NORTH WESTERN AND NORTH WALES SEA FISHERIES COMMITTEE

1, Preston Street, CARNFORTH, Lancashire. LA5 9BY

Application for a commercial cockle and mussel permit (Byelaw 5) (B) mrb/iva/aug09

1. Name of Applicant:

First name(s):…………………………………………….. Surname:………………..………………
2. Address where you are living: Telephone number:

………………………………………………..……….. ………………………………….……….

…………………………………………………..…..… Postcode: ………………………………
3. Mobile telephone number: ………………………..….
4. Date of Birth: ……………………………………....… Age: …………………….
5. Nationality ………… First Language: …………………………(to receive translated information)
6 National Insurance Number: ……………………….…………….
Please tick TWO proofs of identity that you are providing (photocopies) (at least one of which should include your current address), and enclose them with this application.
Tick

Office use only
Current Driving Licence
Recent utility bill (Gas, Electricity, Telephone, Council Tax)
Passport
Medical card
P60
8. Please enclose two recent passport photographs, signed on the back
9. Foreshore Gatherers Safety Training Certificate number: ……………(Enclose photocopy of certificate)
10. Signature of Applicant: ……………………………………….
11. Applications which are not fully completed will not be processed. Please allow 14 days for applications to be processed.
Your documents and permit will be returned as soon as possible to the address that you have given above

Data Protection Act 1998: The information provided will be processed by NW&NWSFC to deal with your application. It will also be processed to monitor compliance with the permit and may be used for the issue of any notification of future management plans. NW&NWSFC may be asked to pass on this information to other government agencies (HM Inland Revenue, The Department for Work & Pensions, Department of Social Security, Customs and Excise and the Immigration Service) for the prevention or detection of crime.
Office use only:

Permit Number: ____________

Date of Issue:

Date of Expiry: