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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

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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.

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(*) Additional Particulars for Steamers.

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

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Tons.

Tenths.

Number of Engines.

No. of Horses-power.

*If the Decla-
rant is a natural-
born Subject,who
has taken the
Oath of Allegi-
ance to a Foreign
State, or a Deni-
zen or natural-
ized Subject, and
is resident in a

I, the undersigned A.B., of

in the County of

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

in Her Majesty's a Denizen by Letters of Denization)

declare as follows:

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

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Country notwith

Dominions, he

dated the

Denization}

or

must declare, in

naturalized by Act of Parliament of the United Kingdom [cite the Year of the Reign in which the Act was passed, its Chapter and Title.]

or

addition, that

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Day of

"he is a Member and am resident at [naming Place], being a Place within Her Majesty's Dominions.

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And I have

naturalized by an Ordinance of the proper legislative Authority of 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.

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

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Day of

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[these Words to be added if the Ship is

Foreign.]

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(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.

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(a) 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.

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

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Main Breadth to Outside of Plank

Depth in Hold from Tonnage Deck to Ceiling at Midships

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

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Number of Engines.

No. of Horses-power.

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(2.) The said Company is subject to the Laws

of the British Possession of

or

of the United Kingdom,} o

and has its principal Place of Business at

(3.) The Ship, the Description of which is prefixed to this my Declaration,

was built at

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was condemned by the Court [naming Court]

Day of

is the Master of the said Ship.

(5.) The said Company is entitled to be registered as Owner of

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.

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

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(Signed)

{[Name of Registrar.]}

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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

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Feet.

Tenths.

No. of Tons.

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