RENEWAL & REPORTFOR A 2018SCHEDULE ONE PERMIT - SCOTLAND

(Please complete in Block Capitals)

Name:………………………………………………………….RingersPermit No:….……….. Nest Record Code………

Email:...... …...... …......

Delete as appropriate

Have you been convicted of any wildlife related crimes? (YES or NO)

Did you visit/monitor any potential breeding sites in 2017?(YES or NO)

Do you want a Schedule 1 permit for 2018? (YES or NO)

Do you want the permit to be the same as last year? (YES or NO)

Declaration

  • I agree to comply with any conditions of a permit which may be granted in respect of this application (from either BTO or the Country Agency), and understand that any failure to do so may constitute an offence;
  • I understand that BTO may pass this application and/or a copy of my permit and contact details to the relevant Country Agency and that BTO and Country Agency staff may discuss this application with other organisations or individuals in order to ensure that disturbance to rare birds is minimised;
  • I agree to my contact telephone number/email being passed onto other parties to allow liaison between fieldworkers and avoid duplication of sites;
  • I can confirm that to the best of my knowledge all of the above is correct

Scanned/written Signature ...... ………………Date: ......

If you are ‘C’ Permit ringer please ask your Trainer to countersign this application:

Trainers’ signature:………………………………………………………….Permit No: ……………….. Date: ……………….

WARNING: The Country Agency or BTO can modify or revoke at any time any Permit that may be issued but this will not be done without good reason. Any Permit that is issued is likely to be revoked immediately if it is discovered that false or incorrect information had been provided on this form. Applicants should note that it is an offence under Section 17 of the Wildlife and Countryside Act 1981 to knowingly or recklessly provide false information in order to obtain a permit.

Please return the completed renewal and report form by email to

Report on Activity for 2017

The table overleaf shows all of the species/county combinations you have on your permit.

Please indicate how you are reporting on them, ideally by providing the number of nests monitored/visited.

You have five options:

  1. You did not visit/monitor any potential breeding sites, meaning you have no idea whether birds were present or not – i.e. lack of time or sickness. Note if you complete NRC then include these details in column (2)
  2. Nest records submitted via IPMR or on cards for the species/county combination
  3. Complete a Schedule 1 report form (download from BTO website) giving details of visits – Including adults present/no nest(2) DO NOT do this if you have done option (1)
  4. You’ve reported your findings regarding raptors to your relevant Raptor Study Group
  5. If the site was visited by another licensee (not your agents) give their name in column (5).

If you visited/monitored a potential breeding site in 2017 but did not find a nest but recorded adults, a report form OR Nest Record Card is still required.

Changes/additions to permit for 2018

To request changes to the locations on your permit for next year, use column 5 of the table overleaf. Please provide details of the location and the 10km square which needs adding, removing or altering. Use a new row to add another species and include all the relevant details.

schedule 1 Report on activity during 2017 – SCOTLANDComplete the table below by ticking the relevant box for each county and species listed

Species / County / Sub-Location / (1) ZERObreeding sites visited this year / (2) Nest Records sent to BTO(preferred format) / (3) Report ‘form’ completed / (4) Records sent to RSG / (5) Site visited by another licensee (give name)/
Changes to permit: add, alter or remove? (place name/10km square – add extra rows if needed)

Current AGENTS

Name / Postal address if not ringer / Postcode / Email address if not ringer / Include on 2018 permit (Y/N)

NEW AGENTSInclude postal and email address for non-ringer agents or if ringing permit number not known

Name / Nest record code/
Ringing permit # / Postal address / Postcode / Email address