Tamil Nadu Marine Fishing Regulation Rules, 1983

Form VI

Application for Change of notified place of Berth or Anchoring.

(See rule 7 of the Tamil Nadu Marine Fishing Regulation Rules, 1983.)

(1)	Registration No. and date					..
(2)	Licence number and date				..	..
(3)	Name of the Applicant			..	..
(4)	Father's nam			..	..	..
(5)	Age	..	..	..	..	..
(6)	Permanent Address			..	..	..
(7)	Present notified place of berth/anchoring
(8)	Present specified area of fishing
(9)	Proposed place of berth/anchoring to which the mechanised fishing vessel is to be shifted
(10)	Proposed specified area of fishing			..

Signature / Thumb impression
of the applicant