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Department for Transport

BUILDERS CERTIFICATE
Merchant Shipping Act 1995
Builders can use their own printed form, provided that the details required below are included.

SECTION 1: DETAILS OF THE SHIP NAME OF SHIP DATE OF BUILD LENGTH (metres) DEPTH (metres) CONSTRUCTION MATERIAL SECTION 2: DETAILS OF THE BUILDERS BUILDERS NAME FULL ADDRESS YARD NUMBER BREADTH (metres) ESTIMATED TONNAGE

This Builders Certificate has been used to register a British ship, and the details

The ships Official Number is:

PLACE OF BUILD (if different from above) (include country) SECTION 3: CERTIFICATION *I/we hereby certify that *I/we *built/moulded/fitted out the ship described above to the order of: (*Delete as necessary) FULL NAME(S) OF OWNER(S) ADDRESS(ES) OF OWNER(S)

entered in the Register on:

Signature of builder Position in company (if ship is built by a company) When completed, send this form to: REGISTRY OF SHIPPING & SEAMEN PO BOX 420 CARDIFF CF24 5XR

Date

OFFICIAL USE ONLY

Officers Initials:

Tel: 029 20448800 Fax: 029 20448820

MSF 4743

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