Registrar of Ships

I 1

of 2

being a person entitled pursuant to sub-section 47A(6) of the Shipping Registration Act 1981 to withdraw the caveat entered in the Register on 3

in respect to the ship 4

give notice as follows:

Name of caveator as specified in caveat:

Name as changed:

The address for service of notices as specified in Caveat:

Address as changed: 5

Date of change

NOTE: Under sub-section 47A(6) of the Shipping Registration Act 1981, a caveat may be withdrawn

by the caveator or by a solicitor or agent of the caveator if the solicitor or agent is authorised to withdraw it;

where the caveator is dead by the executor of the will or administrator of the estate of the caveator;

by a trustee or official receiver or other person in whom the interest claimed by the caveator is vested pursuant to the Bankruptcy Act 1966; or

by any person in whom there is entrusted, by reason of the mental capacity of the caveator, pursuant to an order of a court of a State or Territory or pursuant to a law of a State or Territory, the management and care of the interest claimed by the caveator.

Dated at

on the day of 20

Signed by 6

7

8

9................................................................................................................................................

in the presence of 10

11 ……………………………………………………………………………………………………………………..….

……………………………………………………………………………………………………………………………

1 Full name of caveator in block letters

2 Address in block letters

3 Date

4 Name and official number of ship

5 Specify address within Australia

6 Full name of caveator solicitor or agent

7 If signed by solicitor or agent, statement to that effect

8 Ofﬁce address of solicitor or residential address of agent

9 Signature

10 Legible statement of name and address of witness

11 Signature

Except where indicated by * the collection of information requested in this form is either required or authorised by the Shipping Registration Act 1981 (the Act). It will be used for purposes related to the Act (including possible overseas disclosure) and will be available for public search in circumstances as the Act requires. It may be made available to government agencies for statistical and administrative purposes. Failure to provide the information will result in the transaction not being processed. To contact us, or for more information on how to access or correct your personal information or how to make a privacy complaint, visit www.amsa.gov.au/privacy-policy