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THE SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness ---------------



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11 2021 ND-CP 467139

THE SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
---------------

APPLICATION FORM FOR EXTENSION OF SEA AREA ASSIGNMENT DURATION
To: ...(The Prime Minister/The Ministry of Natural Resources and Environment/The People’s Committee of ... province/The People’s Committee of ... district)
Name of the applicant ……………………………………………………………………………………..
Head office address/Address: …………………………………………………………………………………………..
Phone number:……………………………………….. Fax: ………………………………………………….
Establishment decision No. .... dated (dd/mm/yyyy).... or Enterprise registration certificate, enterprise ID No. …. date of issue…. (dd/mm/yyyy).... revision (if any) made on…. (dd/mm/yyyy) or Business registration certificate No. .... dated (dd/mm/yyyy).... (if the applicant is an organization).
Date of birth ...., ID card or Citizen ID card or Personal identification No. ... issued on …. (dd/mm/yyyy) by.... (if the applicant is an individual).
Permitted to use the sea area in .... commune, .... district, …. province under the Decision on sea area assignment No. .... dated (dd/mm/yyyy).... of: the Prime Minister/the Ministry of Natural Resources and Environment/the People’s Committee of ... province/the People’s Committee of ... district
Hereby would like to apply for extension of sea area assignment with an additional duration of…. (months/years).
Current uses of the sea area: (type of activity related to exploitation and use of marine resources) ....
Size of the sea area used:...(ha), depth used:...m, from...m to....m; limited by corner points with the coordinates, height of works or equipment to be used above the sea level ... m shown on the sea area diagram.
Reasons for extension ………………………………………………………………………………………
(Name of the applicant)………………….. undertakes to strictly comply with regulations of law on use of sea areas and other relevant regulations of law./.






..(Place name), (dd/mm/yyyy) ….
APPLICANT
(Signature; seal or fingerprints)

Form No. 03



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