APPLICATION FORM A IN RESPECT OF COMMERCIAL FISHING SQUID

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1 APPLICATION FM A IN RESPECT OF COMMERCIAL FISHING SQUID SECTION 1.A Name of Vessel: Area No: APPLICANT DETAILS 1. Full name of applicant: 2. Physical address: 3. Postal address: 4. address: 5. Telephone code & number: Fax code & number: 6. Contact person: Cellular phone number: 7. Type of entity: (tick appropriate block) sole proprietor partnership close corporation trust private company public company listed company 8. Size of entity: micro small medium large (See Rule Book) 9. Registration / Identity number: 10.Are you/your enterprise applying for squid rights for any other vessel/s? YES [ ] NO [ ] If YES, list the name/s and area number/s: Name: Area Number: Name: Area Number: Name: Area Number: Name: Area Number: 11. Please complete SECTION 1.A. in respect of any connected person (see definitions) who also holds squid fishing rights or who has applied for fishing rights. Include a comprehensive organogram. Mark as Annexure1.

2 Page 2 of 2 SECTION 1.B VESSEL DETAILS Name of vessel: Area Number of vessel: 3. Name of owner of vessel: 1. Length of vessel: meters. (See definition Length of vessel.) 5. Official number of vessel: 6. Gross tonnage of vessel: tons. 7. Total number of crew as per safety certificate: men. 8. In your opinion, are the physical characteristics of this vessel of such a nature as to warrant an appeal, as contemplated in item 1 of the section in the RMS document entitled Sustainable Utilisation and Compliance. YES [ ] NO [ ] If YES, please make and motivate your appeal and mark as Annexure 2. SECTION 2.A THE APPLICANT Attach copies of the documents relevant to your type of entity (as selected in Section 1.7 above). Mark as Annexure Sole Proprietor: South African Identity document. 1.2 Partnership: Partnership agreement and the Identity documents of all partners. 1.3 Close Corporation: Founding Statement (CK document) and the Identity documents of all members of the close corporation. 1.4 Trust: Letter of Authority and copy of Trust Deed. Identity documents of all trustees and vested beneficiaries of the Trust. If the Trust is a discretionary trust, please indicate which individuals or entities are likely to receive a distribution from the Trust while the trust holds fishing rights. Full names and identity numbers to be supplied Private Company: Company Registration Documents and the Identity documents of all directors and shareholders. Where shareholders are juristic persons, their company documents. List the shareholders/members/beneficiaries, indicating their shareholding Public Company: Company Registration Documents, Identity Documents of Directors and a shareholding analysis.

3 Page 3 of 3 2. Please provide details of any agreements of sale, options to sell, signed but uncompleted CK2 documents, signed but uncompleted share transfer forms, cessions or any other similar agreements entered into which will have the effect when executed that the details of the applicant or effective right holder will change. Mark as Annexure 4. The TAE of the squid industry, in men, is If this application is successful, will the acquisition of the right, together with any other rights applied for in the squid industry, by yourself or any connected person (see definition) as contemplated in SECTION 1.A. numbers 10 and 11, equate to more than 7,5% of the total allowable effort (in men) available for allocation to the industry? YES [ ] NO [ ] State percentage: % SECTION 2.B THE VESSEL 1. Name of vessel: 2. Attach copies of the following documents pertaining to the vessel named in 1 above. Mark as Annexure Valid Safety Certificate Current Fishing Vessel License Certificate of Registry (if over 25 Tons) The purchase/charter/other agreement, valid for the period of the right, if the registered owner is not the applicant If you are acquiring a vessel, or access to a vessel, is this vessel currently active, or replacing a similar vessel currently active in the squid industry. YES [ ] NO [ ] If the answer is NO, the application is eliminated. If YES: state the name, length and area number of the currently active vessel. Name: Length: meters Area No. State the name, length and area Number of vessel that is to be replaced. Name: Length: meters Area No: 3.2. Attach a letter of approval from the Boat Limitations Committee if the vessel is not currently active in the squid industry Attach a contract / agreement with builder or seller including the projected date of completion if the vessel is under construction or the effective date of change of ownership if the vessel is in the process of being purchased.

4 Page 4 of 4 A comprehensive agreement, binding on both parties for the duration of the right, in the event that access to a vessel for the purpose of exercising the right for which you are applying, is to be gained in some other way Attach a finance agreement (with Bank, Business Partners etc). Mark the documents required in Section 2B No. 3. as Annexure Has more than one application been made in the name of this vessel? YES [ ] NO [ ] If the answer is yes the application is eliminated. SECTION 2.C TAX CLEARANCE Attach valid original Tax Clearance Certificates, issued by the South African Revenue Service, in the name of your enterprise and in the name of the owner of the vessel (if applicable). Mark as Annexure 7. SECTION 3 1. State for what uninterrupted period you have participated in the squid industry as a right holder or as the utiliser of a right :! from 1987 to date [ ] (80 pts)! after 1987 but before 1993, to date [ ] (70 pts)! after 1992 but before the 1998 allocation, to date [ ] (50 pts)! since the 1998 allocation [ ] (20 pts)! since the 1999 allocation [ ] (10 pts)! never [ ] ( 0 pts) 2. Investment: 2.1 Do you own land-based squid processing facilities? State percentage shareholding. % (1 point for every 10% or part thereof. Max 10 points.) 2.2 Do you own the vessel? State percentage shareholding. % (5 points for every 10% or part thereof. Max 50 points.) Attach a concise chronological history of your commercial involvement in the Squid Industry with particular reference to items 1and 2 above. Mark as Annexure Viability. Please supply:! A copy of your enterprise s most recent signed financial statements as submitted to the South African Revenue Services and those for the preceding two years. (30 pts/0pts)! A viable and achievable business plan, together with proof that the required funds are available, if you have been in the industry for four years or less.

5 Page 5 of 5 Mark as Annexure 9. (15 pts if acceptable/0 pts if not) 4. What percentage of your total income is derived from commercial fishing?! more than 90% [ ] (45 pts)! more than 75% but less than 90% [ ] (30 pts)! more than 50% but less than 75% [ ] (15 pts)! less than 50% [ ] ( 0 pts) 5. Membership of the industrial organisation:! paid up member [ ] (10 pts)! not a member [ ] (0 pts) 6. Is your enterprise situated within the range of the resource as described in the RMS Document? YES [ ] (10 pts) NO [ ] (0 pts) 7. Does your enterprise provide employee related benefits such as : 7.1 Medical Aid/Insurance YES [ ] NO [ ] (5/0 Pts) 7.2 Provident/pension Funds YES [ ] NO [ ] (5/0 Pts) 7.3 Housing assistance YES [ ] NO [ ] (5/0 Pts) 7.4 Personal accident Insurance YES [ ] NO [ ] (5/0 Pts) 7.5 Other (give details) YES [ ] NO [ ] (5/0 Pts) Supply supporting documentation/details i.e. Insurance/Funeral policies, Provident Fund investments etc. Mark as Annexure Is your enterprise an S.M.M.E? YES [ ] NO [ ] (40/0 pts) Maximum score attainable 300. SECTION 4 TRANSFMATION 1. State the percentage of expenditure (including wages, salaries, commissions, payments for goods and services, etc.) that is distributed to HDIs or HDI enterprises. %. (10 points for every 5% or part thereof. Maximum 160 points possible.) Attach a value added statement (awaiting details) supporting the above. Mark as Annexure a. State what percentage of your enterprise is owned by historically disadvantaged persons. % (15 points for every 10% or part thereof. Max. 60 points.)

6 Page 6 of 6 b. Is your business is a family business as defined in the RMS Document? YES [ ] NO [ ] (60 points for YES / 0 points for NO. Max. 60 points) 3. State the percentage of staff employed by your enterprise, who are Historically Disadvantaged Persons. % (2 points for every 5% or part thereof. Max. 40 points possible.) Does your enterprise have a program for the provision of significant training to HDIs in its employ? YES [ ] NO [ ] If yes, supply supporting documentation. Mark as Annexure 12. (10 points for acceptably documented Yes / 0 points for No.) 4.2. Has your enterprise provided significant training to HDIs in it s employ? YES [ ] NO [ ] If yes, supply supporting documentation. Mark as Annexure 13. (10 points for acceptably documented Yes / 0 points for No.) 5. By what number of men will the crew of your vessel, or it s predecessor, be decreased in comparison to the crew for which you had squid permits on the 1 st October, 1998? Decreased by Men. (4 points per man. 0 points if no rights were allocated to the vessel or it s predecessor before the 1 st October Max. 20 points possible.) 6. This question is only to be completed if the applicant is applying for the transfer of a right during the period of medium-term rights. When applying for long-term rights in the case of an applicant whose ownership particulars, as contemplated in section 2.A., have changed during the period of medium-term rights (prior to the expiry of the period of medium-term rights). If the percentage stated in Question 2.a. is less than 25%, deduct any points scored in that question as well as one point for every 1% that the stated percentage is less than 25%. Maximum score attainable = 300

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