Tamil Nadu Marine Fishing Regulation Rules, 1983

Form III

Two Passport size photos to be attached

Application for a Licence for Fishing in the Sea

[See rule 4(1) of the Tamil Nadu Marine Fishing Regulation Rules, 1983.]

(1)	Registration No. and date			..	..
(2)	Name of the applicant			..	..
(3)	Father' s Name		..	..	..
(4)	Age	..	..	..	..	..
(5)	Permanent Address			..	..	..
(6)	Type of fishing vessel for which registration is required.
(7)	Licence fee paid with remittance details
(8)	Period for which licence is required					..
(9)	Port where the fishing vessel is to be berthed or anchored.
	I, hereby declare that the information furnished above are true to the best of my knowledge and belief.
Place:	Signature / Thumb-impression of the applicant.
Date: