BRITISH CONGER CLUB

SPECIMEN FISH ENTRY WEIGHING
FORM 2017
For Life, Current Full & Associate Members Only
Please check the form where appropriate and fill in any details that are required

FORENAME                           MEMBERSHIP NO:
SURNAME LIFE [   ]      CURRENT FULL [   ]          CURRENT ASSOCIATE  [   ]   
ADDRESS NAME OF AFFILIATED CLUB
   
CITY   COUNTRY
POST CODE or ZIP  
Telephone Number email: 
FISH CAPTURE DETAILS DATE CAPTURED 
SPECIE CAPTURED WEIGHT  [                    ]  LBS   [               ] OZ
Place of Capture WRECK [  ]      REEF or OPEN GROUND [  ]        SHORE [  ]
LINE STATE BREAKING STRENGTH    [                        ]  LBS/KGS
IN the case of WEIGHED AT SEA/ESTIMATED please check here [    ]
W
eight assessed by Boat Skipper PLEASE CHECK
here [  ] SKIPPERS NAME[                                                      ]  
WEIGHED ON DRY LAND   [       ]                                     TYPE OF SCALES USED
BOAT NAME                     SKIPPERS NAME                                PORT
WITNESS 1. NAME                                                ADDRESS
WITNESS 2. NAME                                                ADDRESS
SIGNATURE OF ANGLER                                                    DATE:
**IF LINE CLASS AWARD CLAIM-PLEASE ENCLOSE THIRTY FEET OF LINE FOR TESTING**

*Please note that fish weighed at sea/estimated can only be entered as qualifiers or for Thompson Medals or Electric Blue Trophy*
A signed official weight certificate may be accepted in place of declaration of witness, subject to the agreement of the committee of the BCC.
For entries for trophies or medals the fish should be weighed on scales currently certified by the Trading Standards Departments of the Area.
This form may be used for various trophies of the BRITISH CONGER CLUB, Thompson Medals and Fish of the Month application and must be returned within 28days of capture with the exception of December when it must be submitted with 14 days.

Please send this document AND ANY OTHER DECLARATIONS to: 
THE RECORDS OFFICER
BCC FISH RECORDER
Paul Maris,
49 Roseacres, Takeley, Nr Bishops Stortford, Herts. CM22 6QZ