| (Regulation 3(2)) |
| Proposed Licence Application Form: |
| APPLICATION FORM FOR A SNORKELLING FACILITY |
| INSTRUCTION: Underline surnames for “address” provide as much detail as possible. |
| ADDRESS TO: The Minister, Ministry of Agriculture, Forestry and Fisheries, Government Building, Waterfront, Castries. |
| I .................................................................. hereby apply for a licence to operate a snorkelling facility from the following base and in the manner described below: |
| 1. | Name of Applicant:
______________________________________________________ |
| 2. | Address of Facility: ______________________________________ |
| 3. | Name and Address of owner of the Facility: __________________
______________________________________________________
______________________________________________________ |
| 4. | Name and Address of Lessee (if leased): ____________________
______________________________________________________
______________________________________________________ |
| 5. | Name, Address and Qualifications of Operator/Manager: ________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________ |
| 6. | Detailed Description of Nature of Operation to be Undertaken (proposed types for snorkelling, group size range, number of trips per month, number of qualified snorkel leaders, list of snorkel trip locations, etc.):
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________ |
| 7. | Names and description of vessels to be used by facility:
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________ |
| 8. | Estimated annual capacity (number or person snorkelling on trips per year):
______________________________________________________ |
| Signature of Applicant: _____________________ Date: _______________ |