FORM B. (See Section 38.)
DECLARATION OF OWNERSHIP BY INDIVIDUAL OWNER.

British or
Foreign Built.
Port of Registry.

How propelled.
By Steam or Sails, and if by
Steam, whether by Paddle or Screw.

Name of Ship.

Number of Decks

Build
Number of Masts
Rigging
Nature of, and whether standing

Gallery
or running Bowsprit.

Head
Stern

Round, square, or other Descrip- Framework
tion.

Measurements.
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

Tonnage.
Tonnage under Tonnage Deck
Closed-in Spaces above the Tonnage Deck, if any; viz.

Space or Spaces between Decks
Poop
Roundhouse
Other inclosed Spaces, if any, naming them

Total

(*) Additional Particulars for Steamers. Deduction for Space required for Propelling Power (say whether ths or "ths, or as

measured)

Feet.

Tenths.

(%) Omit this
Part if she has
no Steam
Poreer.

Length of Engine Room (if measured)

in the County of

declare as follows:
rant is a natural-
born Subject, who (1.) I am a natural-born British Subject, born at [noming Birth-place),
has taken the

(and have since I took the Oath of Allegiance to a Foreign State
Oath of Allegi-

[naming State), and on the aerede har estabeer taken the Oath of Allegiance to any}

Day of

taken the Oath
ance to a Foreign Foreign State.

of Allegiance to Her Majesty, and am resident at [naming
State, or a Deni-

(Place], being a Place within Her Majesty's Dominions. zen or naturalized Subject, and

maturalized by an Ordinance of the Country notwith.

naturalized by Act of Parliament of the

proper legislative Authority of in meridajesty's datearinen by Justters of Denization United Kingdom [cite the Year of the

Reign in which the Act was passed, or (naming British Possession], [cite the

Year in which the Ordinance was must declare, in

lits Chapter and Title.]

(passed, its Chapter and Title.]
addition, that
"he is a Member and am resident at [naming Place], being a Place within Her Majesty's Dominions.
"of some British
"Factory, or

And I have
" Partner in
"some House
since I so became a Denizen, } or { since the passing of the said Act or Ordinance and on the

Day of
ing on Business
"actually carry- taken the Oath of Allegiance to Her Majesty.

(2.) The Ship, the Description of which is prefixed to this my Declaration, was built at in some British

[naming the Country and Place] on the Day of

and her "Possession"

ris Foreign-built, and I do not know the was condemned by the Court of
Foreign Name is
[naming the

or Time when or the Place where she was or [naming Court] on the Day of
[these Words to be added if the Ship is (built, and her Foreign Name is
the Place where
House and also Foreign.]
it carries on its
Business].
(3.) C.D.

of

is the Master of the said Ship.
* If the Declara (4.) I am entitled to be registered as * Owner of
tion is made by a

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
joint Orner add the Merchant Shipping Act, 1854, qualified to be Owners of British Ships, is entitled as Owner to any Interest whatever, either legal or
before Owner.
the Word" joint" beneficial, in the said Ship.

And I make this solemn Declaration conscientionsly believing the same to be true.
Dated at

(Signed)
the
Day of

18
Made and subscribed by the above-named A.B.
in the Presence of me
(Signed)

[Name of Registrar or Justice of the Peace acting in and for

J

[Secretary], or (duly

Shares in the said Ship. (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.