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Last Updated: 1 January 2019
[SHR 10,310] Form REG 11C DECLARATION OF TRANSMISSION BY FORFEITURESHIP REGISTRATION ACT 2013
| Prescribed by the Chief Executive Officer of the Maritime Safety Authority of Fiji | Form REG 11C Reg 19(f) | |
| I, (name & description)_________________________________________ | ||
| make this declaration in respect of the forfeiture of Ship:__________________ | ||
| Official No:___________________ | ||
| Tonnage: Gross:___________________ | Net:____________________ | |
| I declare that— | ||
| 1. *I /WE are authorised under the Common Seal of_______________________ | ||
| (hereunder called the corporation) to make declarations on behalf of the Corporation. | ||
| 2. *(a) I am a citizen of Fiji, or | ||
| (b) an Agent in Fiji who manages the ship. | ||
| 3. I/WE,_________________________________ declare that the Ship appearing by | ||
| (full name of the person(s)/organisation) | ||
| the Register Book to be the*Owner/*Joint Owner/* Mortgagee/*Joint Mortgagee in the Ship above described Transmitted by Court Order due to: | ||
| _________________________________________________________________ | ||
| (Reason of Court Order) | ||
| be duly granted to me/us/[company name] by the court of____________. | ||
| 4. To the best of knowledge and belief, no person or body of persons other than such persons or bodies of persons as are by the Ship Registration Act 2013, qualified to be owners of Fiji Ships is entitled, as owner, to any interest whatever, either legal or beneficial, in the said ship and I/We make this solemn Declaration conscientiously believing the same to be true. | ||
| Made and subscribed the__________ |  | |
| day of__________ 20_____, | ||
| by the above named_____________ | ||
| (full name of declarant) | ||
| in the presence of___________ | ||
| (Registrar or Commissioner of Oaths) | ||
| _____________________________ | _____________________________ | |
| (Title of Witness) | (Signature of Declarant(s)) | |
| at__________________________ | ||
| (Place) | ||
| *Strike out whichever is inapplicable. The declarant shall initial each such alteration. | ||
| Note: Evidence of the Ship to be abandoned or conducting actions against the Fiji Laws and the International Conventions which are ratified by Fiji, shall be attached to this Declaration for submission to the Registrar of ships. | ||