Application for London International record catch

Read all BSA rules before completing and signing this application. The diver's signature on the completed form must be witnessed.

APPLICATION INFORMATION

Date of application: ____________________________________________________________________________
Name of Applicant:________________________________________________________________

Permanent address(include country and address code):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Telephone:______________________________
e-mail: ______________________________

FISH INFORMATION
SPECIES, Common name: ____________________________________________________
SPECIES, Scientific name: _____________________________________________________________________
Date speared: __________________________________
Specific location of catch: __________________________________________________
______________________________________________________________________

BOAT INFORMATION
Boat name: __________________________________________________
Captain's name:________________________________________________
Captain's address: ________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

SCALES
Scales location: __________________________________________________________
Scales type: _____________________________________________________________
Scales Manufacturer: ______________________________________________________
Last certification date: ______________________________________________________
Person/Agency that
certified scale: ____________________________________________________________

WITNESSES TO CATCH

Number of persons witnessing catch: ______________________

Witness to catch 1.___________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Witness to catch 2.___________________________________________________________
_________________________________________________________________________

WEIGHT AND WEIGHING
Weight of the fish: ___________________________________________________________ Person doing the Weighing:______________________________________________________________
Signature: ________________________________________________________________
Address: ________________________________________________________________
_______________________________________________________________________
WITNESS (other than applicant or weighmaster)______________________________________
Witness-to-weighing address: _________________________________________________
________________________________________________________________________
________________________________________________________________________

Applicant signature: ________________________________________

Total Length of fish:

 I, the undersigned, hereby take oath and attest that the fish described in this application was
speared, handled and landed by me without assistance from anyone and that it was taken in accordance with the BSA regulations . I further declare that all the information in this application is true and correct to the best of my knowledge. I understand that the London International Club reserves the right to employ verification procedures. I agree to be bound by any ruling of the London International Club relative to this application.

Signature of applicant; ________________________________________________

 Please remember to include all of the following materials or your application may be rejected:

Sets of photos of the fish and gun(s) and scales used. A complete description of the hunt.

Ph: 01442 827722

Send your complete application to:

London International Club Spearfishing Records Committee
26 Longbridge Close, Tring, Herts, HP23 5HG, United Kingdom