Before you fill in this form please click here to read the application form guide
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1. Boat Shore(please tick appropriate)
2. Species (common name) Species (Scientific) 3. Weight lb oz kg 4. Length inches X to X XX to XX cm X to X XX to XX 5. Girth or Width (see measurements diagrams) inches Y to Y Z to Z cm Y to Y Z to Z 6. Date of Catch 7. Place of Catch Port Place Country 8. Method of Catch 9. Angler Mr Mrs Ms Miss Surname Forename 10. Permanent Address 11. Membership or Angling Clubs 12. Tackle Used (every item in this section must be completed. A sample of the actual line must accompany the claim) ROD Make Tip Length (centre of reel to end of tip) Butt Length (centre of reel to butt cap) REEL Make & Model Size LINE Make Manufacturer’s breaking strain Length of double line Length of trace Type of gaff Length Number & type of hooks Type of lure or bait 13. Boat (if used) Name Length Skippers name Skippers Address Skippers Signature 14. Line Class Entered (see acceptable classes) 2lb*/1kg 4/2 8/4 12/6 16/8 20/10 30/15 15. Scales Location Type Manufacturer Serial Date Last Certified Person or agency certifying scales Weighmaster Address Signature 16. Witness (to weighing other than angler) Name Address Witness to catch other than skipper (two names & address if possible) Name Address Name Address Declaration of angler I, the undersigned, hereby take oath and attest that the fish described in the application was hooked, fought and bought to the gaff by me without assistance from anyone, except as specifically provided in the regulations; and that it was caught in accordance with EUROPEAN LINE CLASS RULES; and that the line submitted with this application is the actual line used to catch the fish. I further declare that all information is true and correct to the best of my knowledge. Signature of Angler Date Sworn by me this day of 19 Notary Signature and seal PLEASE DO NOT WRITE BELOW THIS LINE Line strength test Fish identified by Registered under line class Signature Data Ratified Data identified Signature of fish recorder Record category A copy of this form may be taken in order to complete a record claim. The copyright remains the property of the The European Federation of Sea Anglers (EFSA) and the Light Tackle Club (LTC) |