Fishermen Participation Form | Nuplas NuNet Project

1 - Personal Information

Full Name:*

Date of Birth:*

National ID/Passport No.:*

Phone Number:*

Email Address (if applicable):

Home Address:*

Fishing Village/Community:*

2 - Fishing Details

Fishing License No. (if applicable):

Type of Fishing Vessel:*

Type of Fishing Gear Used:*

Average Fishing Area:*

3 - Participation Information:

Estimated quantity of discarded nets per month (kg):*

Would you like to receive financial incentives for net collection?*

Yes

No

Current method of net disposal:*

Preferred Payment Method*

Bank Transfer

E-Wallet

Cash

Bank Name & Account No. (if applicable):

4 - Emergency Contact:

Name*

Phone Number:*

Relationship:*

5 - Declaration:

Untitled*

I hereby declare that the information provided is true and accurate to the best of my knowledge. I agree to participate in the NuNet Project and adhere to the guidelines provided for net collection and disposal.*

Signature

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NuNet Project

Fisherman Participation Form

1 - Personal Information

2 - Fishing Details

3 - Participation Information:

4 - Emergency Contact:

5 - Declaration: