FORM NO. MFR 11

APPLICATION FOR APPOINTMENT OF AGENT

[See rule 9(4) of West Bengal Marine Fishing Regulation Rules, 19   ]

PART  I

To be filled in by owner (s) of fishing vessel

To

...................................................... (a)

Sir,

      I/We, being the owner (s) of a fishing vessel, propose in terms of rule 9(1) of West Bengal Marine Fishing Regulation Rules, 19    to appoint an agent to represent me/us. Necessary particulars for this purpose are furnished below

1.

 

Name of fishing vessel (b)

 

2.

 

Registration number (c)

 

3.

 

Name (s) and address (es) of owner (s)

 

 

Sl.No.

Name

Address

 

(i)

 

 

 

(ii)

 

 

 

(iii)

 

 

 

(iv)

 

 

4.

Name and address of agent

 

 

(i)

 

 

 

(ii)

 

 

5.

Purpose of appointment of agent (d)

 

 

(i)

 

 

 

(ii)

 

 

 

(iii)

 

 

 

(iv)

 

 

       I/We agree and declare that any direction or instruction or order issued by you or served by you through this agent shall, for the purpose of these rules and also the Act, be deemed as valid and effectual communication of your direction and/or instruction and effectual service of your order on me/us and further that the same has/have been received by me/us, both jointly and severally.

       Specimen signature of the agent proposed for appointment is affixed below with the request for accepting his appointment as my/our agent.

Specimen signature of agent ............................................................

Date:

 

 

 

Yours faithfully,

Signature (s) of owner (s)

Place:

 

Note

(a)

Application should be addressed to

 

(i)

Authorised officer-for item Nos.5 (i) and (ii)

 

(ii)

Adjudicating officer-for item No.5 (iii)

 

(iii)

Appellate authority-for item No.5 (iv)

 

(b)

and (c): In case of non-mechanised fishing vessel write "NIL" against item No.1. When appointment of agent relates to "Registration of fishing vessel" vide item No.5 (i) write "New Registration" against item No.1 and item No.2, both.

 

(d)

In this application, appointment of agent can proposed for only one of the 4 items. strike off the remaining 3 items retaining the only to which this application relates.