ANNEXE VI

| ANNEXE VI - 1. DOCUMENT ICCAT DE CAPTURE DE THON ROUGE (E-BCD) | N° FR-23-XXXXXX | 1/2 | | | | | | | | | | | | | | |--------------------------------------------------------------------------------|-----------------------------------------------|------------------------------|------------------------------------------------------|------------------|-------------------|-------------------------------|-------|---|------|------|------------------|-------------------|---|---|---| | 2. INFORMATION DE CAPTURE | | | | | | | | | | | | | | | | | NAVIRE/MADRAGUE | | | | | | | | | | | | | | | | | | NOM DU NAVIRE DE CAPTURE/MADRAGUE | PAVILLON/CPC | N° REGISTRE ICCAT | QUOTA INDIVIDUEL | CAPTURE | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | NOM DES AUTRES NAVIRES DE PECHE | PAVILLON | N° REGISTRE ICCAT | QUOTA INDIVIDUEL | CAPTURE | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | DESCRIPTION DE LA CAPTURE | | | | | | | | | | | | | | | | | | DATE (jj/mm/aa) | | ZONE | | ENGIN | | | | | | | | | | | | Nbre de poissons | | POIDS TOTAL (kg) | | Poids moyen (kg) | | | | | | | | | | | | | N° REGISTRE ICCAT de l'opération de pêche conjointe | | | | | | | | | | | | | | | | | N° MARQUES (le cas échéant) | | | | | | | | | | | | | | | | | VALIDATION GOUVERNEMENT | | | | | | | | | | | | | | | | | | NOM DE L'AUTORITE | | SCEAU | | | | | | | | | | | | | | POSTE | | | | | | | | | | | | | | | | | SIGNATURE | | | | | | | | | | | | | | | | | DATE (jj/mm/aa) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 3. INFORMATION COMMERCIALE | | | | | | | | | | | | | | | | | DESCRIPTION DU PRODUIT | | | | | | | | | | | | | | | | | | POIDS VIVANT (kg) | | Nbre de poissons | | ZONE | | | | | | | | | | | | EXPORTATEUR/VENDEUR | | | | | | | | | | | | | | | | | | POINT D'EXPORTATION/ DEPART | ENTREPRISE | ADRESSE | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | FERME DE DESTINATION | | CPC | |N° DE FERME ICCAT | | | | | | | | | | | | | SIGNATURE | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | DATE (jj/mm/aa) | | | | | | | | | | | | | | | | | DESCRIPTION DU TRANSPORT |(La documentation pertinente devra être jointe)| | | | | | | | | | | | | | | | VALIDATION GOUVERNEMENT | | | | | | | | | | | | | | | | | | NOM DE L'AUTORITE | | SCEAU | | | | | | | | | | | | | | POSTE | | | | | | | | | | | | | | | | | SIGNATURE | | | | | | | | | | | | | | | | | DATE (jj/mm/aa) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | IMPORTATEUR/ACHETEUR | | | | | | | | | | | | | | | | | | ENTREPRISE | |POINT D' IMPORTATION / DESTINATION (ville, pays, Etat)| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ADRESSE | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | DATE DE LA SIGNATURE (jj/mm/aa) | | SIGNATURE | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ANNEXE(S) : OUI / NON (entourez votre choix) | | | | | | | | | | | | | | | | 4. INFORMATION DE TRANSFERT | | | | | | | | | | | | | | | | | DESCRIPTION DU NAVIRE REMORQUEUR | | | | | | | | | | | | | | | | | | N° DECLARATION DE TRANSFERT ICCAT | | | | | | | | | | | | | | | | NOM | | PAVILLON | |N° REGISTRE ICCAT | | | | | | | | | | | | | Nbre de poissons morts | | | | | |POIDS TOTAL DU POISSON MORT(kg)| | | | | | | | | | | DESCRIPTION DE LA CAGE DE REMORQUAGE | N° de la CAGE | | | | | | | | | | | | | | | | | ANNEXE(S) : OUI / NON (entourez votre choix) | | | | | | | | | | | | | | | | 5. INFORMATION DE TRANSBORDEMENT | | | | | | | | | | | | | | | | | DESCRIPTION DU NAVIRE DE CHARGE | | | | | | | | | | | | | | | | | | NOM | | | PAVILLON | | N° REGISTRE ICCAT | | | | | | | | | | | DATE(jj/mm/aa) | | NOM DU PORT | | ETAT DU PORT | | | | | | | | | | | | | POSITION (LAT/LONG) | | | | | | | | | | | | | | | | |DESCRIPTION DU PRODUIT (Indiquez le poids net en kg pour chaque type de produit)| | | | | | | | | | | | | | | | | F | RD (kg) | | GG (kg) | | DR (kg) | |FL (kg)| |OT(kg)| |POIDS TOTAL F (kg)| | | | | | FR | RD (kg) | | GG (kg) | | DR (kg) | |FL (kg)| | |OT(kg)| |POIDS TOTAL FR (kg)| | | | | VALIDATION GOUVERNEMENT | | | | | | | | | | | | | | | | | | NOM DE L'AUTORITE | | SCEAU | | | | | | | | | | | | | | POSTE | | | | | | | | | | | | | | | | | SIGNATURE | | | | | | | | | | | | | | | | | DATE (jj/mm/aa) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ANNEXE(S) : OUI / NON (entourez votre choix) | | | | | | | | | | | | | | | | DOCUMENT ICCAT DE CAPTURE DU THON ROUGE (BCD) | N° FR-23-XXXXXX | 2/2 | | | | | | | | | | | | | | | 6. INFORMATION D'ENGRAISSEMENT | | | | | | | | | | | | | | | | | DESCRIPTION ETAB. D'ENGRAISSEMENT | NOM | | CPC | | N° FERME ICCAT | | | | | | | | | | | | PROGRAMME NATIONAL D'ECHANTILLONAGE ? Oui ou non (entourez votre choix) | LOCALISATION | | | | | | | | | | | | | | | | DESCRIPTION DE LA CAGE | DATE(jjmmaa) | | N° de la CAGE | | | | | | | | | | | | | | DESCRIPTION DES POISSONS | Nbre de poissons | | POIDS TOTAL (kg) : |POIDS MOYEN (kg) :| | | | | | | | | | | | | INFORMATION DE L'OBSERVATEUR REGIONAL ICCAT | NOM | | POSTE | | SIGNATURE | | | | | | | | | | | | | COMPOSITION PAR TAILLE | < 8kg : | 8-30 kg : | > 30 kg : | | | | | | | | | | | | | VALIDATION GOUVERNEMENT | | | | | | | | | | | | | | | | | | NOM DE L'AUTORITE | | SCEAU | | | | | | | | | | | | | | POSTE | | | | | | | | | | | | | | | | | SIGNATURE | | | | | | | | | | | | | | | | | DATE (jj/mm/aa) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ANNEXE(S) : OUI / NON (entourez votre choix) | | | | | | | | | | | | | | | | 7. INFORMATION SUR LA MISE A MORT | | | | | | | | | | | | | | | | | DESCRIPTION DE LA MISE A MORT | | | | | | | | | | | | | | | | | | DATE (jj/mm/aa) | | Nbre de POISSONS | |POIDS VIF TOTAL(kg)| | | | | | | | | | | | POIDS MOYEN (kg) | |N° de MARQUES (le cas échéant)| | | | | | | | | | | | | | | INFORMATION DE L'OBSERVATEUR REGIONAL ICCAT | NOM | | POSTE | | SIGNATURE | | | | | | | | | | | | VALIDATION GOUVERNEMENT | | | | | | | | | | | | | | | | | | NOM DE L'AUTORITE | | SCEAU | | | | | | | | | | | | | | POSTE | | | | | | | | | | | | | | | | | SIGNATURE | | | | | | | | | | | | | | | | | DATE (jj/mm/aa) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 8. INFORMATION COMMERCIALE | | | | | | | | | | | | | | | | |DESCRIPTION DU PRODUIT (Indiquez le poids net en kg pour chaque type de produit)| | | | | | | | | | | | | | | | | F | RD (kg) | | GG (kg) | | DR (kg) | |FL (kg)| |OT(kg)| |POIDS TOTAL F (kg)| | | | | | FR | RD (kg) | | GG (kg) | | DR (kg) | |FL (kg)| | |OT(kg)| |POIDS TOTAL FR (kg)| | | | | EXPORTATEUR/VENDEUR | | | | | | | | | | | | | | | | | | POINT D'EXPORTATION/ DEPART | ENTREPRISE | ADRESSE | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ETAT DE DESTINATION | | | | | | | | | | | | | | | | | SIGNATURE | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | DATE (jj/mm/aa) | | | | | | | | | | | | | | | | | DESCRIPTION DU TRANSPORT |(La documentation pertinente devra être jointe)| | | | | | | | | | | | | | | | VALIDATION GOUVERNEMENT | | | | | | | | | | | | | | | | | | NOM DE L'AUTORITE | | SCEAU | | | | | | | | | | | | | | POSTE | | | | | | | | | | | | | | | | | SIGNATURE | | | | | | | | | | | | | | | | | DATE | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | IMPORTATEUR/VENDEUR | | | | | | | | | | | | | | | | | | ENTREPRISE | |POINT D' IMPORTATION / DESTINATION (ville, pays, Etat)| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ADRESSE | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | DATE (jj/mm/aa) | | SIGNATURE | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ANNEXE(S) : OUI / NON (entourez votre choix) | | | | | | | | | | | | | | |