Council Regulation (EC) No 43/2009Show full title

PART I Port State control forms

PORT STATE CONTROL FORM — PSC 1

PART A: To be completed by the Master of the Vessel. Please use black ink
Name of Vessel:		IMO Numbera			Radio Call Sign			Flag State:
Email Address:		Telephone Number:			Fax Number:			Inmarsat Number:
Port of Landing or Transhipment:					Estimated Time of Arrival:
			Date:				Time UTC:
Total catch on board – all areas					Catch to be landedb
Speciesc	Productd	Area of catch			Conversion factor			Product weight (kg)	Product weight (kg)
		NEAFC CA (ICES subareas and divisions)	NAFO RA	Other areas

PART B: For official use only — to be completed by the Flag State
The Flag State of the vessel must respond to the following questions by marking in the box ‘Yes’ or ‘No’				NEAFC CA		NAFO RA
				Yes	No	Yes	No
a) The fishing vessel declared to have caught the fish had sufficient quota for the species declared
b) The quantities on board have been duly reported and taken into account for the calculation of any catch or effort limitations that may be applicable
c) The fishing vessel declared to have caught the fish had authorisation to fish in the area declared
d) The presence of the fishing vessel in the area of catch declared has been verified according to VMS data
Flag State confirmation: I confirm that the above information is complete, true and correct to the best of my knowledge and belief.
Name and Title:	Date:	Signature:	Official Stamp:

PART C: For official use only — to be completed by the Port State
a Fishing vessels not assigned an IMO number shall provide their external registration number
b If necessary an additional form or forms shall be used
c FAO Species Codes — NEAFC Annex V — NAFO Annex II
d Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex XX (C)
Name of Port State:	Authorisation:	Date:	Signature:	Official Stamp:
	Yes: … No: …

PORT STATE CONTROL FORM — PSC 2

PART A: To be completed by the Master of the Vessel. A separate form shall be completed for each donor vessel. Please use black ink
a Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex XX (C)
Name of Vessel:		IMO Numberb				Radio Call Sign:					Flag State:
Email Address:		Telephone Number:				Fax Number:					Inmarsat Number:
Port of Landing or Transhipment:				Estimated Time of Arrival:
				Date						Time UTC:
Catch Information for Donor Vesselsa
Name of Vessel:			IMO Numberb				Sign					Flag State
Total catch on board — all areas									Catch to be landedc
Speciesd	Producta		Area of catch						Conversion factor		Product weight (kg)		Product weight (kg)
			NEAFC CA (ICES subareas and divisions)		NAFO RA (Sub Division)		Other areas

PART B: For official use only — to be completed by the Flag State
The Flag State of the vessel must respond to the following questions by marking in the ‘Yes’ or ‘No’				NEAFC CA		NAFO RA
				Yes	No	Yes	No
a) The fishing vessel declared to have caught the fish had sufficient quota for the species declared
b) The quantities on board have been duly reported and taken into account for the calculation of any catch or effort limitations that may be applicable
c) The fishing vessel declared to have caught the fish had authorisation to fish in the area declared
d) The presence of the fishing vessel in the area of catch declared has been verified according to VMS data
Flag State confirmation: I confirm that the above information is complete, true and correct to the best of my knowledge and belief.
Name and Title:	Date:	Signature:	Official Stamp:

PART C: For official use only — to be completed by the Port State
a A separate form shall be completed for each Donor Vessel
b Fishing vessels not assigned an IMO number shall provide their external registration number
c If necessary an additional form or forms shall be used
d FAO Species Codes — NEAFC Annex V — NAFO Annex II
e Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex XX (C)
Name of Port State:	Authorisation:	Date:	Signature:	Official Stamp:
	Yes:… No:…