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Schedule

FORM 1

(Regulation 3)

APPLICATION FOR REGISTRATION OF A SAINT LUCIAN SHIP

SHIPPING ACT – SECTION 14

[COAT OF ARMS]	Shipping (Registration and Proprietary Interests of Ships) Regulations – Regulation 3

PROPOSED NAME OF SHIP (Several names should be entered in order of preference)




PARTICULARS OF SHIP
IMO/HIN/Caribbean Number (if known) (delete as appropriate)				Radio Call Sign(s) (if known)
Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)
Construction Material				Length (This dimension is to be as defined in the Model Shipping (Tonnage) Regulations 2004)
Full Name and Address of Builder
Year of Build				Country of Build
PARTICULARS OF SHIP UNDER CONSTRUCTION (if applicable)
Temporary Name			No. of Masts
Type of Ship			Stem
Intended Port of Registry			Stern
How Propelled			No. Of Bulkheads
No. of Decks			Breadth
Length of Engine Room			Depth
Gross Tonnage			Net Tonnage
Description of Construction
PARTICULARS OF PREVIOUS REGISTRATION OF SHIP (if applicable)
Registered Name of Ship
Official Number			Country of Registry
Port of Registry			Port Letters and Numbers (if applicable)
Year of Registry			Registered Length of Ship
Has the ship an outstanding mortgage? (Indicate YES or NO in box)
PARTICULARS OF NATURE OF TITLE (if applicable)
PARTICULARS OF THE APPLICANT(S)
Full Name(s)
Address(es) (Residential address – for an individual: Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
Telephone number(s)						Fax number(s)
E-mail address(es)
PARTICULARS OF PAYMENT/CORRESPONDENCE
Are you the permanent agent for the owner?(indicate YES or NO in box)
NOTE: All correspondence will be sent to the registered owner/managing owner unless the owner requests the Registrar of Ships to send it to a specified person.
I/We* being the Owner(s) of the above ship request that all correspondence including the Certificate of Registry be sent to my / our* registration agent/agent: delete as appropriate
Full Name
Address (Residential address – for an individual; Registered office address - for a body corporate; Principal place of business - for a statutory body or foreign body corporate)
Telephone number					Fax number
E-mail address
SIGNATURE
Place							Signature of Witness
Date __ / __/ __ (d/m/y)
Signature of Owner(s) In the case of a body corporate, an authorised officer of the body corporate							Full Name of Witness
							Address of Witness
WHEN COMPLETED YOU SHOULD SEND THIS FORM TO THE REGISTRAR OF SHIPS (see below), TOGETHER WITH— ∙ The correct fee (if you do not know the fee contact the Registrar of Ships); ∙ The Declaration of Eligibility and any information required for the application ∙ The Builder's Certificate and/or Bill(s) of Sale, except for ships under 24 metres in length ∙ The Certificate of Survey and Tonnage
Registrar of Ships [Address] Telephone: Fax: E-Mail:		OFFICIAL USE ONLY
		Entry in Register made on						__/__/__
								(d /m /y)
		at___________ (time). By Officer (print name)....................

FORM 2

(Regulation 6)

SHIPPING ACT – SECTION 15

[COAT OF ARMS]	DECLARATION OF OWNERSHIP A SAINT LUCIAN SHIP
Shipping (Registration and Proprietary Interests in Ships) Regulations – Regulation 6 NOTE: If more than one Owner then a separate form is required for each, unless shares are held jointly. I/We* hereby declare that I am / we are qualified to own the ship as stated below. * delete as appropriate
NAME OF SHIP, and in the case of a foreign ship, her foreign name

PARTICULARS OF OWNER
Full Name(s)
Address(es)(Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate).
Qualification to own a Saint Lucian ship*, and, in the case of a body corporate, such circumstances of the constitution and business thereof as prove it to be qualified to own a Saint Lucian Ship
Number of Shares (indicate if jointly owned)		Date of Purchase of Shares	____/ ____/ ____ (d/m/y)
Telephone number(s)		Fax number(s)
E-mail address(es)
SIGNATURE
Place		Signature of Witness
Date ___/ ___/ ___ (d/m/y)
Signature(s)of Owner(s) In the case of a body corporate, an authorised officer of the body corporate		Full Name of Witness
		Address of Witness

* The following are qualified to own a Saint Lucian ship:
1. (a) nationals of Saint Lucia;
1. (b) citizens of CARICOM States residing in a member State of the Caribbean Community, where the ship is customarily engaged in international voyages;
1. (c) individuals or corporations owning ships hired out on bareboat charter to nationals of Saint Lucia;
1. (d) individuals or corporations in bona fide joint venture shipping enterprise relationships with nationals of Saint Lucia as may be prescribed; and
1. (e) such other persons as the Minister may by Order determine.

When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:

Registrar of Ships [Address] Telephone: Fax: E-Mail:	OFFICIAL USE ONLY
	Entry in Register made on	____/____/___
		(d/m/y)
	at___________ (time). By Officer (print name) ...............................................

FORM 3

(Regulation 7)

SHIPPING ACT – SECTION 16

BUILDER'S CERTIFICATE

[COAT OF ARMS]

Shipping (Registration and Proprietary Interests in Ships) Regulations – Regulation 7

NAME OF SHIP

PARTICULARS OF BUILDING

Place of Construction

Date of Completion __/ __/ __

(d/m/y)

Builder's Identification of Ship
(if ship is unnamed)

Full Name and Address of Builder

Full Name and Address of person/ company for whom ship was built

PARTICULARS OF SHIP

Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)

Build (carvel, clinker, hard chine, etc)

Stern (raked, straight, curved. clipper, etc.)

Stern (transom, canoe, counter, tuck)

Rigging (cutter, ketch, sloop. schooner)

Number of decks

Number of watertight bulkheads

Number of non-watertight bulkheads

Number of masts

Principal material of construction

Length Overall
(for ships under 24 metres)

Length (other ships)

Breadth

Depth

Brake power

Indicated power

Shaft power

Estimated maximum speed under power

Number of Hulls

PARTICULARS OF PROPULSION

Method
(sail and motor, sail, motor)

Power transmission
(single screw, twin screw, etc.)

Engines

Number of Engines

Type of Engines

Maker's Name

Number of Cylinders

Serial Number

Other

Boilers

Number of Boilers

Type of Boilers

Maker's Name

Loaded pressure

PARTICULARS OF DELIVERY

Date ship was/will be delivered

__/ __/ __ (d/m/y)

The ship was/will be delivered
(tick one box)
Encumbrance

Particulars of encumbrance

Free

Encumbered

THIS CERTIFICATE WAS ISSUED BY

Place

Signature of Witness

Date __/ __/ __ (d/m/y)

Signature of Builder
If the builder is a body corporate, an authorised officer of the body corporate.

Full Name of Witness

Address of Witness

DEFINITIONS

Length overall: Length overall is obtained by measuring (to two decimal places) the distance between a vertical line passing through a point being the foremost part of the stem, and a vertical line passing through a point being the aftermost part of the stern. (Do not give class length). The Registrar should be contacted where the length cannot be measured with this definition.

Breadth: Breadth is the breadth measured (to two decimal places) to the moulded line of the frame if the ship has a metal shell, or to the outer surface of the hull if the ship has a shell of any other material.

Moulded depth amidships: This is the vertical distance measured (to two decimal places) from the top of the keel to the top of the freeboard deck beam at side amidships. (Amidships means the vertical plane situated at the middle length of the ship and at right angles to the centre line plane of the ship).

In the case of a wooden ship or composite ship the top of the keel is the lower edge of the keel rabbet.

In the case of a ship in which the form at the lower part of the midship section is of a hollow character, or if thick garboards are fitted, the top of the keel is the point where the line of the flat of the bottom continued inwards cuts the side of the keel of the ship.

In the case of a ship having rounded gunwales the top of the freeboard deck beam at side is the point of intersection of the moulded lines of the deck and of the side, the moulded lines being treated as extending as though the gunwale were of angular design.

In the case of a ship having stepped freeboard deck, the raised part of which extends. over amidships, the top of the freeboard deck beam at side is the point of intersection of amidships and of a line of reference extending from the top of the freeboard deck beam at side at the lower part of the deck along a line parallel to the raised part.

Length

The length of a ship is either—
1. (a) a length equal to 96% of the total length of the ship measured on a waterline that is at a distance, from the top of the keel, equal to 85% of the least moulded depth of the ship; or
1. (b) if the length of the ship measured from the foreside of the stem to the axis of the rudder stock on that waterline is greater than the length ascertained in accordance with paragraph (a) – that greater length.

When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:

Registrar of Ships [Address] Telephone: Fax: E-Mail:	OFFICIAL USE ONLY
	Entry in Register made on	____/____/___
		(d/m/y)
	at___________ (time). By Officer (print name)..............................................................

FORM 4

(Regulation 9)

CERTIFICATE OF DE-REGISTRATION

SHIPPING ACT – SECTION 19

[COAT OF ARMS]

CERTIFICATE OF DE-REGISTRATION
Shipping (Registration and Proprietary Interests in Ships) Regulations – Regulation 9

NOTE: On receipt of this Certificate, the Owner(s) must immediately return the ship's Certificate of Registry to the Registrar of Ships.

NAME OF SHIP
PARTICULARS OF SHIP
Official Number		Port of Registry
IMO/HIN/Caribbean
Number(delete as appropriate)		Radio Call Sign(s)
Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)
PARTICULARS OF OWNER
Full Name(s)
Address(es) (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
Number of Shares	Date of Purchase
(indicate if jointly owned)	of Shares ______/ _____/ ______ (d/m/y)
SIGNATURE
I hereby certify that the registration of the above-mentioned ship was terminated on the date given below.
Issuing Office Address and/or Official Stamp	Signature of Registrar
	of Ships
	Full Name
	Date _______/ _______/ ______ (d/m/y)
Telephone number	Fax number
E-mail address

FORM 5

(Regulation 11)

SHIPPING ACT – SECTION 24

[COAT OF ARMS]	APPLICATION FOR CHANGE OF NAME OF SHIP Shipping (Registration and Proprietary Interests in Ships) Regulations – Regulation 11
I / We* hereby apply to change the name of the ship as specified below. * delete as appropriate
NAME OF SHIP			Official Number
PROPOSED NAME OF SHIP
(Several names may be entered in order of preference)




SIGNATURE
Place			Date ____/ ____/ _____ (d/m/y)
Signature of Owner(s) In the case of a body corporate, an authorised officer of the body corporate
When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:
Registrar of Ships [Address] Telephone: Fax: E-Mail:		OFFICIAL USE ONLY
		Entry in Register made on		____/___/____
				(d /m /y)
		at___________ (time). By Officer (print name)...............................................................

FORM 6

(Regulation 19)

NOTICE OF CHANGE OF NAME, ADDRESS OR NATIONALITY OF OWNER, MORTGAGEE, MANAGING OWNER OR REPRESENTATIVE PERSON

[COAT OF ARMS]	Shipping (Registration and Proprietary Interests in Ships) Regulations – Regulation 19
I / We* hereby notify the Registrar of Ships of the following changed particulars as specified below. * delete as appropriate
NAME OF SHIP			Official Number
PARTICULARS CHANGED
Present Name of Owner*, Mortgagee, Managing Owner or Representative Person (delete as appropriate)			Former Name (if this has been changed)
Present Address (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)			Former Address (if this has been changed)
Present Telephone number
Present Fax number
Present E-mail address
Present Nationality			Former Nationality (if this has been changed)
SIGNATURE
Place			Date ____/ _____/ _____ (d/m/y
Signature of Owner, Mortgagee, Managing Owner or Representative Person (delete as appropriate) In the case of a body corporate, an authorised officer of the body corporate
* In the case of a change in the particulars of an Owner, this form must be accompanied by a Declaration of Eligibility to Own a Saint Lucian Ship. When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:
Registrar of Ships [Address] Telephone: Fax: E-Mail:		OFFICIAL USE ONLY
		Entry in Register made on		____/____/___
				(d /m /y)
		at___________ (time). By Officer (print name)........................................................

FORM 7

(Regulation 21)

APPLICATION TO OBTAIN A COPY OF THE REGISTER BOOK

[COAT OF ARMS]	Shipping (Registration and Proprietary Interests in Ships) Regulations – Regulation 21
I, _________________________________________________ of _______________________ Wish to obtain a copy of the following Register book _________________________________ for the purpose of ______________________________________________________________ _____________________________________________________________________________
SIGNATURE
Place			Date _____/ _____/ _____ (d/m/y)
When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:
Registrar of Ships [Address] Telephone: Fax: E-Mail:		OFFICIAL USE ONLY
		Entry in Register made on		____/____/___
				(d /m /y)
		at___________ (time). By Officer (print name).........................................................

FORM 8

(Regulation 22)

CERTIFICATE OF SURVEY AND TONNAGE
SHIPS UNDER 24 METRES

[COAT OF ARMS]

Shipping (Registration and Proprietary Interest in Ships)
Regulations – Regulation 22

NAME OF SHIP

PARTICULARS OF SHIP

Official Number (if there has been any former registry)

Port of Registry

Whether a sailing, steam or motor ship

Method of Propulsion
(if steam or motor ship)

Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)

Material used to construct hull

Number of decks

Number of masts

Rigged

Stem

Stern

Build

Number of Bulkheads

Length of Engine Room

(if any)

Length of Ship Overall *

Length of Ship*

Breadth *

Depth*

Moulded Draught *(if any)

* These dimensions are to be as defined in the Shipping (Tonnage) Regulations 2004.

Number of passengers for whom accommodation is certified in cabins of not more than 8 berths

Number of other passengers

Number of seamen and apprentices for whom accommodation is certified

Full Name and

Address of Builder

Year of Build

Country of Build

Date when keel was laid
______/ ______/ ______ d/m/y)

Date measured
______ /_____ /______(d/m/y)

PARTICULARS OF TONNAGE

These tonnages are to be in accordance with the ship's International Tonnage Certificate (1969) or Saint Lucia Tonnage Certificate.

NOTE: A summary of the spaces included and excluded from the tonnages are shown on the International Tonnage Certificate (1969) or Saint Lucia Tonnage Certificate.

Gross Tonnage

Net Tonnage

CERTIFIED EXTRACTS OF PARTICULARS SUPPLIED BY BUILDERS, OWNERS OR ENGINE MAKERS

PARTICULARS OF PROPELLING ENGINES (if any)

Description of Engines

Number of sets of Engines

Number of shafts

When made ______/ ______/ ______ (d/m/y)

Full Name and Address of Makers

Reciprocating Engines

Number of cylinders in each set

Diametre of cylinders

Length of stroke

Rotary Engines

Number of cylinders in each set

PARTICULARS OF BOILERS

Description of boilers

Number

Working pressure

When made ______/ ______/ ______ (d/m/y)

Full Name and Address of Makers

Estimated brake or shaft power

Estimated speed of ship

NOTE: In the case of multiple engined ships the figure for brake or shaft power should show the total power and not the power for each set of Engines.

SIGNATURE
I, the undersigned Surveyor appointed by the Director, having surveyed the above-named ship, hereby certify that the above particulars are true, and that her name is marked clearly on each of her bows, and her name and the port of registry are properly marked on a conspicuous part of her stern, and a scale of decimetres, or metres and decimetres marked on each side of her stem, and of her stern post.

Surveyor's Address
and/or
Official Stamp

Signature of Surveyor

Full Name

Date _____/ _____/ _____ (d/m/y)

Telephone number

Fax number

E-mail address

When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:

Registrar of Ships
[Address]
Telephone:
Fax:
E-Mail:

OFFICIAL USE ONLY

Entry in Register made on

____/____/___

(d/m/y)

at___________ (time).
By Officer (print name).........................................................

FORM 9

(Regulation 23)

CERTIFICATE OF SURVEY AND TONNAGE

SHIPS OVER 24 METRES

[COAT OF ARMS]

Shipping (Registration and Proprietary Interest in Ships)
Regulations – Regulation 23

NAME OF SHIP

PARTICULARS OF SHIP

Official Number (if there has been any former registry)

Port of Registry

Whether a sailing, steam or motor ship

Method of Propulsion
(if steam or motor ship)

Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)

Material used to construct hull

Number of decks

Number of masts

Rigged

Stem

Stern

Build

Number of Bulkheads

Length of Engine Room
(if any)

Length of Ship*

Breadth *

Moulded Depth *

Moulded Draught *

* These dimensions are to be as defined in the Shipping (Tonnage) Regulations 2004.

Number of passengers for whom accommodation is certified in cabins of not more than 8 berths

Number of other passengers

Number of seamen And apprentices for Whom accommodation is certified

Full Name and
Address of Builder

Year of Build

Country of Build

Date when keel was laid
______/ ______/ ______ d/m/y)

Date measured
____/ _____/ ______ (d/m/y)

PARTICULARS OF TONNAGE
These tonnages are to be in accordance with the ship's International Tonnage Certificate (1969) or Saint Lucia Tonnage Certificate.
NOTE: A summary of the spaces included and excluded from the tonnages are shown on the International Tonnage Certificate (1969) or Saint Lucia Tonnage Certificate.

Gross Tonnage

Net Tonnage

CERTIFIED EXTRACTS OF PARTICULARS SUPPLIED BY BUILDERS, OWNERS OR ENGINE MAKERS

PARTICULARS OF PROPELLING ENGINES (if any)

Description of engines

Number of sets of engines

Number of shafts

When made ______/ ______/ ______ (d/m/y)

Full Name and Address of Makers

Reciprocating Engines

Number of cylinders in each set

Diametre of cylinders

Length of stroke

Rotary Engines

Number of cylinders in each set

PARTICULARS OF BOILERS

Description of boilers

Number

Working pressure

When made ______/ ______/ ______ (d/m/y)

Full Name and Address of Makers

Estimated brake or shaft power

Estimated speed of ship

NOTE: In the case of multiple engined ships the figure for brake or shaft power should show the total power and not the power for each set of engines.

Surveyor's Address
and/or
Official Stamp

Signature of Surveyor

Full Name

Date _____/ _____/ _____ (d/m/y)

Telephone number

Fax number

E-mail address

When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:

Registrar of Ships
[Address]
Telephone:
Fax:
E-Mail:

OFFICIAL USE ONLY

Entry in Register made on

____/____/___

(d /m /y)

at___________ (time).
By Officer (print name)..........................................................

FORM 10

(Regulation 24)

FORM OF CARVING AND MARKING NOTE FOR SHIP UNDER 24 METRES

[COAT OF ARMS]

Shipping (Registration of Ships and Proprietary Interests in Ships)
Regulations – Regulation 24

WARNING: The ship is not registered until this Certificate is returned to the Registrar of Shipsand a Certificate of Registry has been issued.

NAME OF SHIP			Official Number
Port of Registry
Net Tonnage
The above-named ship is to be marked with the following: • the official numb er and net tonnage are to be permanently and conspicuously carved or marked as appropriate: • the name is to be marked on the stern • the port of registry is to be marked on the stern in the manner prescribed overleaf.
SIGNATURE I certify that the above-named ship has been marked in accordance with the instructions above and overleaf.
Issuing Office Address or Stamp,or Inspector's Address (delete as appropriate)		Signature of Issuing Officer, Inspector or Owner (delete as appropriate)
		Full Name
		Date _____/ _____/ _____ (d/m/y)
Telephone number		Fax number
E-mail address
When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:
Registrar of Ships [Address] Telephone: Fax: E-Mail:	OFFICIAL USE ONLY
	Entry in Register made on			_____/_____/_____
				(d /m /y)
	at___________ (time). By Officer (print name).............................................................

FORM 11

(Regulation 24)

FORM OF CARVING AND MARKING NOTE FOR SHIP OVER 24 METRES

[COAT OF ARMS]

Shipping (Registration of Ships and Proprietary Interests in Ships)
Regulations – Regulation 24

WARNING: The ship is not registered until this Certificate is returned to the Registrar of Ships and a Certificate of Registry has been issued.

NAME OF SHIP		Official Number
Port of Registry
Net Tonnage
SIGNATURE I certify that the above-named ship has been marked in accordance with the instructions above and overleaf.
Issuing Office Address or Stamp, or Inspector's Address (delete as appropriate)			Signature of Issuing Officer or Inspector
			Full Name

			Date _____/ _____/ _____ (d/m/y)
Telephone number			Fax number
E-mail address
When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:
Registrar of Ships [Address] Telephone: Fax: E-Mail:	OFFICIAL USE ONLY
	Entry in Register made on			_____/______/_____
				(d /m /y)
	at___________ (time). By Officer (print name)..............................................................

FORM 12

(Regulation 31)

[COAT OF ARMS]

SHIPPING ACT – SECTION 37
CERTIFICATE OF REGISTRY

Shipping (Registration and Proprietary Interests in Ships) Regulations – Regulation 32

NAME OF SHIP
PARTICULARS OF SHIP
Official Number						Port of Registry
IMO/HIN/Caribbean Number (delete as appropriate)						Radio Call Sign(s)
Type of Ship (dry cargo, oil tanker, ro-ro passenger, etc.)
Method of Propulsion
Engine Make and Model
Total Engine Power					kW
Length of Ship *	Breadth *				Moulded Depth *
* These dimensions are to be as defined in the Shipping (Tonnage) Regulations
Gross Tonnage #				Net Tonnage #
# These tonnages are to be in accordance with the ship's International Tonnage Certificate (1969) or Saint Lucia Tonnage Certificate
Full Name and Address of Builder
Year of Build			Country of Build
CERTIFICATE VALIDITY PERIOD
This Certificate was issued on______ /_____ /_____ (d/m/y) at __________ (time)			This Certificate expires on _____ /____ /____ (d/m/y)
THIS CERTIFICATE WAS ISSUED BY
Issuing Office Address and/or Official Stamp			Signature of Registrar of Ships
			Full Name
			Date ___/ ___/ ___ (d/m/y)
Telephone number			Fax number
E-mail address
PARTICULARS OF OWNER(S)
Full Name and Address of Owner(s)					Number of Shares
IMPORTANT INFORMATION ∙ A Certificate of Registry is not proof of ownership. ∙ Details of registered mortgages are not shown. ∙ The Registrar must be informed immediately— ∙ of any changes to the ship's particulars or ownership; or ∙ if the ship is lost. ∙ The Certificate must be surrendered to the Registrar if the ship ceases to be a Saint Lucia registered ship. ∙ A duplicate must be obtained if the Certificate is lost or becomes illegible. For further information contact the:
Registrar of Ships		Telephone:
[Address]		Fax:
		E-Mail:

FORM 13

(Regulation 32)

[COAT OF ARMS]

APPLICATION FOR NEW CERTIFICATE OF REGISTRY

Shipping (Registration and Proprietary Interests in Ships) Regulations 2010

Regulation 34

I /We* hereby apply for the grant of a new Registration Certificate for the ship described below. * delete as appropriate
NAME OF SHIP		Official Number
REASON WHY A NEW REGISTRATION CERTIFICATE IS REQUIRED (If it is mislaid, lost or destroyed, describe the circumstances)
SIGNATURE
Place			Signature of Witness
Date ______/ ______/ _____ (d/m/y)
Signature of Owner (or his authorised agent) In the case of a body corporate, an authorised officer of the body corporate			Full Name of Witness
			Address of Witness
When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:
Registrar of Ships [Address] Telephone: Fax: E-Mail:	OFFICIAL USE ONLY
	Entry in Register made on			____/____/___
				(d /m /y)
	at___________ (time). By Officer (print name)..............................................................

FORM 14

(Regulation 36)

[COAT OF ARMS]	NOTICE OF APPOINTMENT/CHANGE OF MASTER
Shipping (Registration and Proprietary Interests in Ships) Regulations – Regulation 36 I/We* hereby notify the Registrar of Ships of the following changed particulars as specified below. * delete as appropriate
NAME OF OWNER
Present Address (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)				No. of Shares
Being registered owners of
NAME OF VESSEL
Port of Registry				Official Number
Gross Tonuage				Net Tonnage
NAME OF MASTER (Full Name)				Certificate No.
Address
Telephone No.				Email Address
Name of Former Master (if any)				Certificate No.
SIGNATURE
Place			Date _____/ _______/ _____ (d/m/y)
Signature of Owner, Mortgagee Managing Owner or Representative Person (delete as appropriate) In the case of a body corporate an authorised officer of the body corporate
Signature of Witness
Name and Address of Witness
When completed you should send this form together with the appropriate fee and supporting documents (if required) to:
Registrar of Ships [Address] Telephone: Fax: E-Mail:		OFFICIAL USE ONLY
		Entry in Register made on			_____/_____/____
					(d /m /y)
		at___________ (time). By Officer (print name)....................................................................

FORM 15

(Regulation 37)

SHIPPING ACT – SECTION41

[COAT OF ARMS]	PROVISIONAL CERTIFICATE OF REGISTRY Shipping (Registration and Proprietary Interests in ships) Regulations – Regulation 37
*Warning:* Provisional registration conveys no entitlement to register a ship under the Shipping Act.
This Certificate of Provisional Registration is valid for 3 months only, and expires on: ___________________________________ (d/m/y) or at arrival at a Port of Registry, if earlier
NAME OF SHIP
PARTICULARS OF SHIP
Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)
Length of Ship *		Breadth *					Moulded Depth *
* These dimensions are to be as defined in the Shipping (Tonnage) Regulations
Gross Tonnage #						Net Tonnage #
# These tonnages are to be in accordance with the ship's International Tonnage Certificate (1969) or Saint Lucia Tonnage Certificate
Details of any Permanent Marks
NOTE: The person issuing the Certificate shall include the best particulars of these details which can obtain.
THIS PROVISIONAL CERTIFICATE WAS ISSUED BY
Issuing Office Address and/or Official Stamp				Signature of Issuing Officer
				Full Name
Telephone number				Date _____/ _____/ _____ (d/m/y)
E-mail address				Fax number
NOTES TO THE ISSUING OFFICE ∙ This Certificate of Provisional Saint Lucia Registry can only be issued if the necessary documents for an application to register a Saint Lucia ship have been submitted by the applicant, and authority to issue the Certificate has been sought from, and confirmed by, the Registrar of Ships (address overleaf). ∙ You should strike through any boxes not completed on this form and rule off any unused space after the last owner has been entered. ∙ A copy of this Certificate, when completed, must be forwarded to the Registrar of Ships.
PARTICULARS OF PURCHASE OF THE SHIP
Place					Date __/___/___(d/m/y)
					at _____________ (time)
PARTICULARS OF OWNER(S)
Full Name and Address of Owner(s)					Number of Shares
NOTES TO OWNER(S) ∙ Provisional registration conveys no entitlement to register a ship under the Shipping Act. ∙ In order to register your ship under the above Act, a further application must be made direct to the Registrar (address below). ∙ This Certificate is valid only: ∙ for 3 months from the date of issue; ∙ until the ship's arrival in Saint Lucia; or ∙ until termination by the Registrar on request from the owner, whichever is the sooner. ∙ If registration under the above Act is not completed before this Certificate expires, your ship will cease to be recognised as Saint Lucia ship. ∙ If you lose this Certificate, you must inform the Registrar immediately. ∙ This Certificate cannot be renewed. ∙ A ship once provisionally registered, cannot be provisionally registered again within 1 year of the date of the issue of the original Certificate of Provisional Registration. For further information contact the:
Registrar of Ships			Telephone:
[Address]			Fax:
			E-Mail:

FORM 16

(Regulation 38)

APPLICATION FOR TEMPORARY PASS

[COAT OF ARMS]

Shipping (Registration and Proprietary Interests in Ships) Regulations – Regulation 38

OFFICIAL NUMBER

INTENDED PORT OF REGISTRY

PROPOSED NAME OF SHIP
(Several names should be entered in order or preference

PARTICULARS OF SHIP

Official Number

IMO/HIN/Caribbean
Number (delete as appropriate)

Radio Call Sign

Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)

Method of Propulsion

Engine Make and Model

Total Engine Power

Length of Ship *

Breadth *

Moulded Depth *

* These dimensions are to be as defined in the Shipping (Tonnage) Regulations

Gross Tonnage ^#

Net Tonnage ^#

# These tonnages are to be in accordance with the ship's International Tonnage Certificate (1969) or Saint Lucia Tonnage Certificate

Full Name and
Address of Builder

Year of Build

Country of Build

DETAILS OF APPLICANT

Full Name

Address

Date _____/ _____/ ______ (d/m/y)

Fax number

E-mail Address

DETAILS OF OWNER (s)

Full Name

Address

Occupation

No. of Shares

DETAILS OF PROPOSED VOYAGE

Application is made for the unregistered ship................................................................................
To pass from................................... to...........................................................................................
The voyage will commence on or after _____/ _____ / ______ (d/m/y)
and end on or before _______ / _______/ ________ (d/m/y)

..................................................
Signature of Applicant

......................................................
Name (Please Print)

Date _____ /_____ /_____ (d/m/y)

For official use

APPROVED ON BEHALF OF THE MINISTER

..........................................................................

Signature

..........................................................................

Date _____/_____/_____(d/m/y)

Title

NOTE:
(1)     This application must be accompanied by the following completed registration documents unless the documents have already been submitted to the Registrar at the Intended Port of Registry:
     Builder's Certificate, Application for Registration, Declaration of Ownership, Notice of Proposed Name.
(2)     When an application for registration has been made to the Administration of a foreign state, confirmation of that Administration's agreement to the issue of a Temporary Pass must be submitted in addition to the above documents.
For further information contact the:

Registrar of Ships

Telephone:

[Address]

Fax:

E-Mail:

FORM 17

(Regulation 38)

[COAT OF ARMS]

SHIPPING ACT – SECTION 42
TEMPORARY PASS

Shipping (Registration and Proprietary Interests in Ships) Regulations –
Regulation 38

BUILDER'S IDENTIFICATION

NAME OF SHIP

INTENDED PORT OF REGISTRY

PARTICULARS OF SHIP

Official Number

IMO/HIN/Caribbean Number
(delete as appropriate)

Radio Call Sign(s)

Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)

Construction Material

Method of Propulsion

Engine Make and Model

Total Engine Power

Length of Ship *

Breadth *

Moulded Depth *

* These dimensions are to be as defined in the Shipping (Tonnage) Regulations

Gross Tonnage ^#

Net Tonnage ^#

# These tonnages are to be in accordance with the ship's international Tonnage Certificate (1969) or Saint Lucia Tonnage Certificate

Full Name And Address of Builder

Year of Build

Country of Build

DETAILS OF OWNER(s)

Full Name

Address

Occupation

No. of Shares

I, the undersigned, Registrar of Ships at the port of.......................................................................
.........................................................................................................................................................
Upon application of..................................... hereby certify that under the Shipping Act and the Shipping (Registration and proprietary interests in Ships) Regulations, the Minister has directed that permission be granted for the above ship to pass as follows:

Particulars of Voyage
From the Pon of................................................................. to the Port of.......................................
Limitation........................................................................................................................................
Date of Commencement _____/ _____/ _____ (d/m/y) Date of Completion ______/ ______/ ______ (d/m/y)

For Official Use

The Temporary Pass was issued By:

Issuing Office
Address and/or
Official Stamp

Signature of
Registrar of Ships

Full Name

Date ___/ ___/___

(d/m/y)

For further information contact the:
Registrar of Ships
[Address]
Telephone:
Fax:
E-Mail:

FORM 18

(Regulation 39)

[COAT OF ARMS]	BILL OF SALE SHIPPING ACT – SECTION 53
Shipping (Registration and Proprietary Interests in Ships) Regulations 2010 *NOTE:* Where one owner is selling to two or more owners, separate forms are required unless they are buying as joint owners. I, the registered owner and seller, hereby acknowledge the transfer of shares in the ship described below to the buyer for the amount shown. Further, for myself and my successors I covenant with the buyer and his/her/their assigns that I have power to transfer the shares and declare that the shares are mortgaged as shown.
NAME OF SHIP			Official Number
REGISTERED MORTGAGES (if any)
PARTICULARS OF SALE
Seller's Full Name			Buyer's Full Name
Seller's Address			Buyer's Address (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
Amount paid, or consideration			Telephone number
			Fax number
Number of shares transferred			E-mail address
SIGNATURE
Place			Signature of Witness
Date _____/_____/_____ (d/m/y)			Full Name of Witness
Signature of Seller
In the case of a body corporate, an authorised officer of the body corporate
			Address of Witness
When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:
Registrar of Ships [Address] Telephone: Fax: E-Mail:		OFFICIAL USE ONLY
		Entry in Register made on		____/____/______
				(d /m /y)
		at___________ (time). By Officer (print name)..................................................................

FORM 19

(Regulation 40)

[COAT OF ARMS]	SHIPPING ACT – SECTION 54
DECLARATION OF TRANSFER Shipping (Registration and Proprietary Interests in Ships) Regulations – Regulation 40 I / We* hereby declare that the particulars of ownership of the ship purchased by Bill of Sale (date given below) to be as follows, and further declare that to the best of my / our* knowledge and belief, the ship's particulars are correct and the ship continues to be wholly owned by person(s) qualified to own Saint Lucia ships, and is otherwise entitled to be registered. * delete as appropriate
NAME OF SHIP					Official Number
PARTICULARS OF BUYER
Full Name(s)
Address(es) (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
Qualification to own a Saint Lucia ship*, and, in the case of a body corporate, such circumstances of the constitution and business thereof as prove it to be qualified to own a Saint Lucia ship
Number of Shares (indicate if jointly owned)				Date of Bill of Sale ___ /___ /___ (d/m/y)
Telephone number(s)				Fax number(s)
E-mail address(es)
SIGNATURE
Place			Date _____ /______ /_______ (d/m/y)
Signature(s) of Buyer(s) In the case of a body corporate, an authorised officer of the body corporate
* The following are qualified to own a Saint Lucian ship— (a) nationals of Saint Lucia; (b) citizens of CARICOM States residing in a member State of the Caribbean Community, where the ship is customarily engaged in International voyages; (c) individuals or corporations owning ships hired out on bareboat charter to nationals of Saint Lucia; (d) individuals or corporations in bona fide joint venture shipping enterprise relationships with nationals of Saint Lucia as may be prescribed; and (e) such other persons as the Minister may by Order determine. When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:
Registrar of Ships [Address] Telephone: Fax: E-Mail:		OFFICIAL USE ONLY
		Entry in Register made on				____/____/______
						(d /m /y)
		at___________ (time). By Officer (print name).........................................................

FORM 20

(Regulation 41)

[COAT OF ARMS]	declaration of transmission of ownership
Shipping (Registration and Proprietary Interests in Ships) Regulations I/We* hereby declare that to the best of my/our* knowledge and belief, the ship continues to be wholly owned by person(s) qualified to own Saint Lucian ships, and is otherwise entitled to be registered. * delete as appropriate
NAME OF SHIP			Official Number
PARTICULARS OF TRANSMITTOR
Full Name
Address
PARTICULARS OF TRANSMITTEE
Full Name
Address (Residential address – for an individual; Registered office address – for a body corporate – Principal place of business – for a statutory body or foreign body corporate)
Qualification to own a Saint Lucian ship* and in the case of a body corporate, such circumstances of the constitution and business there of as prove it to be qualified to own a Saint Lucian ship
Telephone number			Fax number
E-mail address
MANNER OF TRANSMISSION **
SIGNATURE
Place			Date ___/___ /___ (d/m/y)
Signature(s) of Transmittee(s) In the case of a body corporate, an authorised officer of the body corporate
NOTES: * The following are qualified to own a Saint Lucia ship— (a) nationals of Saint Lucia; (b) citizens of CARICOM States residing in a member State of the Caribbean Community, where the ship is customarily engaged in international voyages; (c) individuals or corporations owning ships hired out on bareboat charter to nationals of Saint Lucia; (d) individuals or corporations in bona fide joint venture shipping enterprise relationships with nationals of Saint Lucia as may be prescribed; and (e) such other persons as the Minister may by Order determine. ** Manner of Transmission (a) where the transmission is consequent on bankruptcy, the declaration of transmission shall be accompanied by such evidence as is acceptable by the Court as proof of the title of persons claiming under a bankruptcy; (b) where the transmission is consequent on death, the declaration of transmission shall be accompanied by the instrument of representation. or an official extract therefrom; and (c) where the transmission was consequent upon an order of a Court, a copy of the order or judgment of that Court. When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:
Registrar of Ships [Address] Telephone: Fax: E-Mail:		OFFICIAL USE ONLY
		Entry in Register made on		____/_____/_____
				(d /m /y)
		at___________ (time). By Officer (print name).........................................................

FORM 21

(Regulation 42)

[COAT OF ARMS]

MORTGAGE OF A SHIP
SHIPPING ACT – SECTION 60

Shipping (Registration and Proprietary Interests in Ships) Regulations – Regulation 42

NAME OF SHIP Official Number
Is this mortgage in respect of a small ship? (Indicate YES or NO in box): (a “small ship” is of less than 24 metres in length)
THE MORTGAGE
Mortgagor's				Mortgagee's
Full Name				Full name
Mortgagor's Address				Mortgagee's Address (Residential address – for an individual: Registered office address – for a body corporate;
				Principal place of business – for a statutory body or foreign body corporate)
Telephone number:				Telephone number:
Fax number:				Fax number:
E-mail address:				E-mail address:
Amount paid, or consideration:				Number of shares:
The Mortgagor now covenants with the Mortgagee to pay to the Mortgagee the sums for the time being due on this security, whether by way of principal or interest at the times and In the manner aforesaid. For the purpose of better securing to the Mortgagee the payment of such sums the Mortgagor hereby mortgages to the Mortgagee the above-mentioned number of shares of which the Mortgagor is the owner in the ship above described, and in its boats and appurtenances. Further, the Mortgagor covenants with the Mortgagee that the Mortgagor has power to mortgage in the manner aforesaid the above-mentioned shares, and that the same are free from encumbrances, except as appears on the register In relation to the ship*.
SIGNATURE
Place			Signature of Witness
Date _____ / ______/ ______ (d/m/y)
Signature of Mortgagor In the case of a body corporate, an authorised officer of the body corporate			Full Name of Witness

			Address of Witness

* If no subsisting encumbrances exist, delete the last phrase “except as appears on the register in relation to the ship”.
DISCHARGE OF MORTGAGE
Mortgagor's Full Name		Mortgagee's Full name
Mortgagor's Address		Mortgagee's Address (Residential address – for an individual; Registered office address – for a company; Principal place of business – for a statutory body or foreign company)
Telephone number		Telephone number
Fax number		Fax number
E-mail address		E-mail address
Amount paid, or consideration		Number of shares
I/We^, the above-mentioned Mortgagee received the above-mentioned amount in discharge of the within-written security. ^ delete as appropriate
SIGNATURE
Place		Signature of Witness
Date.______ /______ /______ (d/m/y)
Signature of Mortgagee In the case of a body corporate, an authorised officer of the body corporate		Full Name of Witness
		Address of Witness
NOTES: 1 If more than one mortgage then a separate mortgage is required from each mortgagee, unless the shares are jointly held. 2 The expression “Mortgagor” and “Mortgagee” used in this document shall include their heirs, successors, assigns, executors, administrators or any other legal representative. 3 In respect of small ships, mortgages may be registered only against those with full registration. A small ship is one of less than 24 metres in length. 4 The prompt registration of a Mortgage Deed at the Port of Registry of the ship is essential to the security of the mortgagee. 5 Registered mortgagees are reminded of the importance of keeping the Registrar of Ships informed of any change of residence on their part. 6 Describe the nature of the amount paid, or consideration by— (a) entering the principal sum or stating that there is an account current or line of credit and refer to the collateral loan agreement and the date agreement was executed; or (b) entering the principal sum or stating that there is an account current or line credit and give details of the interest and method of repayment. When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:
Registrar of Ships [Address] Telephone: Fax: E-Mail:	OFFICIAL USE ONLY
	Entry in Register made on				____/____/______
					(d /m /y)
	at___________ (time). By Officer (print name).....................................................................

FORM 22

(Regulation 43)

[COAT OF ARMS]

TRANSFER OF MORTGAGE BY INDIVIDUAL OR JOINT OWNERS
SHIPPING ACT – SECTION 67

Shipping (Registration and Proprietary Interests in Ships) Regulations –Regulation 43

NAME OF SHIP				Official Number
Is this mortgage in respect of a small ship? (Indicate YES or NO in box): (a “small ship” is of less than 24 metres in length)
TRANSFER OF MORTGAGE
Mortgagor's Full Name
Mortgagor's Address
Telephone number
Fax number
E-mail address
DETAILS OF OWNER(s)/MORTGAGEE(s)
Mortgagee's Full Name	Mortgagee's Address (Residential address individual)				Contact Information			No. of Shares
1					Tel. Fax. Email.
2					Tel. Fax. Email.
3					Tel. Fax. Email.
4					Tel. Fax. Email.
Amount paid, or consideration
I/We^, the above-mentioned Mortgagee in consideration of the above-mentioned amount paid to me/us^ by the above-mentioned Mortgagor, hereby transfer the benefit of the within written security. * delete as appropriate
SIGNATURE
Place						Signature of Witness
Date______ /______ /______ (d/m/y
Signature of Mortgagee		1				Full Name of Witness
		2				Address of Witness
		3
		4
NOTES: 1 If more than one mortgage then a separate mortgage is required from each mortgagee, unless the shares are jointly held. 2 The expression “Mortgagor” and “Mortgagee” used in this document shall include their heirs, successors, assigns, executors, administrators or any other legal representative. 3 In respect of small ships, mortgages may be registered only against those with full registration. A small ship is one of less than 24 metres in length. 4 The prompt registration of a Mortgage Deed at the Port of Registry of the ship is essential to the security of the mortgagee. 5 Registered mortgagees are reminded of the importance of keeping the Registrar of Ships informed of any change of residence on their part. 6 Describe the nature of the amount paid, or consideration by— (a) entering the principal sum or stating that there is an account current or line of credit and refer to the collateral loan agreement and the date agreement was executed; or (b) entering the principal sum or stating that there is an account current or line credit and give details of the interest and method of repayment. When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:
Registrar of Ships [Address] Telephone: Fax: E-Mail:			OFFICIAL USE ONLY
			Entry in Register made on				____/______/____
							(d /m /y)
			at___________ (time). By Officer (print name).........................................................

FORM 23

(Regulation 44)

FORM OF CERTIFICATE OF SALE

OFFICIAL NUMBER

NAME OF SHIP

No.

YEAR

PORT OF REGISTRY

PARTICULARS OF SHIP

Propulsion

◦ None

◦ Sail

◦ Auxiliary

◦ Motor

◦ Steam

◦ Other (Specify)

No. of Screws/Pad dies, etc.

If sail, how rigged

Main Dimensions

Feet

Inches

Metres

Centimetres

LENGTH (Specify)

Maximum Breadth 10 Outside of Hull

Depth in Hold from Tonnage Deck to Ceiling/Tank Top Amidships

Depth from Top of Upper Deck at Side Amidships to Bottom of Keel

Length of Engine Room (If Any)

TONNAGE

Gross Tonnage.. –

Tons

Cu. Metres

Net Tonnage... –

Tons

Cu. Metres

Deductions on account of space required for propelling power

Tons

Cu. Metres

Year Built

Place Built

Name and address of Builder

Type of Ship

Construction Material

No. of Engines

Description of Engines

Particulars of Boilers

Description

No. of Shafts

NHP

KW or BHP

KW or SHF

Estimated Speed

Name and Address of Owners

No. of Shares held by each

Amount of Mortgages
Certificates of Mortgage
or or of Sale ln respect of Ship

The Owner(s) of the Ship described above. appointed..................................................................

Full Name

..................................................................... Address his/their attorney in his/their name and on his/their behalf to sell the above Ship, and to execute and do all such deeds, matters and things as may be necessary for carrying into effect the power hereby given and declared that the Ship shall not be sold for a sum less than ...........................................................
........................................................ and declared that the above-power shall not be exercised after the expiration of.............................. months from the date hereof.
I, the undersigned Registrar of Ships, hereby certify that the above particulars are correct.

Dated at.................................... on the....................... day of.......................................20...........

................................................................
Signature

................................................................................
Port of Registry

.................................................................
Name (Please Print)

ENDORSEMENT OF DETAILS OF BILL OF SALE
(This section is to be completed by a Proper Officer, in accordance with the relevant instructions, when the sale has been completed)
Dated at................................................... this................................ day of............. 20................
..............................................................
Proper Officer

FORM 24

[COAT OF ARMS]

CERTIFICATE OF MORTGAGE

Shipping (Registration of' Proprietary Interests in Ships) Regulations – Regulation 44

OFFICIAL
NUMBER

NAME OF
SHIP

No.

DATE

PORT OF
REGISTRY

PARTICULARS OF SHIP

Propulsion

◦ None

◦ Sail

◦ Auxiliary

◦ Motor

◦ Steam

◦ Other (Specify)

No. of Screws/Paddles, etc.

If sail, how rigged

Feet

Inches

Metres

Centimetres

LENGTH
(This dimension is to be as defined in the Shipping (Tonnage) Regulations

Maximum Breadth to Outside of Hull

Depth in Hold from Tonnage Deck to Ceiling/Tank Top Amidships

Depth from Top of Upper Deck at Side Amidships to Bottom of Keel

Length of Engine Room (If Any)

TONNAGE

Gross Tonnage ...

Tons

Cu. Metres

Tons

Cu. Metres

Deductions on account of space required for propelling power

Tons

Cu. Metres

Year Built

Place Built

Name and address of Builder

Type of Ship

Construction Material

No. of Engines

Description of Engines

Particulars of Boilers

Description

No. of Shafts

NHP

KW or BHP

KW or SHF

Estimated Speed

Name and Address of Owners

No. of Shares held by each

Amount of Mortgages Certificates of Mortgage or or of Sale in respect of Ship

The Owner (s) of ............... Shares in the Ship described above, appointed
.............................................................................................. Full Name
................................................................................................. Address
his/their attorney in his/their name and on his/her behalf to mortgage the said shares, and to execute and do all such deeds, matters and things as may be necessary for carrying into effect the power hereby given and declared that the amount of money to be mortgage under this power shall not exceed ................................................................ and that the rate of interest at which the sum is raised shall not exceed ............................... and declared that the power hereby given may be exercised at ................................... and declared that the above shall not be exercised after expiration of ...................... months from the date hereof.

I, the undersigned Registrar of Ships, hereby certify that the above particulars are correct.
Dated at ................................... on the .......................... day of .................................. 20 ..............

....................................................
Signature

..................................................
Port of Registry

....................................................
Name (Please Print)

ENDORSEMENT OF DETAILS OF MORTGAGE
(This section is to be completed by a Proper Officer, in accordance with the relevant instructions, when the sale has been completed)
Dated at ....................................................... this .......................... day of ................. 20 ..........,....

FORM 25

[COAT OF ARMS]	CONSENT OF MORTGAGEE TO TRANSFER OWNERSHIP OF A SHIP SHIPPING ACT – SECTION 68(6)
To be used if the mortgage instrument prohibits the transfer of ownership of the ship without the prior consent of the Mortgagee.
NAME OF SHIP			Official Number
PARTICULARS OF REGISTERED OWNER/MORTGAGOR
Full Name
Address (Residential address – for an individual; Registered office address –- for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
PARTICULARS OF MORTGAGE
Full Name(s) of Mortgagee(s)
Address(es) (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
Mortgage Reference Number (as issued by Mortgagee)
CONSENT I/We, being the above-named Mortgagee(s), hereby consent to the transfer of ownership of the ship described above by the above-named Registered Owner/Mortgagor to; delete as appropriate
Full Name of proposed Transferee
Address (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
SIGNATURE
Place		Signature of Witness
Date _____ /_____ /_____ (d/m/y)
Signature of Mortgagee In the case of a body corporate, an authorised officer of the body corporate		Full Name of Witness
		Address of Witness

When completed you should send this form, together with the appropriate fee and supporting documents (if required) to:

Registrar of Ships [Address] Telephone: Fax: E-Mail:	OFFICIAL USE ONLY
	Entry in Register made on	_____ /_____ /_____
		(d /m /y)
	at___________ (time). By Officer (print name) ...........................................