PART 1 Legal Name of Applicant: Address: INCOMPLETE APPLICATIONS NOT CONSIDERED Applications are reviewed by the Board of Directors. The Board will not consider applications that are not complete. Please provide all of the information requested in Parts 2, 3 and 4 of the application. The applicant may attach any other supporting documentation that he/she feels is important. NOTE: The entitlement to apply for an Export Dealer Licence does not entitle the Applicant to an Export Dealer Licence. 1
PART 2 FFMC may only issue Export Dealer Licences in the following categories: (Check one; provide detail below) UNDERUTILIZED SPECIES NEW PRODUCTS NEW MARKETS (a) Underutilized Species. Explain/Justify how your application fits the definition of the Underutilized Species category as set forth in Policy for Export Dealers Licences Section III, paragraph 1 (Schedule A ) (provide attachment if space provided is not adequate): 2
(b) New Products. Explain/Justify how your application fits the definition of the New Products category as set forth in the Policy for Export Dealers Licences Section III, paragraph 2 (Schedule A ) (provide attachment if space provided is not adequate): 3
(c) New Markets. Explain/Justify how your application fits the definition of the New Markets category as set forth in Policy for Export Dealers Licences Section III, paragraph 3 (Schedule A ) (provide attachment if space provided is not adequate): 4
PART 3 1. If the Applicant is not an individual, provide a certified copy of certificate showing that the Applicant is in good standing. 2. What is the requested term of the Export Dealer Licence (a maximum of 5 years)? 3. What is the annual estimated volume and species of fish to be purchased by the Applicant? 4. What are the regions or lakes from which fish are proposed to be purchased by the Applicant? 5. What is the minimum purchase price, per species, to be paid to fishers, specified by form and location? 6. What products, if any, are to be produced by the Applicant? 7. The names and addresses of all customers (other than retailers and wholesalers) who will process or resell Applicant's product under the EDL. Part 3 (continued) 5
8. Provide the legal names and addresses of the owners of any facility which will be used by the Applicant to produce the products, the address and location of such facility, and a general description of such facility. (The Applicant must provide a copy of all information set forth in Section V(c) of the Policy. 9. Financial information that will show Applicant s ability to pay fishers and all other stakeholders in their application. 10. Information regarding how deductions from fishers required under federal and provincial law will be remitted to the appropriate governmental authorities. 6
PART 4 DECLARATION BY APPLICANT The Applicant certifies that all information in this Application and accompanying this Application is true and correct and that the Applicant has read the Policy for Export Dealers Licences (Schedule A ), and acknowledges that the Applicant will be bound by the terms and conditions of the Export Dealer Licence and the Policy for the Export Dealers Licences. Date Applicant s Signature 7