Victoria Dock Berthing Application Form

Please complete using block capitals and return to:
Caernarfon Harbour Trust, Harbour Office, Slate Quay, Caernarfon, Gwynedd, LL55 2PB

Full Name  
Address  
 
Postcode  
Telephone Home   Work  

Name of Vessel  
Present Location  
Type/Make of Vessel  
Dimensions(metres) L.O.A.   Beam   Draft  
Hull/Keel Form  
British Reg./Small Ships Reg. No.  
Purpose of Vessel Private   Charter   Angling Parties  
Electricity if available Yes   No  
Owner's Car Registration No.(s)  
Berthing Required From   To  

DECLARATION
I, the above named applicant, request the Caernarfon Harbour Trust (hereafter called the 'Trust') to grant me a berth at Victoria Dock, Caernarfon. I agree to be bound by the Conditions of Berthing at the Victoria Dock. I also understand that the Trust reserves the right to allocate berths according to availability and the general suitability of my vessel for a particular berth. I certify that my vessel is seaworthy and enclose a copy of the vessel's Certificate of Third Party Insurance*. The above information is correct to the best of my knowledge, and I undertake to inform the Trust immediately of any changes.
Signed   Date  
*The Trust recommends insurance cover being not less than £1 million.