| (Regulation 28) |
| APPLICATION FORM FOR FISH PROCESSING ESTABLISHMENT LICENCE |
| (...................................................) |
| INSTRUCTIONS — Underline surnames. |
| For “address” provide as much detail as possible. |
| If not applicable, write NA – leave no blanks. |
| Specify units of measurement if not metric. |
| ADDRESS TO — The Minister, (..................................................................) |
| I ....................................................... hereby apply for a licence to operate a fish processing establishment at the place and in the manner described below: |
| 1. | Name of applicant ........................................................................ |
| 2. | Address of establishment ................................................................. |
| 3. | Name and address of owner of establishment ............................................ ............................................................................................. |
| 4. | Name and address of lessee (if leased) .................................................... ............................................................................................. |
| 5. | Kinds of fish to be processed ............................................................ |
| Sources of supply ......................................................................... |
| 6. | Nature of processing operation (attach full particulars) |
| 7. | Principal place/country for marketing .................................................... ............................................................................................. |