# Commission Delegated Regulation (EU) 2020/124 of 15 October 2019 supplementing Regulation (EU) 2019/833 of the European Parliament and of the Council laying down conservation and enforcement measures applicable in the Regulatory Area of the Northwest Atlantic Fisheries Organisation, Division: B-PSC-2

Extent: E+W+S+N.I.

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:
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
Species
Product
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:

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Source: https://www.legislation.gov.uk/eur/2020/124/annex/division/43/division/1/division/2 (the official version)
Page: https://openlegislation.uk/eu-regulation-2020-124/annex/division-43/division-1/division-2
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.

