Length from the Forepart of Stem under the Bowsprit to the Aftside of the Head of the Sternpost

Main Breadth to Outside of Plank

Depth in Hold from Tonnage Deck to Ceiling at Midships

Carvel or Clincher.

Description of.
Kind of.

Wood or other Material.

No. of Tons.

Tenths.

[(a) Omit this Part if she has

no Steam Power.

(*) Additional Particulars for Steamers.

Deduction for Space required for Propelling Power (say whether ths or ths, or as measured)

Tons.

Tenths.

Number of Engines.

* If the Declarant is a naturalborn Subject,who has taken the Oath of Allegiance to a Foreign State, or a Denizen or naturalized Subject, and is resident in a

in the County of

(1.) I am a natural-born British Subject, born at [naming Birth-place],

.declare as follows:

(and have since I took the Oath of Allegiance to a Foreign State [naming State], and on the Day of taken the Oath of Allegiance to Her Majesty, and am resident at [naming Place], being a Place within Her Majesty's Dominions.

I, the undersigned A.B., of

Day of

and am resident at [naming Place], being a Place within Her Majesty's Dominions. And I have

naming British Possession], [cite the

Year in which the Ordinance was passed, its Chapter and Title.]

since I so became a Denizen,} or { since the passing of the said Act or Ordinance and on the

taken the Oath of Allegiance to Her Majesty.

Day of

[naming the

in some British Possession"

Day of

, and her

[naming the Country and Place] on the (2.) The Ship, the Description of which is prefixed to this my Declaration, was built at

For

of

is the Master of the said Ship.

House and also

the Place where

it carries on its Business].

If the Declara

tion is made by a
joint Owner add
before Owner.
the Word" joint"

[these Words to be added if the Ship is

(4.) I am entitled to be registered as* Owner of

Shares in the said Ship.

(5.) To the best of my Knowledge and Belief, no Person or Body of Persons, other than such Persons or Bodies of Persons as are by the Merchant Shipping Act, 1854, qualified to be Owners of British Ships, is entitled as Owner to any Interest whatever, either legal or beneficial, in the said Ship.

And I make this solemn Declaration conscientiously believing the same to be true.

(") Omit this Part if she has no Steam Power.

FORM C. (See Section 39.)

DECLARATION OF OWNERSHIP ON BEHALF OF A BODY CORPORATE AS OWNER.

Length from the Forepart of Stem under the Bowsprit to the Aftside of the Head of the Sternpost

Main Breadth to Outside of Plank

Depth in Hold from Tonnage Deck to Ceiling at Midships

Deduction for Space required for Propelling Power (say whether ths or ths, or as measured)

Feet.

Feet.

[naming the Country and Place] on the

the Act 7 & 8 Vict. c. 110. from. the

Day of
being the Date of the Certifi-
cate of complete Registration.

of on the

was condemned by the Court [naming Court]

Day of

at

[These Words to be added if the Ship

Day of

Foreign Name is

is Foreign.

(6.) To the best of my Knowledge and Belief no Person or Body of Persons, other than such Persons or Bodies of Persons as are by The Merchant Shipping Act, 1854, qualified to be Owners of British Ships, is entitled as Owner to any Interest whatever, either legal or beneficial, in the said Ship.

And I make this solemn Declaration conscientiously believing the same to be true.

(Signed)

Length from the Forepart of Stem under the Bowsprit to the Aftside of the Head of the Sternpost

Main Breadth to Outside of Plank

Depth in Hold from Tonnage Deck to Ceiling at Midships