ANNEX IIIBSupplementary provisions
ANNEX IIIB Form for pre-transhipment declarations referred to in Article 3(2) (required from both donor and receiving vessel) Text of image Vessel identification 1. Vessel name: 2. Type of vessel (catching or carrier): 3. Flag (country of registration): 4. Home port (ISO alpha-2 country code + name of port): 5. Registration number (external identification): 6. International radio call sign: 7. IMO/Lloyd’s number (if issued): Contact 8. Name of the master/representative: 9. Address of master/representative: Departure information 10. Dates and time of departure: 11. Port of departure (ISO alpha-2 country code + name of port): Transhipment information 12. Date and estimated time of transhipment: 13. Intended port of transhipment (ISO alpha-2 country code + 3 letter port code (*)): 14. Sent by master/representative: Information on the other vessel in the transhipment operation: 15. International radio call sign: 16. Registration number (external identification): 17. Flag (country of registration): Quantities of species retained on board 18. Catch certificate number(s), date(s) and flag State(s) 19. Date of transhipment (if transhipment has taken place elsewhere than the port of landing) and name of catching vessel(s) 20. Area or port of transhipment (FAO (ICES) area, FAO (ICES) division, FAO (ICES) subdivision and if relevant ICES statistical rectangle and fishing effort zone) 21. Name of the species (FAO alpha-3 code) 22. Catch area (FAO (ICES) area, FAO (ICES) division, FAO (ICES) subdivision and if relevant ICES statistical rectangle and fishing effort zone) 23. Estimated total live weight on board (in kg) or number of fish if required 24. Estimated total live weight of fish to be transhipped (in kg) or number of fish if required 25. Presentation of fish and state of preservation (use letter codes (*)) 26. If applicable, conversion factor applied to fishery product by flag State 27. If processed fishery products, processing’s type of packaging (3 letter code CRT=cartons. BOX=boxes, BGS=bags and BLC=blocks) 28. If processed fishery products, number of packing units (cartons, boxes, bags, containers, blocks etc.) 29. If processed fishery products, average weight per unit of packing (in kg) 30. Name and address of vessel owner: 31. Name of master of vessel/representative: 32. Signature: 33. Date: If catching vessel fill in points 1-18 plus 21-33 If carrier vessel fill in all points (*) Letter codes for ports, the state of the fish and the presentation: http://ec.europa.eu/fisheries/cfp/control_enforcement/ers_en.htm