Merchant Shipping Act, 1951 (Act No. 57 of 1951)RegulationsMerchant Shipping (Licensing of Vessels) Regulations, 2002Annex : Prescribed FormsForm 1 : Application for Licence |
ANNEX
PRESCRIBED FORMS
FORM 1 (Regulation 3)
REPUBLIC OF SOUTH AFRICA
SOUTH AFRICAN MARITIME SAFETY AUTHORITY
APPLICATION FOR LICENCE (Section 68)
| 1. | I hereby apply for a licence for the vessel the particulars of which are furnished in this form. |
| 2. | I declare that the particulars as furnished hereunder are to the best of my knowledge and belief true and correct: |
PARTICULARS
| (a) | Official number of vessel .................................................................................... |
| (b) | Name of vessel ................................................................................................... |
| (c) | Home port ........................................................................................................... |
| (d) | Description of vessel ........................................................................................... |
| (e) | Intended operation of vessel .............................................................................. |
| (f) | Number of crew including master ....................................................................... |
| (g) | Full name and address of owner |
...........................................................................................................................
| (h) | Full name and address of applicant (if he or she is not the owner) |
...........................................................................................................................
| Date ......................................... | ............................................................... |
Signature of applicant