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Welsh Federation of Sea Anglers
Specimen of the Month Claim Form (For fish caught outside welsh waters)
Please complete in full using BLOCK CAPITALS

Name                          
Address          
                              
Post Code       

Club                                               PM
Email Address         
Species                                                          
Weight                    Kilo’s                      Grams     
                              lbs                         Oz
Length                   CM                  Girth      
                              inches              Girth      
Where Caught         
Date of Capture       
Boat/Shore                               Port (if Boat)      
Please select award Category     Age if Junior        
There should be at least one witness to the capture & weighing to support any WFSA claim. If there are no witnesses to capture the claimant must verify their claim by affidavit. All claims must be accompanied by clear photographic evidence of the fish alongside a measure. Claims must be received within 2 weeks of the date of capture.
Witness to Capture                              Witness to Weighing
Name                                               Name           
Address                                           Address        
                                                                         
                                                                         
Phone No                                       Phone No      

Witness to Capture                              Witness to Weighing
Name                                              Name           
Address                                           Address        
                                                                         
                                                                         
Phone No                                       Phone No      

I declaire that I have caught the fish as described in my claim and that it was caught by fair rod and line angling in the waters of the Principality of Wales (please insert a scanned image of your signature or type your name and check the box to confirm information above is a true account).


Claimants Signature 

                                                 ☐
All claims for Specimen of the Month (rod caught) sea fish must be sent to:
Mr Richard Poole, WFSA National Fish Recorder, Welsh Record Sea Fish Committee,
52 West Street, Bargoed, Caerphilly, CF81 8SA
Telephone 07581 250585
Email: richard@poole0.fsnet.co.uk

Please send or email a photo for inclusion on the WFSA website and Facebook page.
Awards will be decided at the National Executive Committee Meetings and will be announced on the WFSA website and Facebook page. All winners will be notified by email or letter