FORM ”A”

(See Rule 4 (2) )

License No:

License granted to ……………………………… Owner of the boat measuring ……………………feet long…………feet broad……………..feet deep………………..registered tonnes , to carry cargo(other than animals) and /or passengers/animals to the extend specified below, to and from ships at or off the Port of Tuticorin under the restrictions and subject to the penalties laid down in the port of Tuticorin (Harbour Craft) Rules, 1976.

Date of Registry	Name, number and description of Harbour craft	Rig and equipment	When built and where	When repaired, last and in what condition	Cargo without Passengers		Number of passengers without cargo	Number of crew
Date of Registry	Name, number and description of Harbour craft	Rig and equipment	When built and where	When repaired, last and in what condition	Number of animals and presumed weight	Weight of cargo other than animals	Number of passengers without cargo	Number of crew
1	2	3	4	5	6	7	8	9
					In fine weather In rough weather	In fine weather In rough weather	In fine weather In rough weather	In fine weather Tindal, Lascars In rough weather Tindal, Lascars

Note : Two children under 12 years of age = 1 adult.

FORM ”A”

Particulars respecting the owner or owners of the boat		Particulars respecting the Tindals of the boat		Period for which license to be in force	Remarks
Name or Names	Occupation, Place or places of residence	Name	Place of residence	Period for which license to be in force	Remarks
10	11	12	13	14	15

Licensing Officer / Registering Officer

Extended to……………………………………..

Ditto

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

Endorsement of change of Tindal