NOTES

(1)	Insert name, address and occupation of person making the declaration

(2)	Set out the methods by which ship particulars were obtained

a.	The ship’s current official number

b.	The ship’s current name

c.	Examples: Pleasure craft; Fishing vessel; Tanker

d.	Call sign of the ship’s main radio station, if one has been issued

e.	The ship’s current home port

f.	The ship’s current or last year of registration

g.	Method of construction of the hull. Examples: Carvel; Round bilge;
Hard chine

h.	Examples: Raked; Straight; Curved; Clipper

i.	Examples: Transom; Counter; Canoe; Tuck

j.	Examples: Ketch; Sloop; Schooner

k.	Examples: Steel; Wood; Aluminium; GRP

l.	Length overall. 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. Contact the Registrar if the length cannot be measured in accordance with this definition

m.	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

n.	The vertical distance measured (to two decimal places) from the top of the keel to the top of the underside of the upper deck at side. (Please refer to Regulation 2 of the Shipping Registration Regulations 2019 for further information)

o.	The tonnage length of a ship is either:

a.	A length equal to 96 per cent 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 per cent of the least moulded depth of the ship; or

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

c.	Required only for ships 24 metres and over in tonnage length

I, (1)

make the following declaration under the Statutory Declarations Act 1959.

I believe that the following ship particulars are true because I have(2):

Ship Particulars

Official number	a

Name of ship	b

Type of ship (in terms of purpose)	c

Call sign (if any)	d

Home Port	e

Year of registration	f

Name and address of the builder

Builder’s identification of ship

Date/Year of completion of ship

Place of construction

Name and address of the person for whom the ship was built

The date on which the ship was delivered or handed over to the person for whom the ship was built

Prescribed Characteristics

Build	g

Stem	h

Stern	i

Rigging	j

Principal material of construction of hull	k

Number of decks

Number of bulkheads – watertight

– non-watertight

Number of masts

Number of hulls

Length overall (m)	l
Maximum breadth (m)	m
Moulded depth of amidships (m)	n
Tonnage length (m)	o

p. Examples: Motor, Sail and Motor, Sail

q. Examples: Single screw; Paddles

r. Estimated maximum speed under power

s.	Usually relates to internal combustion engines

t.	Usually relates to turbine power

u.	Usually relates to steam driven engines

v.	Required only for ships 24 metres and over in tonnage length. Examples: International; British

w.	Usually relates to ships having a Net or Registered tonnage of 0

(3)	Signature of person making the declaration

(4)	Place

(5)	Day

(6)	Month and Year

(7)	Signature of person before whom the	declaration is made

(8)	Full name, qualification and address of	person before whom the declaration is	made (please print)

Method of propulsion	p

Means of power transmission	q

Estimated speed (knots)	r

Total brake power (as applicable)	bhp kw	s

Total shaft power (as applicable)	bhp kw	t

Total indicated power (as applicable)	bhp kw	u

Number of engines

Type of engine and fuel (i.e. diesel, petrol)

Make / model of engine

Number of cylinders

Serial number of engine(s)

Number and type of boilers

Tonnage

Tonnage certificate type	v

Gross tonnage

Net or register tonnage

Alternative tonnages (if any)	w

Current Owner

Name

Address

Nationality

Extent of interest in the ship

I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the Statutory Declaration Act 1959, and I believe that the statements in this declaration are true in every particular.

(3) ………………………………………………….…………...……………….…………

Declared at (4………………………………………………….…………...…………….

on the (5) of (6) 20

Before me,

(7) ………………………………………………….…………...……………….…………

(8) ……………………………………………………………………………………….....