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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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I, the undersigned A.B., Registrar of the Port of

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Tons.

Tenths.

Number of Engines.

No. of Horses-power.

(1.) The Ship, the Description of which is prefixed to this my Certificate, has been duly surveyed, and that the above Description

is true.

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[naming the Country and Place] on

and her Foreign Name is

[these Words to be added if the Ship is Foreign.]

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(4.) The several Persons and Bodies Corporate whose Names are hereunder written [or endorsed] are Owners of the above Ship, in the Proportions set opposite their respective Names. Registrar. Number of Sixty-fourth Shares held by each Owner.

Names of the several Owners above [or within] mentioned.

(Signed)

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the

Day of

18.

(Signed)

Registrar.

Notice. A Certificate of Registry granted under The Merchant Shipping Act, 1854, is not a Document of Title. It does not necessarily contain Notice of all Changes of Ownership, and in no Case does it contain an Official Record of any Mortgages affecting the Ship.

[Name.]

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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

Wood or other Material.

Feet.

Tenths.

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(^) Additional Particulars for Steamers.

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

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Alter as neces• sary, if there be more than One Owner.

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Shares in the Ship above in the County of

* Omit, if no Incumbrances,

the words in Italics.

Further I, A.B., for myself and my Heirs, covenant with the said C.D. and his Assigns that I have Power to transfer in manner aforesaid the said Shares, and that the same are free from Incumbrances* save as appears by the Registry of the said Ship.

In witness whereof I have hereunto subscribed my Name and affixed my Seal, this

(L.S.)

(Signed).

Day of

18

Executed by the above-named

in the Presence of

[insert Description and Place of Residence.]

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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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Feet.

Tenths.

No. of Tons.

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(*) Additional Particulars for Steamers.

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

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Feet.

No. of Horses-power.

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(1.)

in the County of

am a natural-born Subject of Her Majesty, born at [naming Place of Birth],

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declare as follows:

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

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

or

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

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

and on the

Day of

naturalized by an Ordinance of the proper
legislative Authority of

[naming British Possession] [cite the Year
and Title.]
in which the Ordinance was passed,its Chapter

taken the Oath of Allegiance to Her Majesty.

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

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

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