Division B-PSC-2

United Kingdom

Fishing vessels not assigned an IMO number shall provide their external registration number.
If necessary an additional form or forms shall be used.
FAO Species Codes — NEAFC Annex V — NAFO Annex II of the CEM.
Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex II.K of the CEM.
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
Name of Vessel:		IMO Number:^f1		Radio Call Sign:		Flag State:

Email Address:		Telephone Number:		Fax Number:		Inmarsat Number:

Vessel master’s name:		Vessel master’s nationality:		Vessel owner:		Certificate of Registry ID:

Vessel dimensions		Length (m):		Beam (m):		Draft (m):

Port State:				Port of Landing or Transhipment:

Reason for Port Entry		Landing: (y/n)		Transhipment: (y/n)		Other: (y/n)
Last port of call:				Date:
Date and location of transhipment:				Transhipment authorization if relevant:

Estimated Date of Arrival:				Estimated Time (UTC) of Arrival:

Frozen products only		Fresh products only			Fresh and frozen products
Catch Information for Donor Vessels A separate form shall be completed for each Donor Vessel
Name of Vessel		IMO Number		Radio Call Sign		Flag State

Total catch on board — all areas							Catch to be landed ^f2
Species^f3	Product^f4	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 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 Note: NAFO Port State Authorization to use port for landing, transhipment, or other
Name of Port State:
Authorisation:		Yes:		No:		Date:
Signature:				Official Stamp:

Annotations

Footnotes

f1: Fishing vessels not assigned an IMO number shall provide their external registration number.
f2: If necessary an additional form or forms shall be used.
f3: FAO Species Codes — NEAFC Annex V — NAFO Annex II of the CEM.
f4: Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex II.K of the CEM.