Licence No.
Name of Vessel
Name of Owner
Address of Owner
Name of Master
20
(Page 2)
Licence issued on
Agents and/or Owner's Representative ip Hong Kong ...............................
Grade of Fuel
Fuel Tank Capacity
21
Fuel
Fire Appliane da
Type of Fire Extinguishers
Number of Fire Extinguishers ............................
Length w....................... ft. pagan ing. Thomes Measurement
Breadth ..................*** ft.
ina.
Depth
nemam od kate
fl.
**J***
fris
Lons
Thames Measurement x 17
kereskede* picula Gross/Nett Registered ton9,
Life Saving Appliances
Type of life saving appliances
CREW: -Adults
Number of each type
Children under 18
Armament:
Total number of persons allowed to be
carried (including crew)
LIFE SAVING APPLIANCES:
Sampan
Lifebuoy
Life-jackets
(Pupe ¿)
Number of passengers allowed ....................................maneken......................................................
Gert. No.
Ref. No.
Date
¿Papea 6 to 9)
LOCAL CERTIFICATES OF COMPETENCY
OF MASTER OR ENGINEER.
Master or Engineer.
PROTOGRAPH
(Page 4)
MECHANICALLY PROPELLED VESSELS.
(Fager 10 and 11)
CHANGES OF OWNER OR MASTER AND OTHER LEADING EVENTS IN THE HISTORY OF THE VESSEL.
Type of Engines
No. of Engines
Makers Engine No.
No, of propellers
Machinery