Fisheries Regulations, 2012

3. \-(,_) t�l;";'l Sumamels\ of anolicant(sl 1-------------- -----------l·fili� ':d. a Nationalitv of a""licantts, ,,.,tr,,a,,,ti,oon::;Ca=nl=Neeo. 1-'i'H:Nc:ati,,,'onal=:aRa'e"m· i1�f 4 ____________________ ftt/ = m o N --+-----------------------4 ,,, �•rt.:..e '-""" µ'"--' �. --- - a D "' f o le ="'------+--------------------4�(�� is: " \--' ::, '-' " P1ac issu .s=.��~o=�� �1e","'"' ------1-----------------------1�!� t--� dress · otif • • tio ·ca d N i� �- � � � � � � - N .., - Telephone/Cell o. = 1--� F N ax o. t-����-----+------------- ------- -+--------------- --- ----1�-f .. -t-+ -- ----<i, }tf} ----;❖l -------------- - ------------ --- - tW ;-;-a-,-ddress,- Email address :,:., � fr,�:;.• - esi"'·dc-enc- --- --- 1-(b=s)c-:R I --; - - -+ -l! �};':�

4. (a) Business name .,--: l-;; t;�/i -;f �f { ;;-;,.-..,--,,.,----,--;;-.-;:-t-----------------------j�":�,.- on N _•_·+-- ------------------ -•_-_•_ti_ _ o o i ��inc d� "' :,c::;;;lec. 1--"�!-"�"�"'tif a =°' =d :=�------+-------------------- c:tru=,=' d �fn�•�;mail ---1�\1 130 Statutory Instruments :_;_� .1.f:J: ,.,:•;;�J-:J��-�--/1:�r •J:/b��t;mt���ci��\�.:r��f·r·§r- . , -11:·· r s. Fbhfng area Location Fishing period Storage approved -:'�:-.·- 20th April, 20 I 2 6, Fishing equipment Type PrevenHve measures Temperature

8. Presentalfon ofproducl and type of treatment (atate whether live, refrigerated, frozen,. salted, smoked- "reserved]

9. Poekagtng 10, Storage and trlll\Sporl

13. Have you pm1ously held a permit or licence which was suspended or cancelled by the Director of Flsherie:s? ' ,?:"£��- �";{{: "_"'_•_gin_g--1���•�';..�"""�--�•?•_• ___ + f-T-ype_•_' _ -et_w_,_'•_•_• ___ tfl; �.:.·.•,:' : .• '. N Storage Mode of trnnsport r------+-------i-- -----,l;i .. . ,_. -----r,�fl r------+-- -----t--- f-----t----+-----t"'' r--- ---+-------t-------,!J.��� ,); _ _ ''°_"_,J,1i r""" -•-'_•_•_P_'"'--+'-'_""'_°'_d_�_""'_'_•_•--t- M-•_'_•_ - 1 n 0 o u _ _ _ Temperature ., � . 1-------+-------t- ------,::i) ''f.."'"•( .. ,.;;� Nun, f-------+------------;�-,-t f-------+--------------�� rt:½ Address

14. Do )'OU hold In)' olher pcnnil or Permitfl..icena, No. liccru:o under lhe Fishcrie:i NJ.,. 201 17 Typeot PcnnilltiC'.Glco "· Hive you cs-.u been convii;red ohn ofl'enco under tha Fisheries Act, 2011? NO diero cny proeocdin69 now -dininmich mav lend to such I convii.tion? lfyes, �fy details: ............ ......... .............................. ........................................................... . Naturtoroffcnco: ................................................................................................................. . Date orllOnvktion: .......................................................................................... ..... , ............... . Sen!�:. ................................. . .................................... . SfATUroRYDECIARATION I/We ................................................ , do ICl!nnnly declare as follows: (a) !hllS tba lnfomwion provided In chit Farmi1 oarrect111d true; end (b) lhll!my licen011hunewrbcei:11Uspcndodorcancelled. 111d I /we make this 50le1m1 declaration consdmtiomly bdlM!ls the same lo be truo 10 lhe beu ot rny/ow b:iowli,dgo 1111d belie£ .......................................................... Applic:anl's aignaturo °"' 20thApril, 2012 Statutory Instruments 131 Form XIV (Regulation 32) REPUBLIC OF ZAMBIA The Fisheries Act, 2011 (Act No. 22 of20 I I) The Fisheries Regulations, 2011 LICENCENO.: ..................... .. SERIALNO.: .......... .... . ............... . SPECIAL FISHING LICENCE Name ofholder: ... .......................... ...................... ......... ................ . . . . . . . .............. . Address: .. .................................................. · .. · .. · · · · .. · · · · .. · .... · · .. · .. · .. · .. · .. · .. · · · · ........ · .. YOU AREHEREBYlicenced to fish in the following areas .......... ............................ . forthepmposeof ......................... , ...... , ... , .... , ............................................... .. . ·-. -·-·-. -·-. -. -. -. -. -... -. -...... -. -.......... -.... -. -. -. -. -....... -. -.... -. -. -....... -.......... . This Licence is valid for a period of . . . . . . . . . . . . . . ..... from the . . . . . . . . . . . . . .. . . . . day of ............................ ,20 ....................... .. The terms and conditions of the licence are attached herewith. lssuedat ..................... . . . . .... this ............... dayof.. ............. . . . . . . . . . . ... ,20 ............... .. Director of Fisheries This Licence is not valid unless the officiaJ sea] of the Fisheries Department has been affixed. 132 Statutory Instruments 20th April, 2,012 Form XV (Regulations 39) REPUBLIC OF ZAMBIA The Fisheries Act, 2011 (ActNo.22of2011) The Fisheries Regulations, 2011 APPLICATION FOR REGISTRATION OP BOAT Please complete In block letters ' --- ----------- - - --- :J,liJ -;,)§ �-�.t ;, ,;,.,,; (al Natlon lltv of annlJc=anl ,, a - a ..,_"_'_"_e "..,•�• •�•:"• �••;�,,,._� �� ""•:•• �•� � ., o ,.. Place or lsllue: _ _n1_N ,.-f--- date: Ex (a) Notification address Telephone/Cell No. - 1-- • .,� - � N , � address - Email

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6. STA1UI'ORY DECLARA'IION I/We ....................... ,. ................. , .• , .. , do solemnly declare as followl! (a) that the information provided in lhls Form bcorrect and true; and (b) that the registration ofmy boat hu never been suspended or cancelled. and l /we make this 11olemn declaration consdcntlously believing the same to be true to the best of my/our knowledge and belief. Appllcant'a algnature o,te 20thApril, 2012 Statutory Instruments 133 Form XVI (Regulation41) r ll REPUBLIC OF ZAMBIA The Fisheries A�i, 2011 (Act No. 22 of201 l) The Fisheries Regulations, 2011 REGISTRATION NO.: ........ : .......... ... . SERIALNO.: ......... ............. ........ . REGISTRATION OF BOAT Name ofowner of boat: ... ............ . . . . . . ......... ....................................... . :'. .. . ! ............ . Address: ...... ............... ...... . . . ......... ............ .................. : ........ ............ .............. .. YOUR BOAT IS REGISTERED with the following details: Make Year made Colour Propelledby Capacity/Netweight Registration Authority This Registration is valid fo r a period of ............... ........ ..... from the .... , .............. day of ·················· ········· .. , 20 . . . ........... . . . . . . . ... . The terms and conditions of the registration are attached herewith. Issued at ...... ........................ this ......... ...... day of ...... -...................... , 20 ............... .. Director of Fisheries This Registration is not valid unless the official seal of the Eisheries Department has been affixed. 13 6 Statutory Instruments 20th April, 20 12 Form XVIJI (Regulation 49) it REPUBLIC OF ZAMBIA The Fisheries Act, 2011 (Act No. 22 of201 1 ) The Fisheries Regulations, 2011 LICENCE NO.: . . . . . . . . . . . ........... . SERIAL NO.: ............. : .. . . . . . . . . . . . . . . . AQUACULTURE LICENCE • ' This Licence is granted to (name of holder): . . . . . . ... . . . ... . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . , . of . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ... . . . . . . . . . . . . . to undertake aquaculture, specifically the cultivation of . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . ········· ·················· ···················· · · ·· · ···························· ··········································· for a period of . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. from the . . . . . . . . . . . : . . . . . . . . . . . . . . . .. day of ...... . . . . . . . . . . . . .. . . . . . , 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . The terms and conditions of the Licence are attached herewith. Issued at . . . . . . . . . . . . . . . . . . . . . . . . . .. this . . . ... . . . . . . . . . day of . . . . . . . . . . . . . . . . . .. . . . . . . . ... 20 ............... .. Director of Fisheries This Licence is not valid unless the official seal of the Fisheries Department has been affixed. LUSAKA 19th March, 2012 [oFH/64/9/Jc] E. CHENDA, Minister of Agriculture and Livestock •