e-form

Application for Consent to Conduct Marine Scientific Research on Malta's Continental Shelf in terms of Regulation 6 of the Continental Shelf Regulations (S.L. 535.02)

Date:

1.1 Cruise name and/or number:

1.2 Study name and/or number:

1.3 Sponsoring institution(s):

Name:

Address:

Name of Director:

1.4 Scientist in charge of supervising the project:

Name:

Affiliation:

Country:

Address:

Telephone:

Fax:

Email:

Website (for CV and photo):

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1.5 Entity(ies)/Participant(s) from coastal state involved in the planning of the project:

Name:

Affiliation:

Address:

Telephone:

Fax:

Email:

Website (for CV and photo):

2.1 Nature and objectives of the project:

2.2 If designated as part of a larger scale project, or as a co-study to previous or future study/ studies, then provide the name of the project and the organization(s) responsible for coordinating the project:

2.3 Relevant previous or future research projects:

2.4 Previous publications relating to the project:

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3.1 Indicate geographical areas in which the project is to be conducted (with reference in latitude and longitude, including coordinates of cruise track/way points)

3.2 Attach chart(s) at an appropriate scale (1 page, high-resolution) showing the geographical areas covered by the intended work and, as far as practicable, the location and depth information of sampling station data, and the tracks of survey lines, and the locations of installations and equipment. This information must also be provided in GIS shapefile format using WGS84 datum.

4.1 Particulars of vessel:

Name:

Type/Class:

Nationality (Flag State):

Identification Number (IMO/Lloyds No.):

Website for diagram & specifications:

Owner:

Operator:

Overall Length (meters):

Maximum Draught (meters):

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Displacement/Gross tonnage:

Propulsion:

Cruising & maximum speed:

Call sign:

IMMARSAT number and method and capability of communication (including emergency frequencies):

Name of master:

Number of crew:

Number of scientists on board:

Relevant documents required by international conventions and regulations:

Other relevant information:

4.2 Particulars of aircraft:

Name:

Make/model:

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Website for diagram and specifications:

Owner:

Operator:

Overall length (meters):

Propulsion:

Cruising and maximum speed:

Registration No.:

Call sign:

Method and capability of communication (including emergency frequencies):

Name of pilot:

Number of crew:

Number of scientists on board:

Details of sensor packages:

Other relevant information:

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4.3 Particulars of Autonomous Underwater Vehicle (AUV) and/or Manned Underwater Vehicle

Name:

Type:

Manufacturer and make/model:

Nationality (Flag state):

Website for diagrams and specifications:

Owner:

Operator:

Overall length (meters):

Displacement/Gross tonnage:

Cruising and maximum speed:

Range/Endurance:

Method and capability of communication (including emergency frequencies):

Name of pilot (for manned underwater vehicles):

Number of crew (for manned underwater vehicles):

Number of scientists on board (for manned underwater vehicles):

Details of sensor packages:

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Other relevant information:

4.4 Other craft in the project, including its use:

4.5 Particulars of methods and scientific instruments:

Types of samples and measurements:

Methods to be used:

Instruments to be used:

4.6 Indicate nature and quantity of substances to be released into the marine environment:

4.7 Indicate whether drilling will be carried out. If yes, please specify:

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4.8 Indicate whether explosives will be used. If yes, please specify type and trade name, chemical content, depth of trade class and stowage, size, depth of detonation, frequency of detonation, and position in latitude and longitude:

5.1 Details of installations and equipment (including dates of laying, servicing, method and anticipated timeframe for recovery, as far as possible exact locations and depth, and measurements):

6.1 Expected dates of first entry into and final departure from the research area by the research vessel and/or other platforms:

6.2 Indicate if multiple entries are expected:

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7.1 Dates and names of intended ports of call:

7.2 Any special logistical requirements at ports of call:

7.3 Name/address/telephone of shipping agent (if available):

8.1 Modalities of the participation of the representative of the coastal State in the research project:

8.2 Proposed dates and ports for embarkation/ disembarkation:

9.1 Expected dates of submission to coastal State of preliminary report and study results, which should include the expected dates of submission of the data interpretation and research results:

9.2 Anticipated dates of submission to the coastal State of the final report:

9.3 Proposed means for access by coastal State to data and interpretations (including format) and samples:

9.4 Proposed means to provide coastal State with assessment of data, samples and research results:

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9.5 Proposed means to provide assistance in assessment or interpretation of data, samples and research results:

9.6 Proposed means/intention of making results internationally available:

10.1 Indicate other types of coastal State permits anticipated for this research (received or pending):

11.1 List of attachments (including information in Section 3.2) such as additional forms required by the coastal State, etc as well as any other additional information on any part of this form. (Please upload documents using the Document Uploader)

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Name:

Country:

Affiliation:

Address:

Telephone:

Fax:

Email:

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