’s Name and Address Master’s Name and Address
Designated representative in Canada:

 

 

 

Address

 

 

 

 

Phone Cell phone Fax E-mail

Reason for Visit to Port, EEZ Access:

1

Shore leave, obtaining provisions (including bait), and/or repairs (provide details):

2

Crew exchange                      # Embarking                       # Disembarking

3

Landing/Reloading/Transhipping any Equipment other than Fishing Gear of the Vessel (provide details):
Name of vessel:
Side number:

4

Loading/offloading any fishing equipment and/or fishing gear (provide details):

5

Offloading Fish (provide details):

Species :
Product Form :
Quantity :

Area fished :
Port of offloading :
Plant :

6

Transhipping fish at sea or port (provide details):

Species :
Product Form :
Quantity :

Area fished :
Port of offloading :
Plant :

7

Fishing in Canadian EEZ (provide details):

Species :
Quota :
Fishing Area :
Approximate Dates (From – To):


8

Processing at sea (provide details):

Species :
Product Form :
Quantity :

Area fished :
Port of offloading :
Plant :

9

Other activities (provide details):
Canadian Port:

 

Pier or berth, if applicable:
Date of Entry:
Time Requested (UTC):
Estimated Date of Departure, Remarks:

 

Time of Departure:
Date Inspected:
Inspection Number:
Next Area to be Fished:

I certify that the information provided on this form is correct.

In accordance with the Coastal Fisheries Protection Act and Regulations, authorization is hereby requested to enter port for the activities described above.

 

 
Signature, Representative
 
Name, Representative
 
Date of request

 

 
Signature, Master
 
Name, Master
 
Date of request

Annex

ADDITIONAL INFORMATION:

 

 

 

Former Vessel Names Former Countries of Registry Names of Former Vessel Owners

 

Was the vessel/ master/owner the recipient of any citation/ infringement related to fisheries activities? Provide details, including dates.
Fishing activities outside Canadian waters - Is vessel authorized by relevant authority to engage in fisheries activities? Please provide details and attach a copy of the authorization (e.g. fishing licence) & vessel registration.
 
 
 
Areas, scope and Duration of Licence State Issuing Licence Species and Quota authorized

 

Fishing Gear authorized Transshipment record (where applicable)
Fishing activities inside Canadian waters - Is vessel authorized by relevant authority to engage in fisheries activities? Please provide details and attach a copy of the authorization (e.g. fishing licence) & vessel registration.
 
 
 
Areas, scope and Duration of Licence State Issuing Licence Species and Quota authorized

 

Fishing Gear authorized Transshipment record (where applicable)
TRIP INFORMATION
 
 
 
Date Trip Commenced Areas Fished Product Form (fresh, frozen, etc.)

 

Ports Visited Date Fishing Ended Species

CERTIFICATION

I certify that the information provided on this form is correct.

 

 
Signature, Representative
 
Name, Representative
 
Date of request

 

 
Signature, Master
 
Name, Master
 
Date of request

Authorization for Activities 1-3

Dates/Times Valid:

From:

From:

From:
Activities:

To:

To:

To:
Canadian Port:

 

In accordance with the Coastal Fisheries Protection Act and Regulations, authorization is hereby granted.

 
Date Issued
 
For, Minister of Fisheries and Oceans

Authorization for Activities 4-9 (Subject to Conditions Attached)

Dates/Times Valid:

From:

From:

From:

From:
Activities:

To:

To:

To:

To:
Canadian Port:

 

In accordance with the Coastal Fisheries Protection Act and Regulations, authorization is hereby granted.

 
Date Issued
 
For, Minister of Fisheries and Oceans

Notes:

  1. This application must be accompanied by a copy of the vessel’s fishing licence and vessel’s registration; both these documents must be valid for the entire period requested for in this application [Date of Entry to Date of Departure].
  2. Any foreign fishing vessel wishing to apply to enter Canadian fisheries waters and/or ports must file the application with the Department of Fisheries and Oceans in accordance with Section 6(2) [30 DAYS NOTICE REQUIRED] of the Coastal Fisheries Protection Regulations.
  3. Any foreign fishing vessel wishing to enter Canadian fisheries waters and/or ports must give notice to the Department of Fisheries and Oceans in accordance with Section 12(1) (a) and Section 12(1)(b) of the Coastal Fisheries Protection Regulations.
  4. The vessel, master, and crew, shall also comply with the Fisheries Act and all other applicable laws of Canada.

PLEASE SUBMIT COMPLETED APPLICATIONS TO:

PACIFIC FISHERY LICENCE UNIT
Address: 401 Burrard St Suite 200, Vancouver BC V6C 3S4 [By appointment only]
Telephone: 1-877-535-7307 [Ask for the PACIFIC REGION]
Fax: 604-666-5855
Email: fishing-peche@dfo-mpo.gc.ca [Specify PACIFIC REGION in subject line]