Declaration Of Entitlement To Own A Ship Registered In Hong Kong By Joint Owner - Body Corporate - Qualified Owner - Hong Kong Marine Department Page 2

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Name 名稱
Address 地址
Place of Incorporation
成立地點
(4)
The ship is at present *registered in ________________________________________ / under construction at the shipyard
(Country)
____________________________ at ____________________________ with Newbuilding Hull No. ________________.
(Name of Shipyard)
(Place)
本船舶目前 * 在
註冊 / 正由設於
_______________
__________________
______________________
國家
地點)
船廠名稱
(
)
(
(
)
建造,新建船舶序號是
_________________________
(5)
To the best of my knowledge and belief a majority interest in the ship will upon registration be owned by one or more
qualified persons.
盡本人所知所信,本船舶一經註冊,其過半數權益即會由一名或超過一名合資格的人擁有。
(6)
The general description of the ship contained in the attached application is correct.
與本聲明書一併附上的申請書內所載的船舶資料概要均屬正確。
(7)
The ship *is not registered outside Hong Kong/will be deleted from all other register(s) on which it is registered upon its
registration in Hong Kong.
本船舶 *並無在香港以外的地方註冊 / 一經在香港註冊,即會終止所有其他地方的註冊。
(8)
This declaration is true to the best of my knowledge and belief.
盡本人所知所信,本聲明乃真確無誤。
Made and subscribed on
作出聲明及簽署日期
Warning :
Making a false declaration is an
Full name of Declarant
offence under Section 86 of the
聲明人姓名全寫
Merchant Shipping (Registration)
正楷
(Block Letters
)
Ordinance.
Signature of Declarant
警告
:
聲明人簽署
根據商船
註冊
條例第
條,作
(
)
86
出虛假聲明,即屬犯法。
in the presence of
在場監理聲明人
(Signature of person taking the declaration, who should
be Registrar of Hong Kong ships, a Justice of the Peace,
a Notary Public, a Commissioner for Oaths, or a
Solicitor)
監理聲明人簽署
監理聲明人必須是香港船舶註冊
(
) (
官﹑ 太平紳士﹑法律公證人﹑監誓員或律師
)
(Full name and qualification of person taking the
declaration - Block Letters)
監理聲明人的全名及資格 — 請用正楷填寫)
(
at
地點
(Place
)
* Delete as necessary 請將不適用者刪去
Note : Joint owner refers to a joint owner under Section 12(b) of the Merchant Shipping (Registration) Ordinance.
聯 名 船 東 是 商 船
註 冊
條 例 第
條 所 指 的 聯 名 船 東 。
:
(
)
12(b)

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