Fourm Fisheries Agency Vessel Register: Application for Registration

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FFA 26-Jun-23 (Page 1 of 2)

Forum Fisheries Agency Vessel Register

VID number – FFA use only

Application for Registration

(use block letters)
1. Vessel
Name of Fishing vessel in English

Flag State

International call sign

MMSI (if issued)

Flag State Number

Port of registry

6. Vessel Charterer/Commercial Operator
Name
Mailing address

Date Entered into Flag State Register
Phone number

UVI/IMO No.
2. Vessel's previous details

Fax number: NA

Status

E-mail address

Parallel Registry (if applicable)
7. Vessel Fishing Master

Date Ship De-registered
(by the previous flag state, if applicable)

Name

Has a previous FFA Vessel Register application been made for
this vessel ?
if a vessel_id number was
issued, provide this number
No
Yes

Mailing address

Vessel's previous name

Phone number
Fax number: NA

Last radio call sign

Last flag state registration number

Last country of registration

Year change occurred

E-mail address

8. Vessel Type
Single Purse Seine

3. Vessel contact details

No. FADs on board

Phone number

No. Auxiliary boats

Helicopter model

Net boat

Search boat

Fax number: NA
E-mail address

Group Purse Seine
Mothership

4. Vessel Registered Owner

Nationality

Name

Longline
Length specified as:

Max number hooks Mainline length

Mailing address

km
Mainline material

Phone number
E-mail address

nm

Fax number: NA

Polyster (black tarred or vinyl red tarred) -includes
Kuralon, Dacron and Polytex

Website

Nylon or Polyamide Nylon (monofilament or braided)
Other - specify

5. Vessel Master/Captain
Pole and line

Name

Fish Carrier / Reefer

Troller

Other - specify
Bunker
9. Vessel Specifications
Gross tonnage
Year built (year of initial launch)

Mailing address

Ship Builder: NA
Country built

Phone number
Fax number: NA
E-mail address

Hull Number: NA
Hull material
Steel

Fibreglass
Wood

Other – specify

Aluminium

FFA 26-Jun-23 (Page 2 of 2)

Net Tonnage: NA

Moulded Depth: NA

Dead Weight: NA

Beam/Breadth: NA

Vessel length (complete all lengths)
LOA

Depth
Type: NA

13. Applicant declaration

Beam/
BreadthType: NA

I hereby apply for 'Good Standing' of the (name of vessel)

Lengths specified as:
feet
metres

RL

on the FFA Vessel Register.
I declare that, to the best of my knowledge, there are no
outstanding matters pending in relation to this vessel or its use.
●
I declare that the information provided in this application for
registration, signed by me is true, accurate and complete.

●

Length Between Perpendiculars:
Rated speed (knots) Normal crew compliment

Engine model

Amount specified as:
gallons
kilolitres

Total fuel carrying capacity

●

Amount specified as:

Total power of main Engine or Engines

KW

HP
Refrigerant Used:Type

Capacity (Kg)

Total storage capacity

Amount specified as:
cubic metres

metric tonnes
Major storage methods

PS

●

I understand that I am required to report any changes to the
information provided within 60 days, and further understand
that failure to do so may adversely affect the good standing
of this vessel on the FFA Vessel Register.
As the owner/charterer/duly authorised agent of the
ALC/MTU identified above and installed on this vessel, I
hereby authorise Pacific Islands Forum Fisheries Agency to
electronically monitor the unit and disseminate data received
from it, in accordance with the FFA policy.

Signature
Date _____/____/____

Ice

Refrigerated sea water

( dd

Brine (NaCl)

Air (coils)

mm

yy )

14. Attachments: Attach the following supporting documents with the application
10. Vessel's Mobile Transceiver Unit (MTU) Details
Visit the FFA web site (www.ffa.int) or contact FFA for listing
of VMS Type-Approved MTUs and Installers.
Provide the MTU information details below.
Inmarsat Mobile Number (IMN)
Inmarsat Serial Number (ISN)
MTU Serial Number

a copy of the vessel's flag state registration certificate;
a copy of valid flag state authorisation to fish outside of its EEZ and
within the WCPFC Convention Area;
●
company ownership details and proof of corporate registration;
●
a recent (12 months or less) date stamped, 15cm x 20cm (6”x8”) color
side-view & plan-view photos of the vessel;
●
copy of the vessel's schematic stowage plan;
●
copy of the MTU inspection certificate; and
●
certified copy of the P & I (Protection and Indemnity) Policy and
Certificate of currency (both in English translation) maintained by the
foreign fishing vessel.
●
●

MTU Manufacturer

15. Authorised MTU installer / Service agent details (15. &
16. required for new or replacement MTU installations)

MTU Model Identification

Name

MTU Software Version

Company Name

11. Applicant details
Company contact details

Name
Mailing address

16. MTU installer declaration
Phone number
Fax number: NA
E-mail address
Tick the box that applies to you
Charterer

Owner

Authorised agent

I, ______________________________________________,
the installer of the Mobile Transceiver Unit identified above
declare that I have installed the specified unit in accordance
with the MTU/ALC vendor's installation guidelines and the
unit has been inspected in accordance with FFA's
'MTU/ALC Inspections Guidelines' as published from time
to time.

12. Application period
from

Month

Year

Month

to

/

Year

( dd

mm

yy )

17. Automatic Identification System Details
AIS Make

Official Number: NA

Fishing Number: NA

(MTU installer / Service agent)

/

18. UVI/IMO Required Information
Engines: NA

Signature _________________________ Date ____/____/____

Number of Engines: NA
Previous Fishing Number: NA

AIS Model
AIS Serial Number

What Class AIS
is installed