Form XIV:Application For Registration of New Water Sports Activities/Renewal of Existing Water Sports Activities

Company Name(s): 

APPLICATION FOR REGISTRATION OF NEW WATER SPORTS ACTIVITIES/RENEWAL OF EXISTING WATER
SPORTS ACTIVITIES
FORM – XIV
(See rule 14)
To,
The Prescribed Authority,
I/We ______________________________request that I/We, may be registered as a Tourist Boat/Launch/Passenger Boat/Parasailing Boat/Cruise Boat/Jetskii/ within the meaning of the Goa Registration of Tourist Trade Act, 1982 (Act 10 of 1982), for the year ________.
The other particulars of the trade are as under:-
1) Name of the person with full address intending to operate or is already operating as :
__________________________________
2) Model and Vessel No. : __________________________________
3) Name of the tourist area where the business is to be conducted : __________________________________
4) Name of the Proprietor : __________________________________
5) Whether the applicant is a permanent resident of Goa : __________________________________
6) Whether the applicant has necessary licence/permit to ply tourist boat/launch. If so, documentary evidence be produced : __________________________________
7) Details of Insurance Policy amount and validity : __________________________________
8) Whether the boat is driven by the owner or driver. If Driven by driver, details of his licence, residential address : __________________________________
9) Whether owned by individual company or else : __________________________________
Photo of Applicant
or
Authorized Signatory
10) Whether operating from winch : __________________________________
11) Whether having safety equipments : __________________________________
12) Whether hypothecated to any Financial Institution. If yes the details thereof : __________________________________
13) Telephone No./Mobile No. : __________________________________
Declaration:-
I Shri __________________________________________________ do solemnly state as:
1. I shall not overload the boat.
2. I shall ply the boat within the nautical miles only as may be specified.
3. I shall follow the Queue System.
4. I shall adhere to all the instructions issued from the Registering authority from time to time.
5. I shall provide safety equipment to my client before boarding the boat.
6. I have read the water sports policy 2012 and I agree to abide to all the terms & conditions. In case of default or breech of non-compliance of any terms & conditions of water sports policy or any violation as are prohibited under the prevailing laws, the security deposit will be forfeited.
(Signature of the Applicant)
Enclosures: -
1) Insurance for Rs.2.00 lakhs per passenger, vessel and crew members separately,
2) A copy of NOC of the Fisheries Department, Panaji, Goa to operate the boat/water sports activities.
3) A copy of the NOC of the Captain of Ports, Panaji to operate boat vessel/water sports activity according to their jurisdiction.
4) A copy of NOC of the Mormugao Port Trust, Vasco / Captain of Ports, Panaji to operate the boat vessel/water sports activities at Dona Paula Bay.
5) Licence to operate boat/life saving technique certificates from National Institute of Water sports, Altinho, Panaji or Captain of Ports (Maritime School Britona) to operate the boat vessel/water sports activities.
6) Two copies of the printed tariff of the water sports activities.
7) Security Deposit of Rs.5,000/- in form of a Demand Draft drawn in favour of Director of Tourism from any Scheduled Commercial Bank payable at Panaji.
NOTE: - The applicant shall bring all original documents for verification at the time of Registration/Renewal.