byelaw5app

NORTH WESTERN AND NORTH WALES SEA FISHERIES COMMITTEE

(NW&NWSFC)

Lancaster University, Bailrigg, LANCASTER, Lancashire. LA1 4YY

BYELAW 5 Application for a commercial cockle and mussel permit A

(valid from 1^st February 2007 to 31^st August 2008)

2007 / 2008

1.

Name of Applicant:
First name(s):……………………………… Surname:………………..………………

2.
Address where you are living : Telephone number:
……………………………………………….. ………………….……………...

………………………………………………..

………………………………………………… Postcode: ………………………

3.
Mobile telephone number: ………………………..….

4.
Nationality: …………………………………. First Language: ………………………
(to receive translated information)

5.
National Insurance Number: ……………………………………….

6.
NW&NWSFC 2006 Permit Number : DWS……….

7.
Foreshore Gatherers Safety Training Course Certificate number: …………….
(You must enclose a photocopy of your certificate with this application)

8.

Signature of Applicant: ……………………………………….

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

………………..

mrb/iva/jan07

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1.	Name of Applicant: First name(s):……………………………… Surname:………………..………………
2.	Address where you are living : Telephone number: ……………………………………………….. ………………….……………... ……………………………………………….. ………………………………………………… Postcode: ………………………
3.	Mobile telephone number: ………………………..….
4.	Nationality: …………………………………. First Language: ……………………… (to receive translated information)
5.	National Insurance Number: ……………………………………….
6.	NW&NWSFC 2006 Permit Number : DWS……….
7.	Foreshore Gatherers Safety Training Course Certificate number: ……………. (You must enclose a photocopy of your certificate with this application)
8.	Signature of Applicant: ……………………………………….
	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 ………………..