XXXII. FORM TO BE USED IN CASES WHERE SHIPWRECKED SEAMEN ARE PICKED UP AT SEA AND CONVEYED HOME, OR TO ANY OTHER PORT. register, do solemnly and sincerely declare, That I received on board the under mentioned the said vessel at men, subjects of Great Britain *[ of the crew of the sea being part or the whole merchant vessel, which I have heard to and verily believe was on her voyage from of the burden of about tons, and was owned by I further declare that I landed them on the day or days, place or places, set forth in the statement underneath, and subsisted them the number of days against each person expressed, making in the whole † days; and that during the whole of such time I had my full complement of men and boys, viz. men and boys exclusive of the under-mentioned seamen, for whom I now claim subsistence; and in proof of the justice of the claim I am willing (if required) to produce my log book, and the declaration of the mate and carpenter; and I make this solemn declaration conscientiously believing the same to be true. I further declare that || vessel. were saved from the wrecked * The words between [ ] must be repeated for every wrecked vessel, when more than one, to which the seamen belonged. The number here is to be inserted in words at length If the full complement not on board, state how many were deficient. Here insert the words "not any provisions," or (as the case may be) "the provisions specified on the other side hereof." A Statement of all the Provisions saved from the wrecked Vessel. Description. Quantity. Value. Remarks. £ 8. d. NOTE. When this form is properly filled up and declared to, the master of the ship is to deliver it to the shipping master, and proof must be given to the shipping master that the men have been landed at the port. If the master wishes the money that may be due to him for the subsistence of the seamen paid to the owners or other parties, he is to sign the following form: Pay the amount due for the subsistence, etc., of the distressed seamen brought home, as stated on the other side, to of Dated this day of 18 Certificate of the Shipping Master. Master. I hereby certify, That the number of seamen and boys, as stated on the other side, were landed at this port on the day of and that, exclusive of such seamen, the full complement of the crew, according to the number shipped on the agreement of the said vessel when she left the United Kingdom, have returned in her. Shipping Master. Port. NOTE. The shipping master, after signing this certificate, is to for ward the document to the Registrar-General of Seamen. * If all the seamen were not landed, here state the exceptions. + If the number of the crew is less than on the original agreement, here state how many are deficient. Order sent for payment to the shipping master at the port of day of I certify that the above-named Master has, in my presence, paid to the crew of the above-named ship, in respect of the above-mentioned voyage, the sum of £,, Dated at Signed Shipping Master. XXXIV. FORM TO BE USED IN A CLAIM TO THE ADMIRALTY COURT FOR COMPENSATION FOR SEAMEN HAVING VOLUNTEERED INTO THE NAVY FROM A MERCHANT SHIP. volunteered to and been engaged on board Her Majesty's ship NOTE. The Answers to the several Questions must be written opposite to the respective questions, in a clear and legible hand, and must be signed by the claimant. Sums of money must be written both in letters and figures. The claimant must sign his name to the answers. The blanks in the affidavit must then be filled up, and may be sworn to by the claimant before the Judge or Registrar of the High Court of Admiralty of England, or before a Commissioner to administer oaths in Admiralty, or before a Magistrate, or before any person duly authorised to administer oaths in the Court of Admiralty. When completed, the paper should be left with or sent to the Registrar of the High Court of Admiralty. |