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GHOST-NET ALERT FORM
Home
/
SERVICES
/
GHOST-NET ALERT FORM
Ghost Net Alert DWI
PELAPOR /
COMPLAINANT
Nama / Name
Tel. No. / Phone No
Email
Tarikh kejadian / Date of incident:
Peranan anda di kawasan tersebut / Your role in the area
LOKASI /
LOCATION
Dimana jaring dijumpai / Where was the net found?
Latitude
Longitude
Kedalaman / Depth (m)
DATA JARING DAN PUKAT /
NET DATA
Tandakan (/) pada yang berkaitan /
Tick (/) on relevant information
:
Jenis Jaring atau pukat / Mesh or net type:
Nylon
Tangsi / Fishing line
Benang / Thread
Lain-lain / Others :
Sila Nyatakan / Please specify:
Anggaran / Estimate net size:
Panjang Pukat / Length (m)
Berat Pukat / Weight (Kg)
Saiz jejaring / Mesh Size (cm)
Anggaran keluasan kawasan pukat hanyut / Estimated area of drift net
<10 m square
>10 m square
DATA HIDUPAN MARIN /
MARINE LIFE DATA
Tandakan (/) pada yang berkaitan /
Tick (/) on relevant information
:
Deskripsi kawasan pukat hanyut / Drift net area description
Terumbu karang / Coral reefs
Batu / Rocks
Tukun tiruan atau tukun kapal / Artificial reef or Shipwreck
Lain-lain / Others :
Sila nyatakan/ Please specify:
Adakah terdapat hidupan marin yang terperangkap / Is there any marine life caught in the net
Ya / Yes
Tidak / No
Sila nyatakan / Please specify:
Nama / Name
Kondisi / Condition
Bilangan/ Number
Pilih / Choose
Hidup / Alive
Mati / Dead
Cedera / Injured
KOMEN ATAU PANDANGAN /
COMMENTS OR OPINION
Textarea
MUATNAIK FOTO /
PHOTO UPLOAD
Image Upload
Pilih Fail / Choose File
Hantar / Submit
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