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September 19, 2016

Trinette Furtado
342 Kulike Road
Haiku, HI 96708

(via U.S. Mail and e-mail)

Linda Chu Takayama


Director
Department of Labor and Industrial Relations
Keelikolani Building
830 Punchbowl Street
Honolulu, HI 96813
Re:

Widespread Violations of Hawaii's Labor Laws in the Longline Fishing Industry

Dear Director Takayama,


I write to you today to complain about widespread violations of Hawaii's labor laws
within the longline fishing industry. Unlike reputable native Hawaiian and other local fishing
outfits, these labor violations oppress workers, deceive consumers and undercut competition
within the market.
These practices also violate the Kanawai Mamalahoe, the Law of the Splintered Paddle,
which has been adopted at Article IX, Section 10 of the Hawai'i State Constitution. The Kanawai
Mamalahoe specifically states that all people have the freedom of movement "a moe i ke ala,
'a'ohe mea nana e ho'opilikia." [and to sleep by the road without fear of problem/harm]. These
unfair and illegal labor practices violate this ancient Hawaiian law protecting the rights of the
common person, specifically the vulnerable foreign workers that are exploited by the longline
fishing industry.
The longline fishing industry is composed of fishing vessels which engage in fishing and
fishing related activities including transportation of products and housing of foreign fish workers
with the territorial waters of the State of Hawai'i, use of state resources managed by the
Department of Land and Natural Resource and Harbors Division of the Department of
Transportation's controlled and operated state harbors. They unload their products in Honolulu
where they are sold and enter into the Hawai'i market and beyond.
As has been reported previously and recently in the press, many longline fishing boat

owners use labor recruiters to recruit fish workers from Third World countries. These workers
come from subsistence or other impoverished backgrounds and typically have no formal training
as seafarers and are not merchant marines. They also have no familiarity with Hawai'i wage and
other labor laws. For this reason, they are generally ineligible to admission into the United States
under the non-immigrant provisions of the federal Immigration and Naturalization Act, even for
a short period of time. Instead, using an obscure practice of the Department of Homeland
Security, employers obtain standard deportation forms from Homeland Security which require
that these workers be "detained-on-board" by the boat owner and/or captain. The Harbor Master
of the O'ahu Division, under the Department of Transportation, has provided a guidance
document for boat owners/employers regarding how those with "detained-on-board" designation
are to be handled at the various piers that have the infrastructure to comply with Homeland
Security's protocols.
Individuals employed in these enterprises generally are told they will be paid $300/month
for a twenty-four month term. For some boats, these contracts are written, in others, they are
oral. However, in this general example, $100/month is deducted to give the labor recruiter and
the remainder is kept by the boat owner until the end of the term, many deducting meal and other
expenses from the amounts. Some boat owners claim to remit a nominal sum to the worker's
family at monthly or other intervals. We have come across no evidence that these workers are
paid weekly or bi-weekly and that they are not given any documentation on a regular basis
regarding their wages and deductions. Many only receive a breakdown when they are terminated
or they return home at the end of the term.
These employers discriminate against workers on the basis of race/national origin. They
do not contribute to unemployment insurance and do not provide mandatory prepaid health care
insurance.
Every boat owner and captain is required to obtain a commercial marine license from the
Division of Aquatic Resources of the Department of Land and Natural Resources. Additionally
the Harbor Master of the O'ahu Division in its "Harbor Master's Notice, Oahu District, HMN-O02-12" dated November 1, 2012 entitled "Relating to Pier 16-18 and Piers 36-38 Compliance
with Federal, State and County Laws" indicated that it was adopting certain security measures to
"ensure that persons identified by DHS as "Detained-on-board (DOB)" remain onboard the
2

vessel and authorized areas of the pier at all times without exception" The Division of Aquatic
Resource has historically provided boat owners and captains with the DHS deportation form
blanks and is provided copies of the forms when they have been approved by DHS.
These documents we are providing are not inclusive of every boat that has engaged in this
scheme of failing to comply with Hawaii's wage laws. However, it is our contention based upon
experience working with survivors of human trafficking in this industry that every boat that
obtains "detained-on-board" deportation papers for its workers is not compliant with Hawaii's
wage laws based upon nearly identical facts described above.
The Division of Aquatic Resources and the Harbors Division should be able to readily
identify every boat/employer, beyond those named in the documents enclosed, that maintains a
presence in Hawai'i waters and at Hawai'i harbors that has on board persons who have been
designated as "detained-on-board."
Hawaii Wage and Hour Law
We believe that the Wage Standards Division has jurisdiction over these matters. State
wage laws which provide workers with more protections do not conflict and are not preempted
by federal law or maritime law for workers that work within the territorial waters of a state or the
high seas adjacent to the state's coast. See Pacific Merchant Shipping Ass'n v. Aubry, 918 F.2d
1409 (9th Cir.1990), cert. denied, 504 U.S. 979 (1992)
These boat owners are "employers" within the meaning of HRS 387-1(6) and the workers
on these ships are "employees" within the meaning of HRS 387-1(5).: These workers are being
1 The Hawaii Labor Standards Act was first adopted during the 1941 Special Session, as Act 66.
Then employee exemption category no. 6 (now exemption no. 7) was patterned from the
original exemption of Section 209(b)(14) of the Fair Labor Standards Act of 1938 (Act of
June 25, 1938, Public Law 75-718, 52 Stat. 1060) which exempted individuals as well as
officers and crew members of fishing vessels. However, the territorial legislature omitted the
language that included crew members of a fishing vessel. They were instead covered under
employee exemption category no. 8. In 1941, the common definition of "seaman" included all
those employees working on a fishing vessel.
"It is directed to extension not to restriction. There are many employees aboard vessels in
navigation whose status has not been judicially defined by the courts. Modern passenger
liners carry elevators operators, beauticians, cruise directors, printers, entertainers, etc.,
who do their share in keeping the business of a large vessel going and who are
3

paid less than the minimum wages required by HRS 387-2. These workers are working more
than the maximum hours without being compensated at one and one-half times their regular rate
and therefore less than one and one half times the minimum wages required by HRS 387-3.
These workers who are of foreign national origin are paid different wages than workers on the
same boat as American citizen and a different race, practices in violation of HRS 378-2 and 3874.
undoubtedly engaged in commerce. The test of whether one is a seaman lies in the
answers to these questions: (a) is the vessel in navigation; (b) is there more or less
permanent connection with the vessel, as distinguished from a visitor or a passenger; and
(c) are the services rendered maritime in character." Uravic v. F. Jarka Co, 282 U.S. 234
(l931)
"If they show that the appellant was a fisherman, they do not controvert that he was a
seaman... A seaman is one whose occupation is to navigate vessels upon the sea. The term
includes all those on board whose labor contributes to the accomplishment of the main
object in which the vessel is engaged." Osland v. Star Fish & Oyster Co, 107 F.2d 113
(5 th Cir, 1939)
"As presently employed, a seaman is not a mariner in the full sense of the word a
person "who can hand, reef, and steer." Changing conditions, and necessities for changes,
extended the term to include all persons employed in a vessel to assist in the main
purpose of the voyage. Clearly, the main purpose of the voyage was to pack and salt
fish." The ZR-3, 18 F.2d 122 (W.D. Wash., 1927)
Comparing the language of the former exemption no. 6 (now exemption no. 7) with exemption
no. 8, it is clear that those working on land involved in fishing were exempted under no.6 while
those working on fishing boats were intended to be covered by exemption no. 8. "[W]e must
assume that the legislature would not enact superfluous language[.]" Heatherly v. Hilton
Hawaiian Village Joint Venture, 78 Haw. 351, 893 P.2d 779 (1995) See also In re Water Use
Permit Applications, 94 Haw. 97, 151, 9 P.3d 409, 463 (2000) (explaining that "where the
legislature includes particular language in one section of a statute but omits it in another section
of the same Act, it is generally presumed that the legislature acts intentionally and purposely in
the disparate inclusion or exclusion.")
In 2005, the legislature passed Act 240 which narrowed class of employees exempted in
exemption no. 8 from "as a seaman" to "as an employee on a ship or vessel who has a Merchant
Mariners Document issued by the United States Coast Guard" clarifying, in non-gender specific
language - that the only "seamen" which were entitled to the exemption from the wage standards
law were bona fide merchant marines. Hse. Stand. Comm. Rep. No. 1182 in 2005 House Journal
at 1504.
"[Wage Standards Acts have been] designed to extend the frontiers of social progress by
4

The employers do not keep records on these boats required by HRS 387-6(a) and do not
post notices required by HRS 387-6(b) and 388-7(4). As described above, many employees do
not receive a legible notice, written or electronic, describing the breakdown of gross and net pay
as required by HRS 387-6(c).
The employers withhold wages that are not required to be withheld by federal or state
statute or by court process and have in some instances included fines, penalties or replace costs
for breakage in violation of HRS 388-6. Employers do not notify employees in writing and the
time of hiring or by posting notice in a place accessible to employees or any changes thereafter
the rate of pay along with the day, hour and place of payment, policies regarding vacation and
sick leave required by HRS 388-7(1)-(3).
These recruiters constitute "employment agenc[ies]" as defined by HRS 373-1 but are not
licensed as required by HRS 373-2. From the face of the contracts we are providing, it appears
that the employers are aware that they are withholding wages in violation of multiple subsections
of HRS 373-11 in addition to HRS 388-6.

insuring to all our able-bodied working men and women a fair day's pay for a fair day's
work. Any exemption from such humanitarian and remedial legislation must therefore be
narrowly construed, giving due regard to the plain meaning of statutory language and the
intent of [the legislature]. To extend an exemption to other than those plainly and
unmistakably within its terms and spirit is to abuse the interpretative process and to
frustrate the announced will of the people. Phillips v. Walling, 324 U.S. 490 (1945)
(citations omitted)
See also Mitchell v. Kentucky Finance Co., 359 U.S. 290 (1959) "It is well settled that
exemptions from the Fair Labor Standards Act are to be narrowly construed.") In short, it is not
customary in the fishing industry for a vessel to have two crews, one engaged in fishing and one
to operate the boat. The original 1941 modification of the FLSA exemption language for fishing
activities was not intended to cover seamen.
Looking at the broader fisherfolk and fishing vessel crew exemption in FLSA, two
amendments were proposed to exempt the "fishery industry" as a whole from the original FLSA
(83 Cong. Rec. 7408 and 7421-23). Those amendments were defeated and in its place were
specific persons. (83 Cong. Rec. 7443) Federal courts and the Department of Labor see the
fisherfolk exemption as depending upon "the employment of the particular employee in the
specified activities." Hawaii's exemptions were narrow and with the 2005 amendment have
further narrowed.
5

Hawaii Employment Security Law


The boat owners are employers/"employing units" within the meaning of HRS 383-1, the
work performed by the workers is "employment" as defined by HRS 383-2 and their work is not
excluded from the definition of employment under HRS 383-7. Based upon information and
belief, employers do not make contribution as required by HRS 383-61. These employers do not
keep work records and does not report any new employees hired and does not furnish your
Department with wage information for each employee as required by HRS 383-94. Contributions
are required to be made regardless of whether the Unemployment Insurance Division determines
later that particular employees are ineligible to work. HRS 383-3 ("Notwithstanding any other
provisions of this section, the term employment also includes all service performed after June 30,
1946, by an officer or member of the crew of an American vessel on or in connection with such
vessel, provided that the operating office from which the operations of the vessel operating on
navigable waters within or within and without the United States is ordinarily and regularly
supervised, managed, directed, and controlled, is within this State.")
Hawaii Prepaid Health Care Law
The boat owners are employers within the meaning of HRS 393-3, the work performed
by the workers is "employment" as defined by HRS 393-3 and not excepted by HRS 393-4, 3935 or 393-17. Because the employers unlawfully pay their workers less than the minimum hourly
wages required under Chapter 387, HRS, and for which they are not otherwise exempted, they
are subject to the mandate to cover their regular employees pursuant to HRS 393-11 and any
evasion of the requirement due to unlawful payment of wages below the minimum wages
requirement does not defeat the mandate.

We therefore request that the department's Wage Standards Division, Unemployment


Insurance Division, Disability Compensation Division and Hawaii Civil Rights Commission
investigate the allegations made herein pertinent to their respective jurisdictions. I am also
copying the Regulated Industries Complaints Office because of the clear involvement of
unlicensed employment agencies involved in this scheme.

It must be remembered that the workers on these boats d o not have lawful travel
documents and are not lawfully permitted to enter the United States while they are held on board
the ships they are employed in. at the secured piers. Their employers have obtained deportation
documents f r o m the Department of Homeland Security that require that they be deported should
they leave their ship. They lack a personal ability to report these violations to your Department
and in many instances have tremendous pressures on them not to report violations.
Please do not hesitate to contact me if you have any additional questions.
Very truly yours.

TRINETTE FURTADO

enclosures
c:

Pamela Martin, Administrator, Wage Standards Division (via e-mail)


Linda Uesato, Administrator Unemployment Insurance Division (via e-mail)
William D. Hoshijo, Executive Director, Hawaii Civil Rights Commission (via e-mail)
Nadine Yokomichi-Teramae, Investigation Unit, Disability Compensation (via e-mail)
Daria A. Loy-Goto, Complaints and Enforcement Officer, RICO (via e-mail)

The following is a list of names of boats, employer, captains and unlicensed employment
agencies:

Boats
F/V QUYNH VY
F/V CAPT KENNETH
F/V CAPT MILLIONS
LADY MOCHA ll
FV JAXONT
FV CAPT VINCENT
F/V HAWAII POWER
Employer
QUYNH VY CORP
REAGAN NGUYEN
THANH H NGUYEN
BRIAN NGUYEN
VAK FISHERIES LLC
NANCY TAM NGUYEN
NGA VAN LE
KHANG DANG
Captain
LUONG THIEN VIET
DENNIS PAUL CRAWFORD
ABRAHAM CARROL
REAGAN NGUYEN
Unlicensed Employment Agency
LAVINIA TEEM
JACOB TEEM
DOJIN SHIPPING AGENCY

HARBOR MASTER'S NOTICE


OAHU DISTRICT
HMN-0-02-12
1 November 2012

RELATING TO PIER 16-18 AND PIERS 36-38


COMPLIANCE WITH FEDERAL. STATE AND COUNTY LAWS
In coordination and partnership with the U.S. Department of Homeland Security (DHS), the Department
of Transportation, Harbors Division (DOTH) will implement security measures to control access into and
out of Piers 16-18 and Piers 36-38. The security measures are deployed to:

Ensure that persons identified by DHS as "detained-on-board (DOB)" pursuant to 8CFR 252.1g
remain onboard the vessel and authorized areas of the pier at all times without exception.
Ensure compliance with Hawaii Administrative Rules (HAR), Chapter 19-42 and 19-43.

A person designated by DHS as a DOB and leaves the U.S. flagged vessel without DHS authorization
places the vessel's Captain and Owner at risk and liable for the actions of their crew and subject to DHS
penalties and fines for the actions of their crew. DOTH recognize the unauthorized action and into the
community is a security risk. The DOTH provides notice that only persons authorized by the Vessel
Captain or Vessel Owner with a legitimate business reason to service their vessels and/or vehicles with
permits to park in marked stalls shall be allowed to enter the authorized area.
In addition, securing the facility deters illegal dumping of environmental hazardous waste, white goods
(e.g. stoves and refrigerators), and improperly disposed pollutants from entering its waste bins, water and
land areas around Piers 16-18 and Piers 36-38.
In the judgment and authority of the HARBOR MASTER, this Notice is necessary to ensure compliance
with the following HAR at the commercial harbor facilities:

Chapter 42, Rules Relating to Vessel and Harbor Controls


o Subchapter 1, General Provisions, 19-42-15, Compliance with federal, state, and county
laws, ordinance and rules, 19-42-14, Inspection of vessels, 19-42-18, Requirement for a
local, 24-hour point of contact;
o Subchapter 2, Small Craft and Smaller Commercial Vessels, 19-42-50, Inspection; and,
o Subchapter 4, Safety, Cleanliness, and Use of Facilities 19-42-101 through 141, as
appropriate.

Chapter 43, rules Relating to Motor Vehicles


o Subchapter 1, General Controls, 19-43-2, Jurisdiction of harbor master over vehicles,
19-43-3, Licensing, safety inspection and insurance, 19-43-4, Operation of Vehicles,
19-43-5, Traffic Controls, and 19-43-8, Ground Transportation,
o Subchapter2, Parking, 19-43-23, Reserved parking stall.

The HARBOR MASTER lawfully orders the following to be effective Thursday 0900, November 1, 2012:

FINAL: 10-30-2012

DOC: HARBORMASTERS NOTICE HMN- O 02-12 - Piers 16-18 &36-38


1

HARBOR MASTER ORDERS


All persons, crew or master of a vessel within the jurisdiction of the HARBOR MASTER pursuant with
Title 19,- Chapter 42 and persons servicing the vessels and operatmg a vehicle pursuant to Title 19,
Chapter 43, shall comply with the lawful order, notice, signal or direction of the State Security Guard and
State Law Enforcement Officer (Harbor Police) as provided herein:
1. COMPLIANCE WITH FEDERAL, STATE, AND COUNTY LAWS, ORDINANCES AND
RULES. Use of state harbors and harbor facilities is subject to compliance with all applicable
federal, state or county laws, ordinances, rules, and regulations (19-42-15, HAR). 8CFR 252.1g
requires crewman not properly documented be detained on board the vessel. Compliance with
8CFR 252.1g will be enforced.
2.

INSPECTION OF VESSELS. Vessels using state facilities may be inspected for the purposes of
either ascertaining the kind and quantity of cargo thereupon or to insure the safety, welfare, and
health of the general public (19-42-14, HAR) and at any time where necessary and proper for
the purpose of enforcing these rules (19-42-50, HAR). Inspections may be conducted to enforce
Subchapter 4 (19-42-101 through 141, HAR, as appropriate)

3. REQUIREMENT FOR A LOCAL, 24-HOUR POINT OF CONTACT. For purposes of verifying


persons and vehicles having a legitimate business purpose and to provide access without undue
delay to Piers 16-18 and Piers 36-38, Vessel Captains and Vessel owners shall provide a 24-hour
point of contact (19-42-18, HAR). Vehicles or persons will not be allowed access into Piers 1618 and Piers 36-38 without authorization from the Vessel's Captain or Vessel owner. The DOTH
is not responsible for any costs or delays in vessel operations due to delays in receiving
authorization from the Vessel's Captain, Vessel owner or designated 24-hour point of contact for
access into Piers 16-18 and Piers 36-38.
4. JURISDICTION OF HARBOR MASTER OVER VEHICLES. Vessel Captains and Vessel
owners are notified that only vehicles and vehicle operators properly licensed, permitted, or
registered to operate on the public roads and the DOTH commercial harbors pursuant to federal,
state, and county laws and ordinances (19-43-2, Jurisdiction, 19-43-3, 19-43-4 , 19-43-5,
19-43-8, 19-43-22 through 19-43-26, HAR) and authorized shall be allowed access into Piers
16-18 and Piers 36-38.
Vehicles may be issued a permit to park in marked stalls as authorized in writing by the
Harbors Division, only as necessary and or verified by Captain or Vessel owner.
Any and all vehicles that park on piers 16-18 must display a parking permit without
exception.
Personnel may park their vehicles in marked stalls, on a space available basis, not to
exceed 12 hours.
If no space is available, the vehicle shall exit the facility.
Vehicles with a Special Permit Parking ("X" decal) is authorized to park next to vessels
for active loading and unloadins only and not to exceed one hour. Times of entry into the
pier will be logged by the gate sentry.
Vehicles with proper work permits may be authorized to park beyond 1 hour as provided in
the work permit only as necessary to complete the contracted work.
No overnight parking is allowed.
FINAL: 10-30-2012

DOC: HARBORMASTERS NOTICE HMN- O 02-12 - Piers 16-18 &36-38

5. Violators of the above state rules may be a) issued a citation with the notice of appeal to the
District Court; or have the privilege of parking removed not to exceed one year.
Your cooperation in complying with the above access control procedure and federal, state, and county
laws is requested. This notice is applicable to Piers 16 18 and Piers 36-38.

October 30. 2012


DAVIS K. YOGI
Date
Harbor Administrator/Acting Oahu District Manager

FINAL:
2

11-30-2012

DOC: HARBORMASTERS NOTICE HMN- O 02-12 - Piers 16-18 &36-38

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

ft-

NOTICE TO DETAIN, REMOVE, OR PRESENT ALIEN

Rle No.:
LOG T - B 4
CBP Form 1-94 No.
Date:

Port of An^al:
HONOLULU,
To the

HI

I 4 2014

Agent, Master, Commanding Officer, Person in Charge, Purser, or Consignee of the.


(Air Carrier, Flight Number, Ship's Agent,"

r, Aircraft or Vessel ID Number, etc.)

Pursuant to the provisions of the Immigration and Nationality Act (Act), and regulations issued by the Secretary, you arg hereby
directed and (served with a:
~
fx] f{gtice to detain the alien on board.
n

Notice to remove the alien from the United States on

_ '*

Nofce to present the alien

to-

on-

at

s*i. . "

(Trme)

* -

(Time)

(Pate)

at
(Date)

of po6ntjai:lfability under section 241(c), (d), or (e) of the Act

For the Jbllowiijf reasoro: SUB JECT (S)


HAVE VALID V I S A ( 5 )

LISTED NOT IN POSSESSION OF REQUIRED ENTRY DOCUMENTS OR

FOR LANDING AS A D - l CREWMEN IN THE UNITED STATES AND THEREFORE NOT

ELIGIBLE FOR LANDING PRIVILEGES.

INA 2 1 2 ( a ) (7) (A) ( i ) ( I )

AJien's Name: (Complete information for multiple aliens on continuation sheet)


-

"

******* + ** +* + + * * + *gB2 REVERSE*********'****'*


Date of Birth:
Place of Birth:
Country of Citizenship:

Passport Number

Arrival Date:

Visa Classification: -

ACTION
BY INSPECTING OFFICER:
Deteihfik^rj&ftioval h^rifTgyaiBdlbiafeardetemiinatiqn

[**~| Paroled for rempjwi proceedings

O Deferred/Inspection: (Reporting Office and date)


[X] Other^T
LANDING PRIVILEGES REFUSED- ORDERED DETAINED ON BOARD VESSEL AT ALL U . S . A .

Z S T

L.

to'ch

PORTS.

Signature: X

Title: CBPO

Receipt of the above notice |s acknowledged by:


Title:
Telephone dumber

d^T/

/AGENT

Signature:
Da&and Time Received:

14 2014'

O^OO
CBP Form 1-259 (12/05)

NOTICE TO DETAIN, REMOVE, OR PRESENT ALIEN


Continuation Sheet
Alton's Full Name

Visa
Classification

04/07/1991

ID/T23B42Q

N/A

1 1 2 9 2 7 2 3 BO

01/14>&'97B

ID/T156226

N/A

1137

06/05/1981

ID/A1445635

N/A

1094707720

05/19/1985

ID/A1747215

N/A

10/17/1982

ID/A5562754

N/A

06/14/19B2

ID/A4871121

N/A

XXXXXXXXX

xxxxxxxxxxxx

xxxxxxxxxx

NO TRANSFERS AUTHORIZED BEFORE


'hATTi.

Citizenship/
Passport#

11292724BB

XXXXXXXXJUOJUCXXXXXXX^^
^

Date
of Bfrtfi

J b < h / / f

t-

DEPARTMENT OF HOMELAND SECURITY


U.S. Customs and Border Protection
NOTICE TO DETAIN, REMOVE, OR PRESENT ALIEN
File No.:
CBP Form 1-94 No.:
Date:
09DEC2010

Port of Arrival:
HONOLULU, HI

To the Owner, Agent. Master. Commanding Officer. Person in Charge. Purser, or Consignee of the

F/V QUYNH VY
(Air Carrier. Flight Number. Ship's Agent Vessel Name. Aircraft or Vessel ID Number, etc.)
Pursuant to the provisions of the Immigration and Nationality Act (Act), and regulations issued by the Secretary, you are hereby
directed and served with a:
|X1 Notice to detain the alien on board.
| | Notice to remove the alien from the United States on

at
(Time)

(Date)
Q

Notice to present the alien to


on

at
(Date)

(Time)

Notice of potential liability under section 241(c). (d). or (e) of the Act.

Notice of potential liability under section 217 of the. Act

For the following reasons. SUBJECT (S)


HAVE VALID VISA(S)

LISTED NOT IN POSSESSION OF REQUIRED ENTRY DOCUMENTS OR

FOR LANDING AS A D - l CREWMEN IN THE UNITED STATES AND THEREFORE NOT

ELIGIBLE FOR LANDING PRIVILEGES.

INA 2 1 2 ( a ) (7) (A) ( i ) ( I )

o r INA 2 1 2 ( a ) (7) (B) ( i ) ( I I )

DETAINED ON BOARD VESSEL


Alien's Name: (Complete information for multiple aliens on continuation sheet)
******************************* SEE ATTACHED *******
Date of Birth:

Place of Birth:

Country of Citizenship

Passport Number

Arrival Date.

Visa Classification:

ACTION TAKEN BY INSPECTING OFFICER:


Detained for removal -hearing/credible fear determination

[~] Paroled for removal proceedings

Deferred Inspection: (Reporting Office and date)

[x] Other
LANDING PRIVILEGES REFUSED. ORDERED DETAINED ON BOARD VESSEL AT ALL U . S . A .
-

1
Name:

PORTS.

O^A A S ^ U *

a/AA

Signature:

Title:
Receipt of the above notice is acknowledged by:
Agent or Ke^gasentatrveflf Carrer ,

CBPO

Name:
i eiepnone Numoer

capt/owner/agent }

AY^f tl
^ ^

L C^-C
^ ^ ^

Title:
^

' y / JJ

/ /

L *

/I
/

Signature X

~ '

Date and pfrtceived:

09DEC2^10

IMtlSj
CBP Form 1-759

NOTICE TO DETAIN, REMOVE

OR PRESENT

Continuation Sheet

Alien's Full Name

Date
of Birth

ALIEN

Citizenship/
Passport *

Visa
Classification

18APR1985

Kiri/026932

N/A

04JAN1986

Kiri/026930

N/A

28JUN1976

Kiri/025829

N/A

09NQV1971

Kiri/026998

N/A

'NO ELSE FOLLOWS1

CBP Form J-259 (12/05)

CONTRACT OF EMPLOYMENT
This agreement Is
on this day 1* AUGUST 2012 between DOJIN Co^ Ltd with its principal office at London Christmas Island Rep
of Kiribati. Hereinafter called "THE EMPLOYER".
And
Place & date ofbirth: Kiribati, Nationality: KIRIBATI,
Passport No. 036034 Address: LONDON VILLAGE, KIR1TIMATI ISLAND, Hereinafter called "THE EMPLOYEE".
1.

*The employer engages the employee hereby to serve the employer in the capacity of DECK HAND on thefishingvessel FV
CAPTAIN VINCENT. Hie employer has theright^ trazis^liierenq>l(^e to other v e s s ^ owned by the same company. This
agreement shall be valid during 24 (TWENTY-FOUR") months countingfrom1 s t AUGUST 2012 and it will be continued If agreed
by both parties.

2.

The employer will pay to the employee as remuneration for his service a monthly basic wages of $300.00 USD. (United States
Dollars 300.001 by payment method as follows:
a. Employee agrees for the Employer to withhold remaining balance of salary after payment of allotment. This balance amount
will be paid to Employee after completion of this contract or to pay for charges and costs as described in section 5 of this
contract in case of earlytermination(hietoemployees fault actions.
b. The Employer shall pay an allotment to the family of the employee of not more than USD 100 (One Hundred United States
dollars) every month. The Employee can increase the amount of allotment at any time after the salary balance amount with
the Employer reaches USD$5,000.00.
c. Catching bonus shall be determined by the vessel MastetfOwner.
Foods and beverages also safety equipments mil be property made available on board by the employer during the period of working
contract

3.
4.

Hie employee will at all times diligently perform the duties assigned to him by the master of the vessel/Owner/
Employer. The Hours of work will be determined by the Master and a period of uninterrupted rest of 6 hrs shall be allocated.

5.

In the event of the employee is repatriated by The employer by reason of the employee making excessive noise, fighting, stealing,
indiscipline> irresponsjblejprjob^jmsuitable/incapahle to work, sabotage, slowdown/lazy, dcstroy-wssells^iroperty; consumption of
alcohol or use of illegal drugs, negligent/careless, disobey the instructions/rules of captain/employer/owner, instigate, etc., all
repatriation charges and crew replacement costs will be borne by the employee concerned. Also in the event of employee leaving the
ship or requesting for repatriation before completion contract, all charges for air ticket, immigration parole, escort fees and crew
replacement costs, will be bome by the employee.

6.

The vessel owners shall beresponsibleforrepatriationof the employee to the port of recruitment, Christmas Island Kiribati, upon
completion of this agreement

7.

Compensation for death'or permanent incapacity resulting whilst performance of duty will be covered by the vessel Owners of not less
benefits as offered by the Laws of the Rroubtic of Kiribati.

8.

Employee will comply with all rules/laws of Government of USA or wherever employee abide concerning prohibition of imported
liquor, stealing likewise smuggling, dealing narcotics, contraband, prohibited article and/or other criminal actions, etc. In the event of
the employer is not able to continue the contract before expire date of the contract, for whatever reason the employer has the right to
terminate this agreement at any time.

9.

Employee may terminate this agreement by giving three months notice by writing to the Owners/Captain or Agent All charges will be
bome by the Owners.:

10. In the event of the employer is not able to continue the contract before cap ire date of the contract for whatever reason the employer
has therightto terminate this agfeemeot at any time without additional payments.
Employee

DOJIN CO., LTD.

ARTICLE D : MEDICAL EXAMINATION AND NECESSITIES


Seafarers are lo be medically fitfor sea duty, Medical Checkofsea&rers shall be conducted by the
Agent's medical service wheat such is permitted by National Law of regulation of the Employer, charges
for such service are in line withHie Agent's regulation seafarer covered by this contract shall submit to
and undergo medical examination as required by the employer. The Employer shall have the right to
reject such seafarers as may be determined by the Employer's medical examiner as being unfit for
employment The Employer shall provide and be responsibleforall necessary medical and medicines to
the ^ajanars employed i & b b a & v e s s d w ^ r ^
ARTICLE E: CONSULAR EXPENSES ETC.
THE AGENT agrees to bear the following expenses incurred in connection with the seafarer's
recruitment
a. Immigrationfoesin Kiribati
b. Medical Examination
ARTICLE E: REPATRIATION

The Employer shall have the right to discharge andrepatriatethe seafarer who, in the opinion of
employer, is unable to continue his service or unable to perform the required duties. In such a case, the
seafarex shall be discharged ttid repatriat^ giving the seaferer officiaJreasonsforthe discharge. The
seafarer may request repatriation priortothe expiration of the contract by submitting a writtenrequest30
(tihirty) days in advafpe. Expenses ofrepatriation in this case shall be bornefayseafarer concerned.
Employer mayterminatethecoctract of the seafarerdue tp mgratreasons,due to disciplinary reason or
request of the seafarer,forw!sch the employer shall bear therepatr&jkxnexpenses. Hie Employer has
obligation and beresponsibleto beartherepatriationcharges of seafarersfollyafter completion contract
ARTICLE G LIMITATION OF DISCHARGE
A Seafcrer shall ooi be discharged withouttegalreasons.However,seafarershall be discharged with
immaliate effectforurgent reasons which continue in ali rMsonableness the following*
& Violet behavior, destruction ofemployer'sproperties, sabotage or the instigation or cooperation in
such action. /
.?>
,
: \ .
b. Criminal conviction while on board vessel during the period of employment
c. Disobey Employer's rules.

AGREEMENT
Between
DOJIN CO., LTD
And
THANH H NGUYEN
THIS AGREMENT is made on this day. ITtfa Dav of April ^2012 by and between DOJIN CO^LTD. a
company duly; organized and existing under the laws of The Republic of Kiribati, with its principal office
at London, Christmas Island, Republic of Kiribati, Tel : 686 81346, Fax : 686 81321, E-mail :
ctojmxmas@aoLcora, hereinafter referred to as THE AGENT,
And
*THANH H NGUYEN. having its princmal at 60 NIM1TZ HWY #2160. HONOLULU HI 96817 as
owners and operators of FVCAFEKENNETff
* Tel:808-728>7654. Fax:

- E-mail: 1 haemaftirreferredin as THV. TMPT/WTO

Hereby mutually agree to the following:


ARTICLE A: RECRUITMENT OF SEAFARER
The Employer will instruct THE AGENT to arrange all the requirements herewith mentioned and to
recruit I-Kiribati seafarers for fishing vessels on behalf of the Employer. The Employer will provide air
ticketforevery seafarertocountry destination;
*ARTICLE B : MONTHLY WAGES / AGENTS FEES/ CATCH BONUS
The Employer agrees that as condition of employment, to pay the Agentfor2 YTWOV seafarers employed
in the amount ofUSD 1044.40 (One thousandfortyfourdollar andfortv cents United St**** rurrnnry)
as Wages, Agents fees and other expenses. Hits amount will be increased by 20% every Year. . The
Agent and the Seafarer shall agree on a basic Wages contract The Employer shall pay each seafarer
catching bonus .The catching bonus will be determine by Vessel owner and boat master Each Month.
Payments shall be paid in thefollowingmanner* a. Hie Employer agrees to remit the said amount
in whole daring contract period to the
Agent THERE SHALL BE AN INTEREST OF 15% ON ALL UNPAID CLOSING BALANCE AT
TOEENDOFEACHCALENDARYEAR.
VThe Employer shall pay the Seafejneran amount of $60.00 onboard the vessel..
c.The Employer shall determine bonus according to their work performance on board the vessel.
d.The Employer shall pay the Agent and Seafarer at the end of each calendar month.
ARTICLE C : SEAFARERS DETAILS

lace of Birth PassportNo.


KIRIBATI
026111
KIRIBATI
029748

Nationality.
KIRIBATI
KIRIBATI

-ARTICLE H : TERM OF AGREEMENT


This agreement shall become effective on 17th April 2012 and shall continue to be infallforcefor the
period of two Years. This may be extendedforanother year if both the Employer and the Agent further
agree. All other terms and provisions of this agreement shall remain in fiillforceand effect fbrthefull
term of this agreement without change.

ARTICI^ I :PEMOD OF WORKING CONTRACT


The period of working contract is for full 12(twelve)months counting from the date ofjoining ship and
will be costumed if it is further agreed between employer and the Agent The Employer shall inform
about seafarers who will continue the working contract to die agent as soon as possible. This contract will
automatically continuefora further 12 months ifthis is die case.
ARTICLE J: PROVISIONS
The Employer will bercsponsib&to provide and make available decent and nutritious meals and
beverage, woridngIodies, sai^sho^ajid other provisro for all seafarers on boanL
ARTICLE K: OPERATION VESSEL
The seafarer, while employed cm board vessel of the employee; shall comply with aU lawful orders of the
Master and shall assist the Master with ail due diligence.Thersea&rerinassisting tte Master, shall see to
it that at all times the vessel is operated with due observance of ail qiplfcable laws ami regulations. The
seafarers shall perform his duties diligently under the terms and conditions ofthis agreement and shall not
instigate, participate or cooperate in any actkm aimed at disturbing the work order
stoppages, slowdown, whichcould in any way cause damage to employer.
ARTICLE L : DISPUTES
Any disputes arisingfromthis contract shall be dealt with by bothrepresentativesof Dojin Co., Ltd and
the Employerin accordance of the laws of the United States of ^ ^ k a a ^ ^Kk&att
ARTICLE M : INSURANCE
The Employer has obligation to insure/cover all seafarers employed in tie USA. All injuries and Death
compensation benefits of the USA shall apply.
The Employer shall be responsibleforall Medical costs when seafarers get accident or sick on boaid the
vesselforwhatever reasons or cause in relation to working on the boat.
t
IF seafarers die, the employer shall bear all transportation costs for body and his personal effecttothe
port ofrecruitment,Christmas Island Rep ofKiribati.

ARTICLE N: PROMOTION AND WAGES INCREASE


Any increase of seafarer wages, promotion of seafarer to a higher rank whichresultin increase of wages,
shall be officially informed to the Agent by employer employing said seafsres/such information to the
Agent shall reach the agent's office as soon as said possible, bat not to exceed 30 (thirty) days after'
increase of wages becomes effective.

ARTICLE O : CORRECTION AND AMENDMENT


Parties agree that this agreement shall be efiective as from day mentioned in article G. provided that
during the period pf its validity, bofli parties may at any time propose text correction or memorandum.
ARTICLE P: CANCELLATION
This Agreement shall cancel any prior agreement or memorandum of this agreement in conflict with this
agreement on the effective date hereof.
- !K
in witness \^ertCwe tee hereunto set onrfcand-hereeBder^

- --

-_ _

Made at: Pier 17 Honolulu Hawaii.


Date

: 17ft -ftjirfflT2012:

THANHH NGUYEN

X SEAL 7

Director

OWNER ffVCAPT KENNETHS

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CONTRACT O F EMPLOYMENT
This agreement is made on this day 1M AUGUST 2012 between DOJIN Co., Ltd with its principal office at London Christmas Island Rep
of Kiribati. Hereinafter called "THE EMPLOYER"
And
Place & LONDON
date of birth:
Kiribati.,KIRITIMATI
Nationality: ISLAND,
KIRIBATI,
24 JULY
1987
Passport No. 036034 Address:
VILLAGE,
Hereinafter
called
"THE EMPLOYEE".
1.

*The employer engages the employee hereby to serve the employer in the capacity of DECK HAND on the fishing vessel FV
CAPTAIN VINCENT. The employer has the right to transfer the employee to other vessels owned by the same company. This
agreement shall be valid during 24 (TWENTY-FOUR-) months counting from 1 s t AUGUST 2012 and it will be continued if agreed
by both parties.

2.

The employer will pay to the employee as remuneration for his service a monthly basic wages of $.300.00 USD. (United Stales
Dollars 30Q.QQ1) by payment method as follows:
a. Employee agrees for the Employer to withhold remaining balance of salary after payment of allotment This balance amount
will be paid to Employee after completion of this contract or to pay for charges and costs as described in section 5 of this
contract in case of early termination due to employees fault actions.
b. The Employer shall pay an allotment to the family of the employee of not more than USD 100 (One Hundred United States
dollars) every month. The Employee can increase the amount of allotment at any time after the salaiy balance amount with
the Employer reaches USD$5,000.00.
c. Catching bonus shall be determined by the vessel Master/Owner.
Foods and beverages also safety equipments will be properly made available on board by the employer during the period of working
contract

3.

4.

The employee will at el! times diligently perform the duties assigned to him by the master of the vessel/Owner/
Employer. The Hours of work will be determined by the Master and a period of uninterrupted rest of 6 hrs shall be allocated.

5.

In the event of the employee is repatriated by the employer by reason of the employee making excessive noise, fighting, stealing,
indiscipline, irresponsible for job, unsuitable/incapable to work, sabotage, slowdown/lazy, destroy vessel's property, consumption of
alcohol or use of illegal drugs, negligent/careless, disobey the instructions/rules of captain/employer/owner, instigate, etc., all
repatriation charges and crew replacement costs will be borne by the employee concerned. Also in the event of employee leaving the
ship or requesting for repatriation before completion contract, all charges for air ticket, immigration parole, escort fees and crew
replacement costs, will be borne by the employee.

6.

The vessel owners shall be responsible for repatriation of the employee to the port of recruitment, Christmas Island Kiribati, upon
completion of this agreement

7.

Compensation for death" or permanent incapacity resulting whilst performance of duty will be covered by the vessel Owners of not less
benefits as offered by the Laws of the Republic of Kiribati.

8.

Employee will comply with all rules/laws of Government of USA or wherever employee abide concerning prohibition of imported
liquor, stealing likewise smuggling, dealing narcotics, contraband, prohibited article and/or other criminal actions, etc. In the event of
the employer is not able to continue the contract before expire date of the contract, for whatever reason the employer has the right to
terminate this agreement at any time.

9.

Employee may terminate this agreement by giving three months notice by writing to the Owners/Captain or Agent All charges will be
borne by the Owners.

10. In the event of the employer is not able to continue the contract before expire date of the contract, for whatever reason the employer
has the right to terminate this agreement at any time without additional payments.
Employee

DOJIN CO., LTD.

Jacob Teem / Managing Director

-~

CONTRACT OF E M P U ) Y M E N T

This agreement b made on this day, ! OCTOBER, 2008 between Dqjin Co,, Ltd with its principal office at London Christmas Island
Rep of Kiribati. Hereinafter called THE EMPLOYER".
. And

; &date of birth: IORIBATX, Nationality: KIRIBATI, ^ ^ ^ H H M


Na0 25953 Address: LONDON VILLAGE, KTRITiMATI ISLAND, Hereinafter called "THE EMPLOYEE".
1.

*The employer engages th^ employee herefcy to serve the employer in the capacity ofDECKHAND on thefishingvessel F/V CAP
MILLION 3. TTie employer has therightto transfer the employee to other vessels owned by the same company This
agreement shall be valid during 12 (TWELVE) months countingfrom1 OCTOBER, 2008 and it will be continued if agreed by bot
parties.

2.

The employer will pay to the employee as remuneration for his service a monthly basic wages of $...
...USD.
(United Slates Dollars
1 by payment method as Mows:
a.
Employee agreed to deposit his monthly saloy to the amount ofUSD2000(two thousand United States dollars) as the
Employers office as guarantee and it will be paid to the employee by the employer at the end ofthis contract
b.
The Employer shall pay an allotment to the iamily ofthe employee of not more than USD 100 (One Hundred United States
dollars) every month. The Employee can increase the amount ofallotment at any time after the guarantee amount is reached
c.
Catching bonus shall be determined by the vessel Master/Owner. r

3.

Foods and beverages also safely equipments will be properly made available on board by the employer during the period of working
Contract,

4.

The employee will at all times diligently perform the duties assigned to him by the master ofthe vessel/Owner/Employer.

"ST

In theevent ofthe employee is repatriated by the employers}' reason ofthe employee makes anois&Tighting, stealing,
indiscipline, irresponsibleforjob, unsuitable/incapable to work, sabotage, slowdown/lazy, destroy vessel's property, consumption of
alcohol or use ofillegal drugs, negligent/careless, disobey the instnjctians/rules ofcaptain/empiqyer/owner, instigate* eta, all
repatriation charges willkeborne by the employee concerned. Also-m the event of employee leaving the ship orrequestingfor
repatriation before completion contract, all chai^ airticM,prate and escort ifaes and rcpl^^
employee;

6.

The vessel owners shall be responsibleforrepatriation ofthe employee to the port ofrecruitment, Christmas Island Kiribati,Hipon
Completion ofthis agreement

7.

Compensationfordeath or permanent incapacity resulting wliilst performance of duty will be covered by the vessel Owner.

8.

Employee will comply with all rules/laws ofGovernment of USA or wherever employee abide concerning prohibition of
imported liquor, stealing likewise gniqggmg, dealing narcotics, contraband, prohibited article and/or other criminal actions, etc.
Inflieevent ofdie employer is not aide to continue the contract before expire date ofdie contract,forwhatever reason the employer
Hasfeerightto terminate this agreement at any time;
*
Employee may terminate this agreement by giving three months notice by writing to the Ownera/Captain or Agent.

9.
10.

In the event ofthe employ is not able to continue the contract before expire date of the contract,forwhatever reason the
Employer has therightto terminate this agreement at any tinie without additional payments.
/
v
/
Employee
\DOJINCO./LTD

AGREEMENT
Between
DOJIN CO., LTD
And
DBA CAPT MILLIONS I , .
THIS AGREMENT is made on this day, 1st day of September ..2011 by and between DOJIN CO.,LTD.
a company duly organized and existing under the laws of The Republic of Kiribati, with its principal
office at London, Christmas Island, Republic of Kiribati, Tel : 686 81346, Fax : 686 81321, E-mail :
dojinxmas@aol.eom, hereinafter referred to as THE AGENT.
And
*DBA CAPT MILT JONS I., having its principal at 4486 Luapele as owners and operators of FV CAPT
MILLIONS I
* Tel: 808 381-0087. Fax:

. E-mail: , hereinafter referred to as THE EMPLOYER.

Hereby mutually agree to the following:


ARTICLE A: RECRUITMENT OF SEAFARER
The Employer will instruct THE AGENT to arrange all the requirements herewith mentioned and to
recruit I-Kiribati seafarers for fishing vessels on behalf of the Employer. The Employer will provide air
ticket f ^ e r y s e ^ r j o country destination. -
-....--"

^ARTICLE B : MONTHLY WAGES / AGENTS FEES/ CATCH BONUS


The Employer agrees that as condition of employment to pay the Agent for 3 (THREES seafarers
employed in the amount of USD 1566.60 fOne thousand & five hundred &six six dollars &sixtv cents
United States Currency') as Wages, Agents fees and other expenses. This amount will be increased by
20% every Year.. The Agent and the Seafarer shall agree on a basic Wages contract. The Employer shall
pay each seafarer catching bonus .The catching bonus will be determine by Vessel owner and boat master
. Each Month. Payments shall be paid in the following manner: * a. The Employer agrees to remit the said amount (S1566.601 in whole during contract period to the
Agent THERE SHALL BE AN INTEREST OF 15% ON ALL UNPAID CLOSING BALANCE AT
THE END OF EACH CALENDAR YEAR.
. b.The Employer shall pay the Seafarer an amount of $60.00 onboard the vessel.. .
c.The Employer shall determine bonus according to their work performance on board the vessel.
d.The Employer shall pay the Agent and Seafarer at the end of each calendar month.
*ARTICLE C: SEAFARERS DETAILS
Name

D.O.B.

Place of Birth Passport No.


KIRIBATI
036151
KIRIBATI
025953
KIRIBATI
029761

kLs

Nationality.
KIRIBATI
KIRIBATI
KIRIBATI

* ARTICLE H : TERM OF AGREEMENT


This agreement shaLLb.ecome effective on 1st September 2011 and shall continue to be in full force for
the period of4wo^Years^This may be extended for another year if both the Employer and the Agent
further agree. All other terms and provisions of this agreement shall remain in full force and effect for the
full term of this agreement without change.

ARTICLE I : PERIOD OF WORKING CONTRACT


The period of working contract is for full 12 (twelve) months counting from the date of joining ship and
will be continued if it is further agreed between employer and the Agent. The Employer shall inform
about seafarers who will continue the working contract to the agent as soon as possible. This contract will
automatically continue for a further 12 months if this is the case.

ARTICLE J: PROVISIONS
The Employer will be responsible to provide and make available decent and nutritious meals and
beverage, working clothes, safety shoes, and other provisions for all seafarers on board.

ARTICLE K: OPERATION VESSEL


The seafarer, while employed on board vessel of the employer, shall comply with all lawful orders of the
Master and shall assist the Master with all due diligence. The seafarer in assisting the Master, shall see to
it that at all times the vessel is operated with due observance of all applicable laws and regulations. The
seafarers shall perform his duties diligently under the terms and conditions of this agreement and shall not
instigate, participate or cooperate in any action aimed at disturbing the work order including strikes, work
stoppages, slowdown, which could in any way cause damage to employer.

ARTICLE L : DISPUTES
Any disputes arising from this contract shall be dealt with by both representatives of Dojin Co., Ltd and
the Employer in accordance of the laws of thelMtgd States_ofAmerica and or Kiribati. "

ARTICLE M : INSURANCE
The Employer has obligation to insure/cover all seafarers employed in the USA. All injuries and Death
compensation benefits ofJl^iejjSA shall apply.
"TTie^nipIoyeTshall be responsible for all Medical costs when seafarers get accident or sick on board the
vessel for whatever reasons or cause in relation to working on the boat.
IF seafarers die, the employer shall bear all transportation costs for body and his personal effect to the
port of recruitment, Christmas Island Rep of Kiribati.

ARTICLE D : MEDICAL EXAMINATION AND NECESSITIES


Seafarers are to be medically fit for sea duty. Medical Check of seafarers shall be conducted by the
Agent's medical service when such is permitted by National Law of regulation of the Employer, charges
for such service are in line with The Agent's regulation seafarer covered by this contract shall submit to
and undergo medical examination as required by the employer. The Employer shall have the right to
reject such seafarers as may be determined by the Employers medical examiner as being unfit for
employment The Employer shall provide and be responsible for all necessary medical and medicines to
the seafarers employed on board vessel when required during the course of employment.
ARTICLE E : CONSULAR EXPENSES ETC.
THE AGENT agrees to bear the following expenses incurred in connection with the seafarer's
recruitment:
a. Immigration fees in Kiribati
b. Medical Examination

ARTICLE E: REPATRIATION
The Employer shall have the right to discharge and repatriate the seafarer who, in the opinion of
employer, is unable to continue his service or unable to perform the required duties. In such a case, the
seafarer shall be discharged and repatriated, giving the seafarer official reasons for the discharge. The
seafarer may request repatriation prior to the expiration of the contract by submitting a written request 30
(thirty) days in advance. Expenses of repatriation in this case shall be borne by seafarer concerned.
Employer may terminate the contract of the seafarer due to urgent reasons, due to disciplinary reason or
request of the seafarer, for which the employer shall bear the repatriation expenses. The Employer has
obligation and be responsible to bear the repatriation charges of seafarers fully after completion contract.

ARTICLE G LIMITATION O F DISCHARGE


A Seafarer shall not be discharged without legal reasons. However, seafarer shall be discharged with
immediate effect for urgent reasons which continue in all reasonableness the following
a.
b.
c.

Violent behavior, destruction of employer's properties, sabotage or the instigation or cooperation in


such action.
Criminal conviction while on board vessel during the period of employment.
Disobey Employers rules.

A R T I C L E N: PROMOTION AND WAGES INCREASE


Any increase of seafarer wages, promotion of seafarer to a higher rank which result in increase of wages,
shall be officially informed to the Agent by employer employing said seafarer/such information to the
Agent shall reach the agent's office as soon as said possible, but not to exceed 30 (thirty) days after
increase of wages becomes effective.

A R T I C L E O : CORRECTION AND AMENDMENT


Parties agree that this agreement shall be effective as from day mentioned in article G. provided that
during the period of its validity, both parties may at any time propose text correction or memorandum.

A R T I C L E P : CANCELLATION
This Agreement shall cancel any prior agreement or memorandum of this agreement in conflict with this
agreement on the effective date hereof

In witness whereof, we have here unto set our hand hereunder,

Made a t : Pier 17 Honolulu Hawaii.


Date

: 1st September. 2011

DOJIN CO., LTD

Lavinia Teem
Director

NGAVANLE

AGREEMENT
Between
DOJIN CO., LTD
And
THANH H NGUYEN
THIS AGREMENT is made on this day, 17th Dav of April ..2012 by and between DOJIN CO.,LTD. a
company duly organized and existing under the laws of The Republic of Kiribati, with its principal office
at London, Christmas Island, Republic of Kiribati, Tel : 686 81346, Fax : 686 81321, E-mail :
dojinxmas@aol.com, hereinafter referred to as THE AGENT.
And
*THANH H NGUYEN. .. having its principal at 60 NIMITZ HWY #2160. HONOLULU HI 96817 as
owners and operators of FV CAPT KENNETH
* Tel:808-728-7654. Fax:

. E-mail: , hereinafter referred to as THE EMPLOYER.

Hereby mutually agree to the following:

ARTICLE A: RECRUITMENT OF SEAFARER


The Employer will instruct THE AGENT to arrange all the requirements herewith mentioned and to
recruit I-Kiribati seafarers for fishing vessels on behalf of the Employer The Employer will provide air
ticket for every seafarer to country destination.

*ARTICLE B : MONTHLY WAGES / AGENTS FEES/ CATCH BONUS


The Employer agrees that as condition of employment, to pay the Agent for 2 (TWO) seafarers employed
in the amount of USD 1044.40 (One thousand forty four dollar and forty cents United States Currency)
as Wages, Agents fees and other expenses. This amount will be increased by 20% every Year. . The
Agent and the Seafarer shall agree on a basic Wages contract. The Employer shall pay each seafarer
catching bonus .The catching bonus will be determine by Vessel owner and boat master . Each Month.
Payments shall be paid in the following mannen* a. The Employer agrees to remit the said amount ($1044.40) in whole during contract period to the
Agent. THERE SHALL BE AN INTEREST OF 15% ON ALL UNPAID CLOSING BALANCE AT
THE END OF EACH CALENDAR YEAR.
KThe Employer shall pay the Seafarer an amount of $60.00 onboard the vessel..
c.The Employer shall determine bonus according to their work performance on board the vessel.
d.The Employer shall pay the Agent and Seafarer at the end of each calendar month.
*ARTICLE C: SEAFARERS DETAILS
Name
D.O.B.
Place of Birth Passport No.
1MEREKJTEREK A BATAUA 17-MAR-I985
KIRIBATI
026111
2BAURO TIMEA
3-APRIL-1974
KIRIBATI
029748

Nationality.
KIRIBATI I
KIRIBATI
I

ARTICLE D : MEDICAL EXAMINATION AND NECESSITIES


Seafarers are to be medically fit for sea duty, Medical Check of seafarers shall be conducted by the
Agent's medical service when such is permitted by National Law of regulation of the Employer, charges
for such service are in line with The Agent's regulation seafarer covered by this contract shall submit to
and undergo medical examination as required by the employer. The Employer shall have the right to
reject such seafarers as may be determined by the Employer's medical examiner as being unfit for
employment The Employer shall provide and be responsible for all necessaiy medical and medicines to
the seafarers employed on board vessel when required during the course of employment

ARTICLE E: CONSULAR EXPENSES ETC.


THE AGENT agrees to bear the following expenses incurred in connection with the seafarer's
recruitment
a. Immigration fees in Kiribati

b. Medical Examination
ARTICLE E: REPATRIATION
The Employer shall have the right to discharge and repatriate the seafarer who, in the opinion of
employer, is unable to continue his service or unable to perform the required duties. In such a case, the
seafarer shall be discharged and repatriated, giving the seafarer official reasons for the discharge. The
seafarer may request repatriation prior to the expiration of the contract by submitting a written request 30
(thirty) days in. advance. Expenses of repatriation in this case shall be borne by seafarer concerned.
Employer may terminate the contract of the seafarer due to urgent reasons, due to disciplinaiy reason or
request of the seafarer, for which the employer shall bear the repatriation expenses. The Employer has
obligation and be responsible to bear therepatriationcharges of seafarers fully after completion contract

ARTICLE G LIMITATION OF DISCHARGE


A Seafarer shall not be discharged without legal reasons. However, seafarer shall be discharged with
immediate effect for urgentreasonswhich continue in all reasonableness the following
a. Violent behavior, destruction of employer's properties, sabotage or the instigation or cooperation in
such action.
b. Criminal conviction while on board vessel during the period of employment
c. Disobey Employer's rules.

ARTICLE H: TERM OF AGREEMENT


This agreement shall become effective on 17th April 2012 and shall continue to be in fullforcefor the
period of two Years. This may be extendedforanother year if both the Employer and the Agent further
agree. All other terms and provisions of this agreement shall remain infoilforceand effectforthe full
term of this agreement without change.
-

ARTICLE I : PERIOD OF WORKING CONTRACT


The period of working contract is for ful!12 (twelve) months counting from the date ofjoining ship and
will be continued if it is further agreed between employer and the Agent The Employer shall inform
about seafarers who will continue the working contract to the agent as soon as possibIe..This contract will
automatically continue for a further 12 months if this is the case.
AKHCLEJ: PROVISIONS
The Employer will be responsible to provide and make available deceit and nutritious meals and
onboarxL
ARTICLE K: OPERATION VESSEL
The seafarer, while employed on boaxd vessel of the employer, shall comply with all lawful orders of the
Master and shall assist the Master with all due diligence. The seafarer in assisting the Master, shall see to
it that at all times the vessel is operated with due observance of all applicable laws andregulations.The
seafarers shall perform his duties diligently under the terms and conditions of this agreement and shall not
instigate, participate or cooperate in any action aimed at disturbing the work order including strikes, work
ARTICLE L: DISPUTES
Any disputes arising fromthis contract shall be dealt with by bothrepresentativesof Dojin Co., Ltd and
the Employer in accordance of the laws of the United States ofAmerica and or Kiribati.
ARTICLE M: INSURANCE
The Employer has obligation to insure/cover all seafarers employed in the USA. All injuries and Death
compensation benefits of the USA shall apply.
The Employer shall beresponsibleforall Medical costs when seafarers get accident or sick on board the
vessel for whatever reasons or cause in relation to working on the boat.
t
IF seafarers die, the employer shall bear all transportation costsforbody and his personal effect to the
portofrecraftmentChristmas Island Rep of Kiribati.

ARTICLE N: PROMOTION AND WAGES INCREASE


Any increase of seafarer wages, promotion of seafarer to a higher rank which result in increase of wages,
shall be officially informed to the Agent by employer employing said seafarer/such information to the
Agent shall teach the agent's office as soon as said possible* but not to exceed 30 (thirty) days after
increase of wages becomes effective.

ARTICLE O: CORRECTION AND AMENDMENT


Parties agree that this agreement shall be eflfoctive as fioni day mentioned in article G. provided that
during the period of its validity, both parties may at any time propose text correction or memorandum.
ARTICLE P: CANCELLATION.
This Agreement shall cancel any prior agreement or memorandum of this agreement in conflict with this
agreement on the effective date hereof.
In witn^ whereof, we hav'e h^O)TD1jeh>iir hand hereunder^
Made at: Pier 17 Honolulu Hawaii.
Date

i 17th AntTt2012

1UUU

V* \ SEAL

,/-

THANH H NGUYEN

//

Lavmi^feeijjiii^
OWNER fFV CAPT KENNETHS

Director

*ARTICLE H : TERM OF AGREEMENT


This agreement shall become effective on 17th April 2012 and shall continue to be in fullforceforthe
period of two Years. This may be extendedforanother year if both the Employer and the Agent further
agree. All other terms and provisions of this agreement shall remain infoilforceand effectforthe full
term of this agreement without change.
c

ARTICLE I : PERIOD OF WORIONG CONTRACT


The period of working contract is for full 12 (twelve) months counting from die date of joining ship and
will be continued if it is further agreed between employer and the Agent The Employer shall inform
about seafarers who will continue the working contract to the agent as soon as possible. This contract will
automatically continuefora further 12 months if this is the case.
ARTICLEJ: PROVISIONS
The Employer will be responsible to provide and make available decent and nutritious meals and
bevCTage, working clothes, safeiyshoes, and other provisionsforall seafarers on board.
ARTICLE K: OPERATION VESSEL
The seafarer, while employed on board vessel of the employer, shall comply with all lawful orders of the
Master and shall assist the Master with all due diligence. The seafarer in assisting the Master, shall see to
it that at all times die vessel is operated with due observance of all applicable laws andregulations.The
seafarers shall perform his duties d3igen% under the trams and condi
instigate, participate or cooperate in any action aimed at disturbing the work order including strikes, work
stoppages, slowdown, which could many way cause damage ID employer.
ARTICLE L : DISPUTES
Any disputes arisingfromthis contract shall be dealt with by bothrepresentativesof Dojin CoM Ltd and
the Employer in accordance of the laws of the United States ofAmerica and or Kiribati.
ARTICLE M : INSURANCE
The Employer has obligation to insure/cover all seafarers employed in the USA. All injuries and Death
compensation benefits of the USA shall apply.
The Employer shall be responsibleforall Medical costs when seafarers get accident or sick on boaid the
vesselforwhateverreasons or cause in relation to working on the boat.
f
IF seafarers die, the employer shall bear all transportation costs for body and his personal effect to the
port ofrecruitmentjChristmas Island Rep ofKiribati.

ARTICLE Ns PROMOTION AND WAGES INCREASE


Any increase of seafarer wages, promotion of seafarer to a higher rank which result in increase of wages,
shall be officially informed to the Agent by employer employing said seafarei/such information to the
Agent shall reach the agent's office as soon as said possible* but not to exceed 30 (thirty) days after'
increase of wages becomes effective.

ARTICLE O: CORRECTION AND AMENDMENT


Parties agree that this agreement shall be efifective as fiom day mentioned in article G. provided that
during the period of its validity, both parties may at any time propose text correction or memorandum.
ARTICLE P: CANCELLATION
This Agreement shall cancelany prior agreement or memorandum of this agreement in conflict with this
agreement on the effective date hereof.
we have h ^ D&W&tour handhereunder^
MadeatrPier 17 Honolulu Hawaii.
Date

17th Aprit2012

THANH H NGUYEN

!v. \ S E A L / ^# '
Ls
OWNER fFV CAPT KENNETHS

Director

AGREEMENT
Between
DOJIN CO., LTD
And
DBA CAPT MILLIONS I
THIS AGREMENT is made on this day, 1st dav of September ..2011 by and between DOJIN CO.,LTD.
a company duly organized and existing under the laws of The Republic of Kiribati, with its principal
office at London, Christmas Island, Republic of Kiribati, Tel : 686 81346, Fax : 686 81321, E-mail :
dojinxmas@aol.com, hereinafter referred to as THE AGENT,
And
*DBA CAPT MILLIONS L. having its principal at 4486 Luapele as owners and operators of FV CAPT
MILLIONS!
* Tel: 808 381 -0087. Fax:

. E-mail: , hereinafter referred to as THE EMPLOYER

Hereby mutually agree to the following:

ARTICLE A: RECRUITMENT OF SEAFARER


The Employer will instruct THE AGENT to arrange all the requirements herewith mentioned and to
recruit I-Kiribati seafarers for fishing vessels on behalf of the Employer. The Employer will provide air
ticket for eve^sea^rer_tq country destination. - -

*ARTICLE B : MONTHLY WAGES / AGENTS FEES/ CATCH BONUS


The Employer agrees that as condition of employment, to pay the Agent for 3 (THREE) seafarers
' employed in the amount of USD 1566.60 (One thousand & five hundred &six six dollars &sixtv cents
United States Currency* as Wages, Agents fees and other expenses. This amount will be increased by
20% eveiy Year.. The Agent and the Seafarer shall agree on a basic Wages contract The Employer shall
pay each seafarer catching bonus .The catching bonus will be determine by Vessel owner and boat master
. Each Month. Payments shall be paid in the following manner:* a. The Employer agrees to remit the said amount ($1566.60) in whole during contract period to the
Agent THERE SHALL BE AN INTEREST OF 15% ON ALL UNPAID CLOSING BALANCE AT
THE END OF EACH CALENDAR YEAR.
b.The Employer shall pay the Seafarer an amount of $60.00 onboard the vessel..
c.The Employer shall determine bonus according to their work performance on board the vessel.
d.The Employer shall pay the Agent and Seafarer at the end of each calendar month.
*ARTICLE C: SEAFARERS DETAILS
D.O.B.

Place of Birth
1
1

Passport No.

KIRIBATI
KIRIBATI

kLs

025953
029761

Nationality.
KIRIBATI
KIRIBATI

A R T I C L E D : MEDICAL EXAMINATION AND NECESSITIES


Seafarers are to be medically fit for sea duty. Medical Check of seafarers shall be conducted by the
Agent's medical service when such is permitted by National Law of regulation of the Employer, charges
for such service are in line with The Agent's regulation seafarer covered by this contract shall submit to
and undergo medical examination as required by the employer. The Employer shall have the right to
reject such seafarers as may be determined by the Employer's medical examiner as being unfit for
employment. The Employer shall provide and be responsible for all necessary medical and medicines to
the seafarers employed on board vessel when required during the course of employment.
A R T I C L E E : CONSULAR EXPENSES E T C .
THE AGENT agrees to bear the following expenses incurred in connection with the seafarer's
recruitment:
a. Immigration fees in Kiribati
b. Medical Examination

A R T I C L E E: REPATRIATION
The Employer shall have the right to discharge and repatriate the seafarer who, in the opinion of
employer, is unable to continue his service or unable to perform the required duties. In such a case, the
seafarer shall be discharged and repatriated, giving the seafarer official reasons for the discharge. The
seafarer may request repatriation prior to the expiration of the contract by submitting a written request 30
(thirty) days in advance. Expenses of repatriation in this case shall be borne by seafarer concerned,
Employer may terminate the contract of the seafarer due to urgent reasons, due to disciplinary reason or
request of the seafarer, for which the employer shall bear the repatriation expenses. The Employer has
obligation and be responsible to bear the repatriation charges of seafarers fully after completion contract.

A R T I C L E G L I M I T A T I O N O F DISCHARGE
A Seafarer shall not be discharged without legal reasons. However, seafarer shall be discharged with
immediate effect for urgent reasons which continue in all reasonableness the following
a.
b.
c.

Violent behavior, destruction of employer's properties, sabotage or the instigation or cooperation in


such action.
Criminal conviction while on board vessel during the period of employment,
Disobey Employers rules.

* ARTICLE H : TERM OF AGREEMENT


This agreement shalLbecome effective on 1st September 2011 and shall continue to be in full force for
the period ofjtwoJ/ears^TIiis may be extended for another year if both the Employer and the Agent
further agree. All other terms and provisions of this agreement shall remain in full force and effect for the
full term of this agreement without change.

ARTICLE I : PERIOD OF WORKING CONTRACT


The period of working contract is for full 12 (twelve) months counting from the date of joining ship and
will be continued if it is further agreed between employer and the Agent. The Employer shall inform
about seafarers who will continue the working contract to the agent as soon as possible. This contract will
automatically continue for a further 12 months if this is the case.

ARTICLE J: PROVISIONS
The Employer will be responsible to provide and make available decent and nutritious meals and
beverage, working clothes, safety shoes, and other provisions for all seafarers on board.

ARTICLE K: OPERATION VESSEL


The seafarer, while employed on board vessel o f t h e employer, shall comply with all lawful orders o f t h e
Master and shall assist the Master with all due diligence. The seafarer in assisting the Master, shall see to
it that at all times the vessel is operated with due observance of all applicable laws and regulations. The
seafarers shall perform his duties diligently under the terms and conditions of this agreement and shall not
instigate, participate or cooperate in any action aimed at disturbing the work order including strikes, work
stoppages, slowdown, which could in any way cause damage to employer.

ARTICLE L : DISPUTES
Any disputes arising from this contract shall be dealt with by both representatives of Dojin Co., Ltd and
the Employer in accordance of the laws of thejjfljjgd States of America and or Kiribati. " '

ARTICLE M : INSURANCE
The Employer has obligation to insure/cover all seafarers employed in the USA. All injuries and Death
compensation benefits oftlig USA shall apply.
TRe^mpFoyer shall be responsible for all Medical costs when seafarers get accident or sick on board the
vessel for whatever reasons or cause in relation to working on the boat.
IF seafarers die, the employer shall bear all transportation costs for body and his personal effect to the
port of recruitment, Christmas Island Rep of Kiribati.

A R T I C L E N: PROMOTION AND WAGES INCREASE


Any increase of seafarer wages, promotion of seafarer to a higher rank which result in increase of wages,
shall be officially informed to the Agent by employer employing said seafarer/such information to the
Agent shall reach the agent's office as soon as said possible, but not to exceed 30 (thirty) days after
increase of wages becomes effective.

A R T I C L E O : CORRECTION AND AMENDMENT


Parties agree that this agreement shall be effective as from day mentioned in article G. provided that
during the period of its validity, both parties may at any time propose text correction or memorandum.

A R T I C L E P: CANCELLATION
This Agreement shall cancel any prior agreement or memorandum of this agreement in conflict with this
agreement on the effective date hereof.

In witness whereof, we have here unto set our hand hereunder,

Made a t : Pier 17 Honolulu Hawaii.


Date

: 1st September. 2011

D O J I N CO., LTD

Lavinia Teem
Director

NGAVANLE

/ r^
DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

NOTICE TO DETAIN, REMOVE, OR PRESENT ALIEN


File No;:
CBP Form 1-94 No.:
Port of Arrival:
HONOLULU,

Date:
09DEC2010

HI

To the Owner, Agent, Master, Commanding Officer, Person in Charge, Purser, or Consignee of the
F / V QUYNH VY
(Air Carrier, Right Number, Ship's Agent, Vessel Name, Aircraft or Vessel ID Number, etc.}
Pursuant to the provisions of the Immigration and Nationality Act (Act), and regulations issued by the Secretary, you are hereby
directed and served with a:
j x l Notice to detain the alien on board.

Notice to remove the alien from the United States on

at

f l Notice to present the alien to


on

at

(Date)

(Time)

(Date)

(Time)

Notice of potential fiabifity under section 241(c), (d), or (e) of the Act

FT Notice of potential liability under-section 217- oflheJtet


For the following reasons: SUBJECT (S) LISTED NOT I N POSSESSION OF REQUIRED ENTRY DOCUMENTS OR
HAVE VALID V I S A ( S )

FOR LANDING AS A D - l CREWMEN I N THE UNITED STATES AND THEREFORE NOT

ELIGIBLE FOR LANDING PRIVILEGES.

INA 2 1 2 ( a ) (71 (A) ( i ) ( I )

o r INA 2 1 2 ( a ) (7) (B) ( i ) ( I I )

DETAINED ON BOARD VESSEL


Alien's Name: (Complete information for multiple aliens on continuation sheet)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SEE ATTACHED * * * * * * *
Date of Birth:
Place of Birth:
Country of Citizenship:

Passport Number.

Arrival Date:

Visa Classification:

ACTION TAKEN BY INSPECTING OFFICER:


I""] Detained for removalJiearing/credtble fear determination

\~\ Paroled for removal proceedings

Deferred Inspection: (ReporfingOffice and date)


Other
4
LANDING PRIVILEGES REFUSED. ORDERED DETAINED ON BOARD VESSEL AT ALL U . S . A .

CBP OffifiSf^

Name: /

PORTS.

jS/>lA

Title:

CBPO

a.

Signature:

Receipt of the above notice is acknowledged by:


Agent or ReQjssentatiVE
inter
Name:

Title: CAPT/OWNER

Telephone Number

^ H v ^ - i n

Signature: X
Date and Tlpe(egRGce\ved:

Q9DEC26.0

{
CBP Form l-?f.qm/n?n

NOTICE TO DETAIN, REMOVE, OR PRESENT ALIEN


Continuation Sheet
Date
of Birth

Alien's Full Name

**********

Citizenship/
Passport #

Visa
Classification

Kiri/02G932

N/A

Kiri/025930

N/A

Kiri/025829

N/A

Kiri/026998

N/A

**************

* * * * * * * * * *

CBP Form Jr259 (12/05)

CONTRACT OF EMPLOYMENT

2009 between DOJIN Co., Ltd with its principal office at London Christmas Island

Hiis agreement is made on


Rep ofKmbati.

And
Ptace&drte of birth:

, Nationality: KIRIBATI,
TIMATI ISLAND. Hereinafter called "THE EMPLOYEE".

The employerengages the employee hereby to 9erve|he employer in fee capacity of DECK HAND on thefishingvessel FV Capt
Vincent. Thej|n^loyer has therighttotransfer fee employee to other vessels owned by fee same company. This agreement shall be
kwill

.3,:

continued if agreed by-tattl parties:~

ie employer will^pay to the employee asremuneraljonfor his service a monthly basic wages of S.
USD. (United States
Dollars .
} Inpayment metbcMi as follows:
a. Employe agrees forfecEmployertnwithhofd remaining balance of salary after payment of allotment This balance amount
will be paid to Employee after completion o|this contract or to pay for charges and costs as described in section 5 of this
contractih case of early termination duetoe|apIoyees fault actions.
b. The Employer shaU pay an allotment to fee 8 jiiily of the employee of not more than USD 100 (One Hundred United States
dollars) every month. The Employee can rafease fee amount of allotment al any time after the salary balance amount with
fee &roloyer reachcs USDS5,000,00.
^
1 Master/Owner.
c. Catduffi^brauss^bedeteiirBoed
Foods, and
made available on board by the employer during the period of working
contract.

At'

The employee will at all times dilifcatly perform the duties assigned to him by fee master of fee vessel/Owner/
Employer. TheH6urs ofyvork will be detchnwaod by th| Master and a period of uninterrupted rest of 6 hrs shall be allocated.

5.

In the event of fee employee is repatriated by the employer by reason of fee employee muking excessive noise, fighting, stealing,
iadistipline, irrcsponsible for job, unsuitabteincapabl^lo work, sabotage, slowdown/lazy, destroy vessel's property, consumption of
a&oho) or uarof illegal drugs, negligcnt/careless^ d^obey fee jnstmction^rules of captfl^/CTnplpy^/Q^^'- ntipt. ^r. nil..
-wpWation^chm-gg^^
Byth&irtfttoyee CQncEned!7%51fi the eventof employee leaving fee
siflp of requesting for'repainat$og before completion contract, all charges for air ticket, immigration parole, escort fees and crew

6,

The vessel owners shall be responsible forrepatriationofec employee to fee port of recruitment, Christmas Island Kiribati, upon
completion of this agreement
^

Compensation for death or permanent incapacityresultingwhilst performance of duty will be ccvered by fee vessel Owners of not less
benefits as offered by the Laws of fee Republic of Kiribati.

8.
'r

Employee will coi|Eply wife all rules/laws of GovcrnmcnUof USA or wherever employee abide cunceraing prohibition of imported
liquor, stealing likewise smuggling, dealing narcotics, contraband, prohibited article and/or other criminal actions, etc. In the event of
fee
employer is not able to continue fee contract before expire date of the contract, for whatever reason the employer has therightto
terminate this agreement at any time.

9.

Employee may terminate this agreement by giving three ninths notice by writing to fee Owners/Captain or Agent All charges will be
borne by the Owners.

10. In fee event of the employer is not able to continue fee contract before expire date of the contract, for whateverreasontheemplover
has therighttoterminate thHigregnvga* m g w ftmTllthfcldlMO^t l"U"" mi ~
~*

-ilSLlw '

-j, -X^Jv^lf-

Employee

^ '

If"

DOJIN CO., LTD..

irector

1.

SLAKY

**

CD

to

to

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est

10

CM

OX

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T

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s
s i 1

o o

la*l I I I

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


* Complete this Form
* Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side).
* Write your license n u m b e r on check or money order payable to: Division of Aquatic
Resources.
* If you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
* Please send payment and form to:
CheckJJcense/Permit

DIVISION OF AQUATIC RESOURCES

ATTN: STATS UNIT/Licensing


.... _
..
.
o . , C
1151 Punchbowl St. RM 330

types (s) that you intend

^ C o m m e r c i a l Marine License

r, _
i

r 1 c1

H o n o l u l u , HI 96813

Q
[

. .A

to

renew:

J H - t f O Ct

F I

Aquarium Permit

Recreational Aquarium Permit

| Bait License

PLEASE TYPE OR PRINT INFORMATION CLEARLY:


m i s e . 3
License No.

Last Name

Social Security Number

oex

iuate of Birth

Place of Birth

First Name

rusty in

M.I.

nair ooior

"^Bigru

YfN)

HI Resident

Y//N

U.S. CilKen

ID Number

ID Type

Eye Color

"Alien Number

i Residence Address

City

aiaie

P Ooae

Mailing Address

City-

State

ujuc

PtfS-innG
Cell Phone

Home Phone
Fishing

Gear/Method

(in order of

Business Phone

E-mail Address

preference):

<lAJL

31

r
-y

please circle one

Do you intend to peddle any of


your catch to friends, neighbors,
or on the street/road?
A
! Y (NJ

Y/N
Captain

Y/N
Charter

^ UraWo^n

Y/N
Full Time

5JVK2:

HA - No.

Vessel Name

( W o I

USCG No.

Home Port

Ow\

Captain's Name

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.

FEB t 8 2DU
Individual it

i
:

:
:

VESSEL INFORMATION

Do you intend to file vour


Fishing Report online?
:
/O
:
j Y , 6 jy

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
LIC NO.pHZIM
Commercial Fisheries License & Permit
General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand that:
1. I must provide true, complete and accurate information on any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless some
other expiration period is specified, licenses are valid no lonaaJhaiMfie year from the
preserlWm licenselo'Sffy officer%itho^!&d to eflTorce State laws.
3. Upon'reqtiest, I mustt prSsei?ftny
4. I must allow my catch to be ij^pected by any officer au ,
5. fpSfetate; or its agents,laOTttbt be liable for any person;
resulting from any action or activity authorized by this license.
^k l f ^LHfl|nav s u s p ^ p | i c e n s e wh^pMoh acttofg|g}cessaiy for'
conservation of marine life.
7. The Board of Laad ancLNatural Resources may revote any license. I may not renew a revokedL^
l ^ n i i f e r one y P H k the date oiricatiofL ' ^ f
8. DLNR may refuse to issue any or all licenses if I do not comply with the terms and conditions
of this or any other license, or do not fulfill obligation with DLNR Administrative Proceeding
Office for Civil Resources Violation citation received for the fish report requirement.
Terms and Conditions:
I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
My signature or electronic signature shall be considered as my agreement to comply with all
requirements and may be recorded electronically through the Internet licensing application. This
procedure is deemed lawful under / fee"Unifbsp Electronic Transactions Act, Section 489E, Hawaii
Revised Statutes.
Signature:

M W ?

Date:

'

Signature is required to renew license/permit, otherwise, the application will be returned.


DAR, DLNR Copy (mail in to Division of Aquatic Resources)

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


* Complete this Form
* Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side).
* Write your license number on check or money order payable to: Division of Aquatic
Resources.
* If you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
* Please send payment and form to:
Check License/Permit

DIVISION OF AQUATIC RESOURCES


ATTN: STATS UNIT/Licensing
1151 P u n c h b o w l St. RM 330
Honolulu, HI 96813

types (s) that you intend to renew.

Qfl Commercial Marine License

[ Commercial Aquarium Permit

| Recreational Aquarium Permit

| Bait License

Ktck. *

PLEASE TYPE OR PRINT INFORMATION CLEARLY:


License No.

I H

BUTOA

TEMATANG

*"

First Name
in

Social Security Number

Se>;

. .C.a> u
Y/N

Y / N

HI Resident

i icoiuei it-e Muuress

City

^toiuiiy nuuiwa

City

Home Phone

(in order of

US, Citizen

nair i^oior

,f

tyeooior

n Number

oiciie

V1UIW

843-2229

Cell Phone

Fishina Gear/Method

bS

Weight

M l.

Business Phone

E-mail Address

oreferencei:

i Do vou intend to file vour


i Fishing Report online?
u

j Y / N :
a0e
*

LONGLINE

2
3

: f Do vou intend to peddle any nf


; | your catch to friends, neighbors
I I or on the street/road?
u

; :

i y / N i

VESSEL INFORMATION
Y/N

Captain

Y/N

Charter

FN Q U Y N H VY

Vessel Name

REAGAN NGUYEN
Captain's Name

Y/N

Full Time

HA-No

512767

USCG No.

H N L PIER 17

Home Port

Q U Y N H VY CORP.

Vessel Owner

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.
Individual

fflUG " i '

\
s
1
*

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
LIC NO. p H Z
Commercial Fisheries License & Permit
General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand that:
1. I must provide true, complete and accurate information on any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless some
other expiration period is specified, licenses are valid no loac^than j ^ ^ year from the
^ ^ ' ( ^ U p o l l ^ ^ I must preSfiH^license t o U p O T f i c f K ^ h S H R P i ^ c r c e State laws.
4. I must allow my catch to be inspected by any officer authorized to enforce State laws.
5. The
be liable for any personal inj?|jj|
(jgat- death
ueaui or
ut property
piupci ly damage
uamage
resulting from any action or activity authorized by this license.
6. D L N R ^ m a ^ i s p e n d u i ^ c ^ e
such actio^ij^ecessary f r theprotet^pnand
> ^
7. The Board of Land and Natural Resources may revoke any l i c f c ^ ^ ^ i ^ n p f ^ e n e w a revoki
lMtose"fo^pe year fJ^rfrth^ate o^j|focati0n.
8. DLNR may refuse to issue any or all licenses if I do not comply with the terms and conditions
of this or any other license, or do not fulfill obligation with DLNR Administrative Proceeding
Office for Civil Resources Violation citation received for the fish report requirement.
Terms and Conditions:
I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
My signature or electronic signature shall be considered as my agreement to comply with all
requirements and may be recorded electronically through the Internet licensing application. This
procedure is deemed lawful under the Uniform Electronic Transactions Act, Section 489E, Hawaii
Revised Statutes.
Signature:

^ [ ^ T a A j j J

Date:

mm

Signature is required to renew license/permit, otherwise, the application will be returned.


DAR, DLNR Copy (mail in to Division of Aquatic Resources)

I M

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


* Complete this Form
* Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side).
* Write your license number ori check or money order payable to: Division of Aquatic
Resources.
* if you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
* Please send payment and form to:
Check License/Permit

DIVISION OF AQUATIC RESOURCES


ATTN: STATS UNIT/Licenslng
1151 Punchbowl St. RM 330
Honolulu, HI 96813

types (s) that you intend to renew:

Commercial Marine License


r-, _
. 1A
n
Commercial
Perm,t

Q Recreational Aquarium Permit


[

^^LOC
^
, 7 1 ' ^
1 7

| Bait License

PLEASE TYPE OR PRINT INFORMATION CLEARLY:


DELA V E G A

License No.

Social Security Number

Height

riace ui oirin
U
I
s

N
U
U
I

nair Color

crgnt

Y/N

HI Resident

Y/N

U.S. Citizen

ID Number

hj

WUV

Slate
843-2229

Cell Phone
On order of

an Number

i y pl-

-.11

City

Home Phone

Business Phone

E-mail Address

preference).

Do you intend to file your


Fishing Report online?

LONGLINE

IL

Ml.

City

COJ

Mailing Address

Fishing Gear/Method

FRANCIS

First Name

Y / N
Dlease circle one

; : Do you intend to peddle any of


; your catch to friends, neighbors,
or on the street/road?

please circle one

VESSEL INFORMATION
Y/N

Captain

Y/N

Charter

F/V Q U Y N H VY

Vessel Name

REAGAN NGUYEN
Captain's Name

Y/N

Full Time

512767

HA - No

USCG No.

H N L PIER 17

Home Port

QUYNH VY CORP.

Vessel Owner

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.

individual

i i

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
|_IC NoAl<2-^4
Commercial Fisheries License & Permit
General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand that:
1. I must provide true, complete and accurate information on any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless some
other expiration period is specified, licenses are valid no longAfeanofffi year from the
praPfeljj^ea^I must presSH^Jllicense to an^lfficfer authorizeSSM^Prce State laws.
4. I must allow my catch to be inspected by any officer authorized to enforce State laws.
5. T^St^te, or its agents, shaH^a|be liable for any personal floury, &eath or property
resulting from any action or activity authorized by this license.
6. DLNR
may suspend my license w
whjfesuch
actjon^s^ecessary for the prot
DLNRmaysuspend
h ^ s u c h ,actjg^|^ecessarv;
Land and Natural Resources may revoke any hcgbse. 1 may not renew a revoked*
a.
&

am.
-unWS^Sm.
; year fp^tt iffl^ate olpevocation.
w

8. DCnR may refuse to issue any or all licenses if I do not comply with the terms and conditions
of this or any other license, or do not fulfill obligation with DLNR Administrative Proceeding
Office for Civil Resources Violation citation received for the fish report requirement.
Terms and Conditions:
I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
My signature or electronic signature shall be considered as my agreement to comply with all
requirements and may be recorded electronically through the Internet licensing application. This
procedure is deemed lawful under the Uniform Electronic Transactions Act, Section 489E, Hawaii
Revised Statutes.
Signature:

yAi \

Date:

rv>f

SignatureNsj^ufred to renew license/permit, otherwise, the application will be returned.


DAR, DLNR Copy (mail in to Division of Aquatic Resources)

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


*
*
*
*
*

Complete this Form


Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side).
Write your license number on check or money order payable to: Division of Aquatic
Resources.
If you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
Please send payment and form to:
Check License/Permit

DIVISION OF A Q U A T I C RESOURCES

types (s) that you intend to

[ v / f Commercial Marine License M y t f

ATTN: STATS UNIT/Licensing


1151 Punchbowl St. RM 330
Honolulu, HI 96813

t. _

...

| Commercial Aquarium Permit

| Recreational Aquarium Permit

| Bait License

renew:

cillt^

PLEASE TYPE OR PRINT INFORMATION CLEARLY:


i

License No.

Mame

First Name

Height

Social Security Number

uate of Birth

M.I.

'

-plaCK Ul BITOT

Y/

) uJ

HI Resident
sident

Eye Color

-IT *

U.S. Citizen

ID Number

1U I ype " ^

All^n I^uihwh.

Oit^

R^oiuennp Artrirooc

Hair Color

State

ZIP Code

I
City

Mailing Address

Home Phone
Fishing

Gear/Method

Cell Phone
(in order of

ZIP Code

Business Phone

mail i^u^iiv,

preference):

Do you intend to file your


Fishing Report online?

Do you intend to peddle any of


your catch to friends, neighbors,
or on the street/road?

; Y I N j

*.

Y / N :

please circle one

please circle one

VESSEL INFORMATION

Y/N

Captain

Vessel Name

Captain's Nashe

Y/N

Y/N

Charter

Full Time

HA - No.

A u v n h

Vessel Owner I

USCG No.

Home Port

ferP
1

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.
Individual

NOV

\ 0 20U

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
L IC NO.pHZIM
Commercial Fisheries License & Permit
General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand that:
1. I must provide true, complete and accurate information on any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless some
other expiration period is specified, licenses are valid no loi^gyhan^ne year from the
onreqftfest, I musV^esSttffriy license
oMce# authoflrotPfffibrce State laws.
I must allow my c a t c h t ^ ^ inspected by any officer authorized toi enfifljftq&tate laws,
^ h e State^orits
not be liable for any persona
resulting from any action or activity authorized by this license,
^ j p f t n a y s u t t g p ^ j A c e n s e when
a^tig^ s necessq
conservation oMarine life.
7. TheBoard of Land and Natural Reso^
^ P ^ ^ l i l n k for one ^gfcjiipGgfrfre date <
8. DLNR may refuse to issue any or all licenses if I do not comply with the terms and conditions
t . of th^o^^n^^^M^^Mie, or do not fulfill obligation with DLNR Administrative Proceeding
Office for Civil Kcsofl^s Violation citation received for the fish report requirement.
Terms and Conditions:
I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
My signature or electronic signature shall be considered as my agreement to comply with all
requirements and may be recorded electronically through the Internet licensing application. This
procedure is deemed lawful under the Uniform Electronic Transactions Act, Section 489E, Hawaii
Revised Statutes.
Signature: ^ ^ J ^ j - C ^ V ^

Date: _

Signature is required to renew license/permit, otherwise, the application will be returned.


DAR, DLNR Copy (mail in to Division of Aquatic Resources)

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


* Complete this Form
* Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side).
* Write your license number on check or money order payable to: Division of Aquatic
Resources.
* it you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
* Please send payment and form to:
Check License/Permit

DIVISION OF AQUATIC RESOURCES


ATTN: STATS UNIT/Licensing
1151 Punchbowl St. RM 330
Honolulu, HI 96813

types (s) that ym intend to renew:

Commercial Marine License


r-,

Q
|

Commercial Aquarium

P 2o> r k x i J u
ci
i^i^H7!

Perm,t

Recreational Aquarium Permit


I Bait License

PLEASE TYPE OR PRINT INFORMATION CLEARLY'


JUAN

NELMAR

\ asi Nama.

License No.

First Name

'ft.
Social Security Number

Hi Resident

City

Mailing Address

Cu,
Cell Phone

Home Phone

On order of

i ia ouiui

vveiyi u

/ Y / N

heaiuenue Muuceoa

Fishing Gear/Method

is

neignt
Place of Birtn

E/alUc)! tin III

M.I.

Y/N

U.S. Citizen

ID Number

843-2229

Business Phone

ID Type

Eye Color

Alien Piumuer

E-mail Address

preference):

LONGLINE

Do you intend to file your


Fishing Report online?

| yiN j

Do you intend to peddle any of


your catch to friends, neighbors, \
or on the street/road?
i
Y / N

Dlease circle one

please circle one

Bsaii&aampaaiBDsaiiiiiiiiiit*

VESSEL INFORMATION
Y/N

Captain

Y/N

Charter

FA/ Q U Y N H V Y ,

Vessel Name

REAGAN NGUYEN

Captain's Name

Y/N

Full Time
HA - No

512767

USCG No.

H N L P I E R 17

Home Port

QUYNH VY CORP.

Vessel Owner

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.

Individual

rm T4 2014
, _ -

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
LIC NO.pHZIM
Commercial Fisheries License & Permit
General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand that:
1. I must provide true, complete and accurate information on any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless some
other expiration period is specified, licenses are valid no longa^jgiyM^ year from the
^^^^issua^y^*
ttyMl.
tNft M B
flHj^^
must preMffm^icense to an^fficerRwioriMHToSwrce State laws.
4. ' I must allow my catch to be inspected by any officer authorize^ to enforce State laws.
5.
ogits agents, s h a l ^ f l ^ j e liable for any personal I ^ P ^ I l M t ^ r ^ p r ^ ^ ^ l ^ ^ ^ f
resulting from any action or activity authorized by this license.
6. DLNR maj^uspend i w l^^ttse w h * such action i^apcessaiy for the proction and
V'
v
coWr^atioiU. f marinCTifeT*
7. The Board of Land and Natural Resources may revoke any lict^teEgl may|not renew a revokedm
l t o s e f o r f i e year ffeft ti&ate o^evocation. |
'
W W m f B
8. DLNR may refuse to issue any or all licenses if I do not comply with the terms and conditions
of this or any other license, or do not fulfill obligation with DLNR Administrative Proceeding
Office for Civil Resources Violation citation received for the fish report requirement.
Terms and Conditions:
I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
My signature or electronic signature shall be considered as my agreement to comply with all
requirements and may be recorded electronically through the Internet licensing application. This
procedure is deemed lawful under the Uniform Electronic Transactions Act, Section 489E, Hawaii
Revised Statutes.
Signature:

N f l /H firfiy/Q -

-J

Date:

2t)}H

Signature is required to renew license/permit, otherwise, the application will be returned.


DAR, DLNR Copy (mail in to Division of Aquatic Resources)

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


* Complete this Form
* Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side)
* Write your license number on check or money order payable to. Division of Aquatic
Resources.
* If you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
* Please send payment and form to:
neoK License/Permit
Chepk

DIVISION OF AQUATIC RESOURCES


ATTN: STATS UNIT/Licensing
1151 P u n c h b o w l St. RM 330
H o n o l u l u , HI 96813

types (s) that you intend

Commercial Marine License ^ - y s O


|

| Commercial Aquarium Permit

] Recreational Aquarium Permit

| Bait License

to

renew.

(Jpj^ ^

0 "b

PLEASE TYPE OR PRINT INFORMATION CLEARLY:

License No.

Last Name

Social Security Number

Dirth

First Name

Height

Place or turtn

Weight

HI Resident

1(H)

U.S. Citizen

iu iMumoer

IL> i yjjc
ZIP Code

Mailing Address

Sfafe"

Home Phone
Gear/Method

Hair Color

City

Ru^iuci iue Auuress

Fishing

M.I.

Cell Phone
(in order of

Business Phone

ZIP Code

E-mail Address

preference):

Do vou intend to file vour


Fishing Report o n l i n e ? ^ ,
:

yn

N J X

1 1 ^^

please circle one

:
j

Do you intend to peddle any of


your catch to friends, neighbors,
or on the street/road?
/ \ \
i

IN i \

V E S S E L INFORMATION

Y/N
Captain

Y/N
Charter

Y/N
Full Time

Vessel Name

HA - No.

Captain's Name!

Vessel Owner
r

USCG No.

JL l m

ePort

C^j't
'f-

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.
Individual it

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
LIC NO.

5 ~

Commercial Fisheries License & Permit


General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand that:
1. I must provide true, complete and accurate information on; any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless
some other expiration period is specified, licenseyire valid mig&gSLjfcan o n e Year from the
I m i I .
wmtfk
W
H i
k
3. Upon request, I must present my license to any officer authorized lo eWforce State laws.
^pected by any officer authori^^^^fajA&^tate law
it be liable for any personalaP^P^En#W^fSprfy
resulting from any action or activity authorized by this license.
Afe
fi^miy
license
g,uch,act^^|s necessary
conservation of marine life.

8. DLNR may refuse to issue any or all licenses if I do not comply with the terms and conditions
of this or any other license.
Terms and Conditions:
I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
My signature or electronic signature shall bs considered as my agreement to co1 lply with all
requirements and may be recorded electronically through the Interne' ioensi*- pplication. This
procedure is deemed lawful under the Uniform Electronic Transactions * _ action 489E, Hawaii
Revised Statutes.

Signature:

- W U - '

Date:

^ j t / . / 3

Signature is required to renew license/permit, otherwise, the application will be returned.


DAR, DLNR Copy (mail in to Division of Aquatic Resources)

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


* Complete this Form
* Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side).
* Write your license number on check or money order payable to: Division of Aquatic
Resources.
* If you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
* Please send payment and form to:
Check License/Permit

DIVISION OF AQUATIC RESOURCES


ATTN: STATS UNIT/Licensing
1151 P u n c h b o w l St. RM 330
H o n o l u l u , HI 96813

types (s) that you intend to

Q ^ o m m e r c i a l M a r i n e License $ c r )
,, _
. ,A
.
,
0
C o m m e r c i a l Acluarlum Permit

Q
Recreational Aquarium Permit
|

renew:

| Bait License

PLEASE TYPE OR PRINT INFORMATION CLEARLY:

(fl^qi

Last Name

License No.

Social Security Number

"Ptace'ui

Bitot*

HI Resident

Citizen

mI

iS

VV6ight
Y/N

IJ2M

First Name

ID Number

ID Type

Alien INUIIILIOi

c
c
iHijiuuiut! auuress

Stale

ftP Code

State

ZIP Code

5"
/

Mailing Address

City

Cell Phone

Home Phone
Fishing

Gear/Method

(in order of

Business Phone

E-mail Address

preference):

Do you intend to file your


Fishing Report online?

11:
please circle one

Do you intend to peddle any of


your catch to friends, neighbors,
or on the street/road?

EII)

please circle one

V E S S E L INFORMATION

'/ N

Charter

aptain

k mfvIA ml n
Vessel Name

Captain's Name

i/V
4

Full Time

HA - No.

USCG No.

Vessfel Ownet^

"

~Tj

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.
Individual

-8

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
LIC NO. t g g a i
Commercial Fisheries License & Permit
General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand that:
1. I must provide true, complete and accurate information on any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless
some other expiration period is specified,
one year from the
Vrf-U
ce State laws.
sst, I must present my license to any
1
>be inspected by any officer authori
pla or properly damage
3, sfrall not be liable for any personal inj
or activity
activity authorized
authorized by
by thi^
this license.
license.
resulting from any actionn or
Pj^ense^yq^ such a c t i o n i ^ j ^ ^ r y forthe protection and
,sus_
conservation of mmneTife.
7. The Board of Land and Natural Resources may revoke any license, except the Aquarium Fish
Permit. I may not renew a revoked license for one year from the date of revocation.
8. DLNR may refuse to issue any or all licenses if I do not comply with the terms and conditions
of this or any other license.
Terms and Conditions:
I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
My signature or electronic signature shall be considered as my agreement to comply with all
requirements and may be recorded electronically through the Internet licensing application. This
procedure is deemed lawful under the Uniform Electronic Transactions Act, Section 489E, Hawaii
Revised Statutes.

Signature:

Date A

Signature is required to renew license/permit, otherwise, the application will be returned.


DAR, DLNR Copy (mail in to Division of Aquatic Resources)

COMMERCIAL MARINE FISHERIES INDIVIDUfl. LICENSE/PERMIT RENEWAL APPLICATION FORM


nis Form
and Sign the General Fisheries Liccnse & Permit and Specific Terms and Conditions (reverse side).
four license number on check or money order payable to: Division of Aquatic
Resources.
"
terested in obtaining a new license tvpe, contact the DAR office listed on the attached cover letter.
i d payment and form to:

*C
*y
* \

*lf

Check

O F A Q U A T I C RESOURCE*.
TATS UNIT/Llcenslng
.
mm
1U
n c h b o w l St. RM 330
Hon*, alu, HI 96813

License/Permit

types (s) that you intend

Commercial Marine License


,j _
...
.
_
,
11 Commercial Aquarium Permit
| [ Recreational Aquarium Permit

jr

to

renew:

I Bait License

PLEASE TYPE OR PRINT INFORMATION CLEARLY:

-ziz

05

A f o n

Last Name

License No.

hirLtt
n. r

Place of Birth

JHICReii'N
iSldent

irv*5StuKnr! Hiiuioaa

CUT

Mailing Address

- iy

Home Phone
Fishing

Cell Phone

Gear/Method

(in order of

in.

M.I.

Ihc

Y/ N

U.S. Citizen
C

iu iNumoer

ID lype

State

"Business Phone

Alien Number

ZIP Code

I-mail Address

preference):

Do you intend to file your


Fishing Report online?

L<

f;

dnt

(OCfCaai OBUUIILV iu>.iua

Date of Birth

' W ,

First Name

Do you intend to peddle any of


your catch to friends, neighbors,
or on the street/road?

[IIS

please circle one


please circle one

VESSEL INFORMATION

Y4

Captain

Y/(

Charter

Full Time

HA - No.

Vessel Name

Captairrs Name

,y/n

/U&-TJ J CA
1

jUU

USCG No.

ifjohu/uU,
II
_ n. ,
Home Port

j 7

Vessel Owner

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMT GENERAL TERMS AND
CONDITIONS.
Individual

AUG I 5 20(j

LL

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
LIC NO. pH ZIM
Commercial Fisheries License & Permit
General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand that:
1. I must provide true, complete and accurate information on any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless some
other expiration period is specified, licenses are valid no longer than ^ j e year from the
u

requSt, I must present Sty license to any officer authorized to


ipected by any officer authorized tc
ot be liable for any personal injury,
resulting from any action ^^.fivihf mtTmn-wi
Aioii^w

rce State laws.

cn-pro^PSnage

conservation of marine
one

itural Resourq
orn we date of revi
not comply with the terms and conditions
with DLNR Administrative Proceeding
for the fish report requirement.

Terms and Conditions:


I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
My signature or electronic signature shall be considered as my agreement to comply with all
requirements and may be recorded electronically through the Internet licensing application. This
procedure is deemed lawful under the Uniform Electronic Transactions Act, Section 489E, Hawaii
Revised Statutes.
Signature:

V a - ' C

n /

v -

Date:

/ / 3

Signature is required to renew license/permit, otherwise, the application will be returned.


DAR, DLNR Copy (mail in to Division of Aquatic Resources)

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


Complete this Form
Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side).
Write your license number on check or money order payable to: Division of Aquatic
Resources.
' If you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
' Please send payment and form to:
Check License/Permit

DIVISION OF AQUATIC RESOURCES


ATTN: STATS UNIT/Licensing
A * * * r
. .
. . . o.,
1151 P u n c h b o w l St. RM 330
H o n o l u l u , HI 96813

Q '
,
11
Q
|

types (s) that you intend to

Commercial Marine License


_
...
_
,
Commercial Aquarium Permit

renew:

(V&
^

**

Recreational Aquarium Permit

| Bait License

PLEASE TYPE OR PRINT INFORMATION CLEARLY:

M Q v O n o LA VU

License No.

First Name

Last M a m o

)
Social Security Number

Date of Birth

Y/fciy

City

MailincfAddress

City

Home Phone
Gear/Method

Cell Phone
(in order of

Weight

HI Resident

Residence Address

Fishing

n.

Height

lace of Birth

M.I.

y/ v

riair ooiur

Eye Color

U.S. Citizen

\u iMumDer

TU i ypc

State

ZTFCode

ZIP Code"

Business Phone

E-mai! Address

preference):

Do you intend to file your


Fishing Report online^

Do you intend to peddle any of


your catch to friends, neighbors,
or on the street/road?

please circle one

please circle

V E S S E L INFORMATION

Y/N
Captain

Y/N

Charter

Y/N

Full Time

Vessel Name

HA - No.

Captain's Name

Vessel Owner)

USCG No.

<2sr

Home Port

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.
Individual

m > 4 m fx

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
LIC NO.
Commercial Fisheries License & Permit
General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein aft*- .erred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of uLNR.
I understand that:
1. I must provide true, complete and accurate information on any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless
some other expiratio^period is specified Jicmses^evalid r^ttfilgem^an one year from the

itofMI

tt-

V m &

Wfc

wm

3. Upon request, I must'present


must present my license to any officer authonzed
authonzed to
to entorc
enforce State laws.
pected by any officer auth<Mkad t&enfoffj
ot be liable for any personaWijury, death or p ^ f S t y damage"
resulting from any action or activity authorized by this license. ^
^
M f r DIUK^nay s u s ^ d n i ^ e d | 0 ^ k u c h a c t i d M ^ e s s a r y ^ j ^ j f r f t f l i S o f a n d ^ ^ ^ i p
~
conservation of marine life.
wm m ^ m s m m
*
PermitrTmay notlwiew fftfevolffrlicense for oneyEar froHrtne dale ofrevocation.
8. DLNR may refuse to issue any or all licenses if I do not comply with the terms and conditions
of this or any other license.

Terms and Conditions:


I understJ id and agree to abide by all general terms and conditions of the license as specified in
the Gene 1 Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be p *>ided elsewhere by law. I understand that any violation of any term or condition of
this licen. , including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrc tive rules or law, the rules and law shall apply.
My signa;
r electronic signature shall be considered as my agreement to comply with all
requiremen nd may be recorded electronically through the Interne'
* replication. This
procedure L seemed lawful under the Uniform Electronic Transactior
489E, Hawaii
Revised Statutes.

Signature:

Date:

g.

Signature is required to renew license/permit, otherwise, the application will be returned.


DAR, DLNR Copy (mail in to Division of Aquatic Resources)

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


* Complete this Form
* Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side).
* Write your license number on check or money order payable to: Division of Aquatic
Resources.
* If you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
* Please send payment and form to:
Check License/Permit

DIVISION OF AQUATIC RESOURCES

types (s) that you intend to

Q ^ o m m e r c i a l Marine License

^ N n S T A I S U?LT/LiCMn^n9
1151 P u n c h b o w l St. RM 330
H o n o l u l u , HI 96813

C A ^

Commercial Aquarium
Permit
M

Recreational Aquarium Permit

11

renew:

| Bait License

PLEASE TYPE OR PRINT INFORMATION CLEARLY:

2221

A)6V

Last Name

License No.

Sex

"Race o n

i-tHignt
Y/N

City

Mailing Address

City

Fishing

Cell Phone

Gear/Method

fin order of

EyeTSofor T

(_/N

HI Resident

Residence Address

Hair Color

Weiym

U.S. Citizen

ID Number

Home Phone

M.I.

I Social Security Number

.uaio Ul DM LIT

2.

First Name

ID Type

Alien Number

e
/iM'coa^^State

Business Phone

ZIP Code

E-mail Address

preference):

Do you intend to file your


Fishing Report online?

U^L

Do you intend to peddle any of


your catch to friends, neighbors,
or on the street/road?

Y / N
Y I N

please circle one

please circle one

V E S S E L INFORMATION

Y/N

Charter

Captain

VesseTName

nyA A .

/ m
Full Time

HA - No.

USCG No.

JJ_

Home Port

a,

Captain's Narne

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.
Individual

APR 2 <i 2015

it

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
LIC N O . ^ l K Q
Commercial Fisheries License & Permit
General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand that:
1. I must provide true, complete and accurate information on any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless some
>d isis specified,
specified, licenses
licenses are
are valid
valid no
no longa:
l o n ^ ythatLQae
h a n ^ a e year
year from
from the
the
other expiration period
ite.
3. Ppon requfest, I must j B H f t i y licens J^MLy o ^ S f t u t h o r ^ ^ ^ ^ ^ t t o r ce slate laws'
4. I must allow my catch to be inspected by any officer authmapd to enforce State laws.
5. The State, or its agents, shall not be liable for any p e r s o n ^ P | | | j e a t h or property dar
resulting from any action or activity authoriz^by this license.
icense when such ac
7. The Board of Land and Natural Resources may revoke any license. I may not renew a revoked
license for one year from the date of revocation.
8. DLNR may refuse to issue any or all licenses if I do not comply with the terms and conditions
of this or any other license, or do not fulfill obligation with DLNR Administrative Proceeding
Office for Civil Resources Violation citation received for the fish report requirement.
Terms and Conditions:
I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
My signature or electronic signature shall be considered as my agreement to comply with all
requirements and may be recorded electronically through the Internet licensing application. This
procedure is deemed lawful under the Uniform Electronic Transactions Act, Section 489E, Hawaii
Revised Statutes.
Signature: - ^ T ^ C t r M f r

Date:

/ f

/ C

Signature is required to renew license/permit, otherwise, the application will be returned.


DAR, DLNR Copy (mail in to Division of Aquatic Resources)

I'

f <_>

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


* Complete this Form
* Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side).

* Write your license number on check or money order payable to: Division of Aquatic

Resources.

* If you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
* Please send payment and form to:
Check,License/Permit

DIVISION OF AQUATIC RESOURCES


ATTN: STATS UNIT/Licensing
1151 Punchbowl St. RM 330
Honolulu, HI 96813

types (s) that you intend to

[7|

Commercial Marine License

Commercial Aquarium Permit

[ Recreational Aquarium Permit

| Bait License

renew:

CJmLC V
tt

PLEASE TYPE OR PRINT INFORMATION CLEARLY:

k^AuAl

Last Name

License No.

First Name

Date of Birth

^BX^

Place of Birth

ft

Tt
Social Security Number

M.I.

IO

i teigiii

Y(rT)

HI ResicJeht

Y/(N.

U.S. Citizen

ID Nuifiber"

nair CSlor

weight

ID Type

Eye Color

J alien iNumoer

I
[Hesidence Address

City

State

Mailing Address

City

Sfaie

Home Phone
Fishing

Gear/Method

Cell Phone
(in order of

Business Phone

ZIP Code

E-mail Address

preference):

: Do vou intend to file your


' Fishing Report online?

/?.. \

! Y

l(N W

Do vou intend to peddle any nf :


your catch to friends, neighbors, :
or on the street/road?
N
I Y/f n V :

please circle one

VESSEL INFORMATION
Y/N
Captain

Y/N

Y/N

Full Time
Charter
HA - No.

USCG No.

QjrKl

Home
port
fiefoi

Vessel Name
Vessel Owner
Captain's Name

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.
Individual

JAN 1 B M I

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
LIC NO.pHZIM
Commercial Fisheries License & Permit
General Terms and Conditions
These genera] -nris anci conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand thf
1. I must pi wide true, complete and accurate information on any license application, or any
report the I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless
some other expiration period is specified, licenses are ralid nc4tt|uggyian one year from the
3. Upon request, I must present my license to any officer authorized to enforce State laws.
t0

p e c t e d by any officer

M s M l i n ^
&l
m
T
The State, -WIR agents, snail flbt be liable for any personal nljury, death orpropBrty damage
resulting from any action or activity authorized by this license.
^ ^ y ^ i J ^ k i a y susfca*$,;a3^y,.hrense whe^pbatetiiMa^^cessary for ^ r n m ^ ^ m m m t t
W' conservation of marine life.
of
7
^ w m m f c m w M ^ r i
1
Perimr 1 may rjp'renwWi revoked hdPIseToF one yelr from the*aate ofrevocation.
8. DLNR may refuse to issue any or all licenses if I do not comply with the terms and conditions
of this or any other license.

^ L

Terms and Conditions:


I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
My signature or electronic signature shall be considered as my agreement to comply with all
requirements and may be recorded electronically through the Internet licensing application. This
procedure is deemed lawful under the Uniform Electronic Transactions Act, Section 489E, Hawaii
Revised Statutes.

Signature:

! C U v-u-

Date

Signature is required to renew license/permit, otherwise, the application will be returned.

DAR, DLNR Copy (mail in to Division of Aquatic Resources)

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


* Complete this Form
* Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side).
* Write your license number on check or money order payable to: Division of Aquatic
Resources.
* If you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
* Please send payment and form to:
Check License/Permit

DIVISION O F AQUATIC RESOURCES


ATTN: STATS UNIT/Licensing
1151 P u n c h b o w l St. RM 330
H o n o l u l u , HI 96813

types (s) that you intend to

Q f Commercial Marine License


_
. ,A
_
^
C
o
m
m
e
r
c
i
a
l
A
c
u
a
r
u
m
P
e
r
m
i
t

l
'
Q
Recreational Aquarium Permit
|

renew:

* 4 ^ r k

1 Bait License

PLEASE TYPE OR PRINT INFORMATION CLEARLY:

R7U1

1 (rrv^Ou

IfcXKAliFA

License No.

Last Name

Social Security Number

Sex

First Name

M.I.

in

jC.

c
3

9sident

Place ..

Residence Address

City

Mailirig~A(Tcfress

City

Home Phone

5~1S:ishina

Weight

YQ

DaTeof Birth

>

neigm

Cell Phone

Gear/Method

(in order of

Hair Color

tye ouiu,

Y/tp

U.S. Citizen

\U I1UIIII/V.I

I u iyvm

ZIP Code

ZIP (Joae

blaie

Business Phone

r m

,_jr

E-mail Address

preference):

Do you intend to file your


Fishing Report online?

G*

Y (I N

Do you intend to peddle any of


your catch to friends, neighbors,
or on the street/road?
Y I N

please circle one

V E S S E L INFORMATION

Y/N

Captain

hj

Vessel Name

Captain's Name

Y/N

Y/N

Charter

O ^ v h

Full Time

VK

HA - No.

USCG No.

rgg

Home
ne Port

Vessel Owner

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.
Individual

M 1 8 2013

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
LIC NO. pH Z I M
Commercial Fisheries License & Permit
General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand that:
1. I must provide true, complete and accurate information on any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless
some other expiration oeriod is specified, Ucenses
J i d nf^unggnttan ione year from the
licenses ^ v avalid
B M t f

H P

j. 1 pon request, I must present my license to any officer authorized to enforce state laws.
, 4. I must allow my catch t o b ^ ^ p e c t e d by any officer authooiB^tg^g^rce Stet^la^..
^ P P ^ v The State, or its agents,'HwJBBbt be liable for any personalipfry, death or property d a m a g ^ ^ ^ w
resulting from any action or activity authorized by this license.,
s j $ g | m a y s u s p ^ | n^^cense wf^| ^uch'actioij^^ecessaf^jp^lfeteetien
conservation of marine life.
7. The Bc^trd of Land and^Jatural Resoiuges giayTCMpke any l i ^ ^ e . except the Aquariu
Permi l l may
rene' a revoked lie e or onlP/ear from HI!
o revocatuM"*'
8. DLNR may refuse to issue any or all licenses if I do not comply with the terms and conditions
of this or any other license.
Terms and Conditions:
I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
My signature or electronic signature shall be considered as my agreement to comply with all
requirements and may be recorded electronically through the Internet licensing application. This
procedure is deemed lawful under the Uniform Electronic Transactions Act, Section 489E, Hawaii
Revised Statutes.

Signature:

_ _ _

Date:

Or /fc/f-l

Signature is required to renew license/permit, otherwise, the application will be returned.

DAR, DLNR Copy (mail in to Division of Aquatic Resources)

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


*
*
*
*
*

Complete this Form


Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side).
Write your license number on check or money order payable to: Division of Aquatic
Resources.
If you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
Please send payment and form to:
Check License/Permit

DIVISION OF AQUATIC RESOURCES


ATTN: STATS UNIT/Licensing
1151 Punchbowl St. RM 330
Honolulu, HI 96813

types (s) that you intend to

Commercial Marine License 4

| Commercial Aquarium Permit

| Recreational Aquarium Permit

renew-

( W *

H ^ V

1 | Bait License
PLEASE TYPE OR PRINT INFORMATION CLEARLY:
License No.

S c^

First Name

Social Security Number

sex

Date of Birth

\etao<p

Teacioor\Ql<

Last Nip nop

Height

Weight

lbs

M.I.

nair v^oiui

iu Numoer

Place of Birtn

iu

oer

,. soiaence Address

City

State

ZIP Code

Mailing Address

city

State

ZIP Code

Home Phone
Fishing

Cell Phone

Gear/Method

(in order of

Eye Color

Business Phone

E-mail AddVef?

preference):

\ASi-

Do you intend to file your


Fishing Report online?
Y / N |

Do you intend to peddle any of


your catch to friends, neighbors,
or on the street/road?
Y I N

please circle one

please circle one

VESSEL INFORMATION

Y/N

Y/N

-CA) ( % N P ) b

Vesselif Name

Captain's Nam-

Y/N

Charter

Captain

iao

Full Time

\b

'

krQh

HA-No.

Uwnh U7

Vessel Ownfer

HtlOucfei

USCG No.

Home Port

'

Com
\

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.
Individual

0 E C

2QU

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
LIC
NO.pHZIM
Commercial Fisheries License & Permit
General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand that:
1. I must provide true, complete and accurate information on any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless some
other expiration period is specified, licenses are valid no longtfjfta&jftie year from the

i t e g c . I must presefflmy
h M license toHan]
i
3. f^rafreqrost,
any officer authorized to enforce State laws.
4. I must allow. myj&ldUaJiMypsipected by any officer authorized ^enf^rce atd
not be liable for any personal injuryPSeam or property damage
resulting from any action or activity authorized by this license^
ay susp^Mg|gAfcense when
necessa
conservation of marme life.
^ ^ ^ "PieB^ard of Laj^and^atural Resou^es n^ay

feUHi
^ ^ ^ ^

8. DLNR may refuse to issue any or all licenses if I do not comply with the terms and conditions
tise, or do not fulfill obligation with DLNR Administrative Proceeding
iceTtiFCMl 'Resources Violation citation received for the fish report requirement.
Terms and Conditions:
I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
My signature or electronic signature shall be considered as my agreement to comply with all
requirements and maybe recorded electronically through the Internet licensing application. This
procedure is deemed lawfq} under the Uniform Electronic Transactions Act, Section 489E, Hawaii
Revised Statutes.
Signature:

//

I >

Date:

i g T n A

Signature is required to renew license/permit, otherwise, the application will be returned.

DAR, DLNR Copy (mail in to Division of Aquatic Resources)

COMMERCIAL MARINE FISHERIES INDIVIDUAL LICENSE/PERMIT RENEWAL APPLICATION FORM


* Complete this Form
,
* Review and Sign the General Fisheries License & Permit and Specific Terms and Conditions (reverse side).
* Write your license number on check or money order payable to: Division of Aquatic
Resources.
* If you are interested in obtaining a new license type, contact the DAR office listed on the attached cover letter.
* Please send payment and form to:
Check License/Permit

DIVISION OF AQUATIC RESOURCES


ATTN: STATS UNIT/Llcenslng
1151 P u n c h b o w l St. RM 330
Honolulu, HI 96813

types (s) that you intend to renew:

| X ] Commercial Marine License |


|

| Commercial Aquarium Permit

| Recreational Aquarium Permit

| Bait License

PLEASE TYPE OR PRINT INFORMATION CLEARLY:


TIONE

License No.

AZAMAT

Last Name

First Name
" ft

/ in.

Social Security Number

ID Numatsi

ridte Ol Dirui

r._diuence Address

Home Phone

fin order of

nair ooior

Eye Color

N/A

. -en Number

lyyts

City

State

ZIP Code

Uiy

~13tate

L\V o o u c

843-2229

Cenn..

Fishing Gear/Method

bs

Vtfilght

t^cue ut oiim

M.I.

Business Phone

E-mail Address

preference):

Do you intend to file your


Fishing Report online?

LONGLINE

Do you intend to peddle any of


your catch to friends, neighbors,
or on the street/road?

I Y I N |

j Y I N :

please circle one

please circle one

VESSEL INFORMATION
Y/N

Captain

Y/N

Y/N

Charter

Full Time

512767

F/V Q U Y N H V Y

HA - No.

Vessel Name

Alnnn

Captain's Name

h^m

Cnm

USCG No.

H N L P I E R 17
Home Port

REAGAN NGUYEN
Vessel Owner

TURN OVER FORM TO REVIEW AND SIGN COMMERCIAL FISHERIES LICENSE & PERMIT GENERAL TERMS AND
CONDITIONS.
Individual

DEC 1 2 2013

.}

Department of Land and Natural Resources (DLNR)


Division of Aquatic Resources
State of Hawaii
LIC NO.pHZIM
Commercial Fisheries License & Permit
General Terms and Conditions
These general terms and conditions apply to all licenses and permits, herein after referred to as
"licenses" contained in Chapter 13-74, Hawaii Administrative Rules (HAR) of DLNR.
I understand that:
1. I must provide true, complete and accurate information on any license application, or any
report that I am required to submit.
2. I am responsible for renewing my license even without notification from DLNR. Unless some
other expiration period is specified, licenses are valid no longeyhmong year from the
n ^ ^
u ^
m
i

must presSHH|Rcense to a i ^ m f i c e S w t h o r i z ^ J ( ( ( J r c e State laws.


4. I must allow my catch to be inspected by any officer authorized to enforce State laws.
b e liable for m y
5.
person31
resulting from any action or activity authorized by this license.
6

0S s e w h e n

for the p r o t e c t i o

l^Mr^

7. The Board of Land andN atural Resources may revoke any license. I mavnot renew a revoked
l i c t e % i e year frdP^ate of
IT
W P S ^ l S P : '*>'
8. DLNR may refuse to issue any or all licenses if I do not comply with the terms and conditions
of this or any other license, or do not fulfill obligation with M ^ ^ ^ ^ S i s t r a t i v e Proceeding
Office for Civil Resources Violation citation received for th^ish report requirement.
Terms and Conditions:
I understand and agree to abide by all general terms and conditions of the license as specified in
the General Terms and Conditions, on applicable Specific Terms and Conditions forms, and as,
may be provided elsewhere by law. I understand that any violation of any term or condition of
this license, including any misstatement of fact or circumstance, may result in the invalidation
and/or revocation of this license, and the prosecution of an enforcement action against me as
specified in the Hawaii Revised Statutes, Chapters 187A, 188, and 189. In the event of any
difference between the terms and conditions of this license, as stated above, and the applicable
administrative rules or law, the rules and law shall apply.
i
My signature or electronic signature shall be considered as my agreement to comply with all
requirements and may be recorded electronically through the Internet licensing application. This
procedure is deemed lawful under the Uniform Electronic Transactions Act, Section 489E, Hawaii
Revised Statutes.
Date: j l

/I

2> ) I

Signature is required to renew license/permit, otherwise, the application will be returned.


DAR, DLNR Copy (mail in to Division of Aquatic Resources)

FORM DC-1
7/2008

www.BusinessRe91strBtion8.com
Nonrofunda&lo piling Fee; $50 00

FILED 06/03/2010 10:52 AM


Business Registration Division
DEPT. OF COMMERCE AND
CONSUMER AFFAIRS
State of Hawaii

f\
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O

ARTICLES OF INCORPORATION
(Sacton 414-33. Hawaa Ravaod Statu**)

PLEASE TYPE OR PRINT LECIBL Y IN BLACK INK


The undersigned, for the purpose of forming e corporation under the laws of the State of Hawaii, do hereby make and execute
these Articles of Incorporation:

The name of the corporation shall be:

Dojin Shipping Agency , \ Y ) C

(Tho name must contain the word Corporation, incorporated, or Limited or (ho abbreviation Corp.. Inc.. or Ltd.)

The mailing address of the corporation's initial principal office is:

1114 Kuokoa Street, Pearl City, Hawaii 96782


in
The corporation shall have and continuously maintain in the State of Hawaii a registered office and a registered agent. The
agent may be an individual resident of Hawaii, a domestic entity or a foreign entity authorized to transact business in the
State, whose business office is identical with the registered office.
a.

The name (and state or country of incorporation, formation or organization, if applicable) of the corporation's
registered agent in the State of Hawaii is:

Lavinia Teem
b.

Hawaii

(StaSo Of Courtry)

(Nwm of Raguarad Agort)

The street address of the corporation's initial registered office in the State of Hawaii is:

1114 Kuokoa Street, Pearl City, Hawaii 96782


IV
The number of common shares aD of the same class which the corporation shall have authority to issue is:

100

STATE OF HAWAII
DEPARTMENT OF COMMERCE A N D CONSUMER AFFAIRS
B u s i n e s s Registration Division
335 Merchant Street
Mailing Address: P.O. Box 40. Honolulu. Hawaii 96810
Phone No. (808) 586-2727

FORM DC-1
7/2008

www.BusinessRegi8trBtton9.com

.i

The name and address of each incorporator is:


Name

Address

Lavinia Teem

1114 Kuokoa Street, Pearl City, HI 96782

I certify that 1 have read the above statements, I am authorized to sign this Articles of Incorporation, and that the above
statements are true and correct to the best of my knowledge and belief.

O
0)
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ro

o
o
K)
o

Signed this

2nd

Lavinia Teem

day of

June

Noti of k m y p u n d v )

S ^ n t t ^ v of t w a p t f t t v l

. 2010

rTypo/Pnm Harm of Incorporator)

(S^ntimd tooofpofltfor)

SEE INSTRUCTIONS PAGE. The articles must be signed by at least one individual (incorporator).

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