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RE-33
FORM 3(ii)
Regulation 9
Maritime Administration
DECLARATION OF OWNERSHIP
Department
I/We hereby declare that the particulars of ownership and acquisition of the ship are as stated below.
Citizenship of Master: …
If the ship was previously registered outside Guyana give statement of the name by which she was so registered
in the space below:
JOSHUA …Off.# 400638 / Kingstown, St. Vincent and The Grenadines
PARTICULARS OF OWNER/CHARTERER
Full name and Address – (Residential Citizenship (if a body Basis for Citizenship Number of shares/or
Occupation: address - for an corporate, the country in Claim (Birth or extent of interest and
individual; which incorporated) naturalisation) Date of acquisition
Registered office address (indicate if shares are
– for a company; jointly owned)
Principal place of
business – for a statutory
body or foreign
American Marine 215 Cross Street & Guyana Company owned and 100 %
Services Inc. Mandela Avenue, operated by Guyanese
Alexander Village, and registered in
Georgetown, Guyana
GUYANA
If body corporate a statement of the constitution and business thereof as proof of its qualification to own a Guyanese ship:
I/We hereby declare that the best of my/our knowledge and belief no unqualified person or body of person is entitled as owner to any legal or beneficial
interest in the ship or any share therein.
SIGNATURE
Date Place