| (Regulation 19) |
| LICENCE NUMBER .............................. |
| LOCAL FISHING VESSEL LICENCE |
| (..............................................................) |
| The person named as the licence holder below is hereby licenced in accordance with section 11 of the Fisheries Act to use the vessel described below for fishing in accordance with the conditions set out in this licence and prescribed in the Fisheries Regulations. |
| Name of vessel: ..................................................................................... |
| Name of licence holder: ............................................................................ |
| Licence period: From .......... / .......... / .......... to .......... / .......... / |
| Vessel registration number: ......................................................................... |
| Radio call sign: ...................................................................................... |
| Special conditions |
| Permitted trans-shipment operations (where applicable) |
| Permitted use of fish aggregating devices (where applicable) |
| .................................. | ....................... |
| Minister. | Date |