CO129-585-5 Sino-Japanese conflict- shipping on Pearl River 3-1-1940 - 25-8-1940 — Page 119

APPENDIX

-

FORM NO. 1.

Pilot

(name)

Nationality

Names of Owner and Agent of Vessel:

Owner:

Agent:

•

Company:

...

Classification and name of vessel: S/S

Gross Tonnage:-

...

tons

:

119

...

/"

11

Maru

Classification and quantity of cargo:

(f.i. miscellaneous goods (or coal) ... tons)

Total length:-

Draught at bow:

at stern:.

Zone of pilotage:...

...

metres (feet)

...

metres (feet)

metres (feet)

Time of Embarkation:

Month

.....

day

a.m. minutes

p.m.

minutes

Time of Disembarkation:

Month

.....

day

a.m.

minutes

p.m.

minutes

Pilotage fee:

I certify that the above-mentioned pilot

has guided this vessel.

.....

Year

......

Month

... Day.

Captain.