CO129-445 - Public Offices - 1917 — Page 523

T.R. 1.

Prescribed by the Board of Trade in pursuence of the British Ships

(Transfer Bastriction)

Act, 1918

of

CERTIFICATE BY OWNER (INDIVIDUAL).

Ship

I, the undersigned

...in the County of

certify as follows:-

I am entitled to be registered as owner of

Official No..

518

shares

in the above-named ship. am a person qualified to own a British

ship and neither am a trustee for, nor do I otherwise represent, a foreign-

controlled Company within the meaning of the British Ships (Transfer

Restriction) Act, 1916, and no person or body of persons not qualified to

own a British ship, and no such foreign-controlled Company, has any interest

whatever in the said.

+ Hare insert the

desiguation and

addre

witness

of the

of

Dated this

day of

Witness to the signature of the said

shares.

19

NOTE. If any person falls to supply such particulars as it is in his power to give when required, or furnishes particulars which are false in any material particular, he shall be guilty of a misdemeanour.

(367) (74152) Wt. 0196 1000 8.16 W B & L

(73406)

0421 2000 5-17