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DOF Registration Form

The document is a registration form for the Department of Fisheries (DOF) that collects personal and fisheries-related information from individuals. It includes sections for basic personal details, family information, occupation, fishing practices, and financial data. The form concludes with a declaration of the accuracy of the provided information.

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70 views3 pages

DOF Registration Form

The document is a registration form for the Department of Fisheries (DOF) that collects personal and fisheries-related information from individuals. It includes sections for basic personal details, family information, occupation, fishing practices, and financial data. The form concludes with a declaration of the accuracy of the provided information.

Uploaded by

marzan.jui.ban
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Department of Fisheries (DOF) Registration Form

1. Name (Bengali)
2. Name (English, Capital Letters)
3. National ID Number
4. Father's Name
5. Mother's Name
6. Spouse's Name (if applicable)
7. Date of Birth / /

8. Age as of January 1, 20XX Date years______Month______Day


9. Gender [ ] Male [ ] Female [ ] Other
10. Marital Status [ ] Single [ ] Married [ ] Widowed [ ] Divorced
11. Educational Qualification [ ] Illiterate [ ] Primary [ ] Secondary [ ] Higher Secondary [ ]
Graduate [ ]

12. Number of Family Members


13. Nationality [ ] Bangladeshi
14. Present Address Village/Ward No.: , Union/Thana:
15. Permanent Address [ ] Same as above [ ] Different (Specify)
16. Visible marks
17. Contact Information Mobile: , Email:

Fisheries-Related Information

18.Occupation [ ] Full-time [ ] Part-time


19. Annual income _________from main source of
income________from any other source__________

20. Period of fishing [ ] 4 months [ ] 6 months [ ] 9 months [ ] All years


21. Type of Water Body Use [ ] River [ ] Floodplain [ ] Reservoir [ ] Pond [ ] Other
22. Types of Fish Cultured/Caught [ ] Local [ ] Exotic [ ] Shrimp [ ] Hilsa [ ] Others
23. Fishing Gear Used [ ] Cast Net [ ] Gill Net [ ] Trap [ ] Hand Line [ ] Others
24. Methods of catching fish [ ] Single [ ] Group
25. Number of Fishermen in the Group [ ] 2-5 [ ] 6-9 [ ] 10-14 [ ] 15 -15+
26. Owner of fishing net [ ] Fisherman (Single) [ ] Fisherman (Partnership)
[ ]Moneylender and Fisherman (Partnership)

27. Type of Boat Used [ ] Motorized [ ] Non-Motorized [ ] Fishing troller


28. Boat Size [ ] Length [ ] Width [ ] Height
29. Boat Value [] tk
30. Net Size [ ] Length [ ] Width [ ] Height
31. Net Value [] tk
32. Type of Employment on the Boat [ ] Worker [ ] Fisherman (Single) [ ] Fisherman (Partnership)
[ ]Moneylender and Fisherman (Partnership)
33. Fish Selling Location [ ] Mahajan’s (middleman) wholesale [ ] Retail in the market [ ]
Wholesale in the market
34. Annual Savings [ ] 6000 tk [ ] 7000-12000 tk [ ] 13000-18000 tk [ ] 25000tk+
[ ] 0 tk
35. Livelihood Crisis [ ] 2 months [ ] 3-4 months [ ] 5-6 months [ ] Not applicable

36. Additional Income Source (if any)


Declaration
I hereby declare that the information provided is accurate and true to the best of my knowledge. If found otherwise, my
registration may be canceled.

Signature: Date: / /

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