<p>NATURAL RESOURCES WALES</p><p>LICENCE REPORT FORM - BADGERS ACT 1992 - Section 10 (1) (a), (b), (c), (d), (e) & (f) Reporter’s name and address Licence number</p><p>Please complete IN BLOCK LETTERS and return this form to:</p><p>Species Protection Team, Natural Resources Wales, Maes y Ffynnon, Penrhosgarnedd, Bangor, Gwynedd, LL57 2DW [email protected] in accordance with the conditions of your licence. Please note that an inadequate return will prejudice future licence applications. Badger Group (if applicable) The personal information on this licence report may be kept and used by Natural Resources Body for Wales otherwise known as Natural Resources Wales (NRW) in accordance with the Data Protection Act (1998) and in line with the provisions of the licence under which the collection of these biodiversity records was authorised.</p><p>To the best of my knowledge, the data is reliable and was collected with any necessary permissions.</p><p>NRW have my permission to store, copy, use, release and publish the biodiversity records I have supplied, including my name as part of the record, in line with the provisions of the licence under which the collection of these biodiversity records was authorised.</p><p>PLEASE RETURN THIS REPORT FORM WITHIN 4 WEEKS OF YOUR LICENCE EXPIRING. i. PLEASE COMPLETE PART A WHERE INTERFERENCE WITH A BADGER SETT WAS CARRIED OUT. ii. PLEASE COMPLETE PART B WHERE A BADGER WAS KILLED OR TAKEN. </p><p>A. INTERFERENCE WITH A BADGER SETT WAS FOR THE FOLLOWING PURPOSE:-</p><p>SCIENCE CONSERVATION DEVELOPMENT INVESTIGATING OFFENCES ARCHAEOLOGY CONTROLLING FOXES</p><p>Number of setts destroyed Dates of activity Method used Outcome of work undertaken Location (6 figure grid reference or disturbed B.1 TO:- KILL TAKE POSSES MARK SELL BADGERS</p><p>B.2 FOR THE FOLLOWING PURPOSE:-</p><p>SCIENCE EDUCATION CONSERVATION </p><p>Number of badgers</p><p>Taken Killed Possessed Marked Sold Adult or Cub Dates Period held How and where disposed of</p><p>Please give reasons for a nil return (if applicable) Please provide details of any papers you intent to publish in connection with work done under this licence </p><p>Please tick the appropriate box below:-</p><p>The above is a true record of all work undertaken under the above mentioned licence.</p><p>The above is a summary of work completed under the above mentioned licence and I submit a full report attached to this form.</p><p>Signature...... Date...... </p><p>Please note: any report/paper published in connection with this work should state the work was completed under a licence issued by Natural Resources Wales.</p>