Navigation (Master and Seamen) Regulations 1922 (Cth)

STATUTORY RULES.

1922. No. 34.

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REGULATIONS UNDER THE NAVIGATION ACT 1912-1920.

I, THE GOVERNOR-GENERAL in and over the Commonwealth of Australia, acting with the advice of the Federal Executive Council, hereby make the following Regulations under the Navigation Act 1912-1920, to come into operation on and from the first day of March, 1922.

Dated this twenty-second day of February, 1922.

FORSTER,

Governor-General.

By His Excellency’s Command,

ARTHUR S. RODGERS,

Minister of State for Trade and Customs.

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Navigation (Master and Seamen) Regulations.

Short title.

1.These Regulations may be cited as the Navigation (Master and Seamen) Regulations 1922.

Application.

s. 10.

2.The provisions of these Regulations shall, unless the subject-matter requires a different application, apply only to British ships and to their owners, masters and crews.

General register of seamen.

s. 12.

3.A record of all persons serving in ships registered in Australia or regularly engaged in trading between or from Commonwealth ports, and entitled The General Register of Seamen, shall be compiled from official documents and returns and kept at the office of the Director of Navigation.

Indentures of apprenticeship.

s. 34.

4. Indentures of apprenticeship to the sea service made in Australia shall be in accordance with Form M. & S.—1.

Permit to sign articles.

s. 41.

5. (1) A Permit to sign Articles, in Form M. & S.—2, may be granted by a superintendent to a seaman who is not in possession of a discharge from the last ship in which he served, or engaged to serve, on payment by the seaman of a fee of two shillings and sixpence, and on his satisfying the superintendent—

(a) that he is qualified for the position he seeks;
(b)that he is not a deserter from, and does not belong to, any ship then in the port; and
(c) that his certificates of discharge are not at the time being withheld from him under the provisions of section 106a of the Act.

(2) A Permit to sign Articles shall not be required in the case of a person who has not previously served at sea.

Agreement with crew.

ss. 46, 49.

6. (1) Every agreement with a crew required by the Act to be entered into before a superintendent shall be in accordance with Form M. & S.—3.

Provided that in the case of a ship not registered in Australia and having an agreement made out in accordance with the law of the place where the crew was engaged, single seamen may be signed on such original agreement in lieu of an agreement in the form prescribed by this regulation.

(2) In any case where, by reason of any charter or demise, or for any other reason, the navigation and management of a ship are controlled by some person other than the registered owner, the master shall declare, in the agreement, the name and address of the principal, and whether charterer or otherwise, for whom he is acting in engaging the crew.

Substitutes.

s. 48.

7.Where a substitute is engaged to fill the place of a seaman who has failed to join, or whose services have, within twenty-four hours of the ship's putting to sea, been lost by death, desertion or other unforeseen cause, and it has not been possible to make such engagement in the presence of a superintendent or Customs officer, the master, after signing on the substitute in the presence of a witness, as required by section 48 of the Act, shall, within twenty-four hours of the arrival of the ship at the next port of call in Australia, report the occurrence, in Form M. & S.—4, to the superintendent at that port.

Changes in crew.

s. 52.

8.The master of every British foreign-going ship shall, before finally leaving Australia, sign and send to the nearest superintendent, in Form M. & S.—5, a full and accurate statement of every change which has taken place in his crew since the last return to him by a superintendent of the agreement with the crew.

Fees, engagements, and discharges.

s. 60.

9. (1) The fee for engagements or discharges effected before a superintendent shall be, for each seaman engaged or discharged, two shillings.

(2) The master may deduct from the wages of a seaman, at the time of discharge, one half of the amount of the fees for the seaman’s engagement and discharge.

Certificates of discharge.

s. 61.

10.Certificates of discharge issued to seamen discharged in Australia in the presence of a superintendent shall be in accordance with Form M. & S.—6.

Reports of character.

s. 67.

11. Upon every discharge effected before a superintendent the master shall make and sign, in Form M. & S.—7, a report of the conduct, character and qualifications of the seaman discharged.

Allotment notes.

ss. 70, 73.

12.(1) Any allotment, in accordance with the provisions of the Act, of a portion of the wages of a seaman engaged on a foreign-going ship shall be in accordance with Form M. & S.—8.

(2) An allotment to a Savings Bank shall be drawn in favour of the manager thereof for the time being.

Account of wages.

s. 76.

13. At least twelve hours before a seaman is discharged, the master shall deliver to him in Form M. & S.—9, or M. & S.—9a, a full and true account of his wages and of all deductions to be made therefrom on any account whatever.

Final settlement of wages, foreign-going ships.

s. 78.

14. The master of a foreign-going ship shall pay to each seaman, on account, at the time when he lawfully leaves the ship at the end of his engagement, two pounds, or one fourth of the balance of wages due to him, whichever is least; and shall pay him the remainder of his wages within two clear days (exclusive of any Sunday or holiday) after he so leaves the ship.

Form of release.

s. 80.

15. Where a seaman is discharged and the settlement of his wages effected before a superintendent, the master or owner and the seaman shall, in the presence of the superintendent, sign, in Form M. & S.—10, a mutual release of all claims in respect of the past engagement.

Voucher as to wages paid.

s. 80 (e).

16.Upon any payment of wages being made before a superintendent, the latter shall, if required, give to the master a statement, in Form M. & S.—11, of the amount so paid.

Decision of questions by superintendent.

s. 81.

17. (1) An application for the decision by a superintendent of any question between a master or owner and a seaman or apprentice shall be made in Form M. & S.—12, and the decision of the superintendent, or his refusal to decide the question, shall be recorded thereon.

(2) The form, so indorsed, shall be retained and filed by the superintendent as an official record.

Fines or misconduct.

ss. 111 & 115.

18. (1) The following regulations for maintaining discipline are approved for insertion, at the joint will of the master and seaman, in agreements entered into in Australia:—

No.	Offence.	Amount of Fine.
1	Striking or assaulting any person on board or belonging to the ship (if not otherwise prosecuted).......................................................................................	Five shillings
2	Bringing or having on board intoxicating liquors...................................	Five shillings
3	Drunkenness—
	First offence................................................................................	Five shillings
	Second and for each subsequent offence........................................	Ten shillings
4	Taking on board and keeping possession of any firearms, knuckle-duster, loaded cane, slung shot, sword-stick, bowie-knife, dagger, or any other offensive weapon or offensive instrument, without the concurrence of the Master—for every day during which a seaman retains such weapon or instrument.............................	Five shillings
5.	Insolent or contemptuous language or behaviour to the Master or Officers, or disobedience to lawful commands, if not otherwise dealt with according to law	Five shillings
6.	Absence without leave and without reasonable cause (if not otherwise dealt with according to law) for each day on which such absence occurs..............	Two days’ pay

(2) If, on account of subsequent good conduct, the master desires to reduce or remit any fine imposed on a member of his crew in accordance with the provisions of this regulation, he may, subject to the approval of the superintendent, make an entry in the official log to that effect, and upon the indorsement of the entry with, the approval of the superintendent the fine shall thereupon be reduced or remitted accordingly.

(3) A fine imposed on a seaman under any of these Regulations, duly embodied in his agreement, shall be deducted by the master or owner from his wages and shall, at the time of his discharge, be paid to the superintendent in accordance with section 115 of the Act.

Wages of seamen left behind sick, &c.,

s. 130.

19.If the master of a foreign-going ship leaves a seaman or apprentice behind at any place in Australia, on the ground of his unfitness or inability to go to sea, he shall—

(a) in the case of a ship registered in Australia, or of other British ship proceeding on a voyage to terminate in Australia, deliver to the superintendent, in Form M. & S.—13,

a full and true account of the wages due to the seaman or apprentice, and shall pay such wages to the seaman or apprentice, or to the superintendent, as the case may be as required by section 130 of the Navigation Act; or
(b)in the case of a British ship not registered in Australia, proceeding on a voyage to terminate outside Australia, deliver to the superintendent, in the British Board of Trade Form C.C.6, a full and true account of the wages due to the seaman or apprentice, and shall pay such wages to the Seaman or apprentice, or to the superintendent, as under the provisions of the Merchant Shipping Act may be required.

Search of ships. Signal to heave to.

s. 164.

20. (1) The master of a ship, when hailed by an officer of Customs and called upon to do so, or when signalled as prescribed in this regulation, shall immediately stop his ship and afford the officer, or any authorized officer of police, all necessary assistance to board and search the ship.

(2) The signal to be used for the purpose of this regulation shall be, by day, the flag signal M N of the International Code, or the letter L of the Morse Code (-—--) communicated by long and short blasts of a whistle, and by night the burning of a blue light or flare, followed by the letter L of the Morse Code communicated by long and short blasts of a whistle or by Morse signalling lamp.

List of crew.

s. 165.

21.The list of crew to be made out and delivered to the superintendent, in compliance with the provisions of section 165 of the Act, shall be in Form M. & S.—14.

Provided that the delivery to the superintendent of the agreement with the crew and the official log, as required, in the case of foreign-going ship, by sections 54 and 173 of the Act, and, in the case of an Australian-trade or limited coast-trade ship, on the termination of the agreement, shall be deemed to be a compliance with the requirements of section 165 and of this regulation as regards the making and delivery of a list of crew.

Births, deaths and marriages.

s.166.

22. (1) The master of every ship registered in Australia, and of every other ship (British or foreign) carrying passengers to Australia, shall record, in the case of a British ship in the official log book, the following particulars concerning every birth, death and marriage happening on board the ship:—

(a)As regards every birth—
Date of birth;
Name (if any) and sex of child;
Name and surname, rank, profession, or occupation of the father;
Name and surname, and maiden surname, of the mother and
Birthplace, nationality and last place of abode of the father and mother.
(b)As regards every death—
Date of death;
Name and surname;
Sex;
Age;
Rank, profession or occupation;
Birthplace nationality, and last place of abode; and
Cause of death.
(c) As regards every marriage—
Date of marriage;
Bridegroom—
Christian name and surname;
Age;
Rank, profession or occupation;
Bachelor, widower or divorcee;
Birthplace, nationality and last place of abode;
Names of parents, and rank, profession or occupation of father.
Bride—
Christian name and maiden surname. (In the case of a widow or divorcee the Christian name, surname and maiden surname should be given);
Age;
Spinster, widow or divorcee;
Birthplace, nationality and last place of abode;
Names of parents, and rank, profession or occupation of father.
Name, permanent address and denomination of the officiating clergyman.

(2) Every entry in the official log regarding a birth, death or marriage occurring on board shall be signed by the master and an officer or some other member of the crew, and—

(a) in the case of a birth or death—by the medical officer on board (if any); and
(b)in the case of a marriage—by the clergyman who performed the marriage ceremony.

(3) The master, on arrival at any port in Australia, shall transmit to the nearest superintendent, in accordance with Form M. & S.—15, a return of the facts recorded by him in respect of any such birth, death or marriage.

Delivery of agreement &c., to superintendent.

s. 167.

23. (1) Whenever a foreign-going ship arrives at any principal port in Australia, other than her final port of destination, the master shall immediately deliver to the superintendent the agreement with the crew and the official log-book of the ship.

(2) The following ports in Australia shall be principal ports for the purposes of this regulation and of section 167 of the Act, viz.:—

New South Wales.—Sydney, Newcastle.
Victoria.—Melbourne, Geelong.
Queensland.—Brisbane, Thursday Island, Cairns, Townsville, Bowen, Mackay, Rockhampton, Gladstone, Bundaberg, Maryborough.
South Australia.—Port Adelaide, Port Pirie.
Northern Territory.— Darwin.
Western Australia.—Fremantle, Albany, Bunbury, Geraldton, Carnarvon, Point Samson (Roeburne), Port Hedland, Broome.
Tasmania.—Hobart, Launceston, Devonport, Burnie.

Official log.

s. 171.

24. (1) An official log-book, in Form M. & S.—16, shall be kept by the master of every ship other than a limited coast-trade ship of less than 50 tons gross registered tonnage or a river and bay ship;

Provided that in cases where the agreement with the crew has been entered into in the United Kingdom or in some British Possession other than Australia, an official log in the form approved by the British Board of Trade or by the Government of that British Possession may be used, during the currency of that agreement, in lieu of the official log provided for in this regulation.

(2) The master shall enter or cause to be entered in the official log the following matters:—

(a)Every conviction by a legal tribunal of a member of his crew, and the punishment inflicted;
(b) Every case in which a member of the crew is disrated (section 42), or is promoted, with the date of such disrating or promotion, the rating to which the seaman is reduced or promoted, and the rate of wages which he is to receive;
(c) A statement of the conduct, character, and qualifications of each member of his crew (section 67);
(d)Every offence for which punishment is inflicted on board, and the punishment inflicted;
(e) Every offence committed by a member of his crew for which it is intended to prosecute, or to enforce a forfeiture, or to exact a fine, together with such statement concerning the furnishing of a copy or reading over of that entry, and concerning the reply (if any) made to the charge as is required by section 111 of the Navigation Act;
(f) Every case of drunkenness or misconduct on the part of a certificated officer, whether the master wishes the case to be investigated or not;
(g)Every case of illness or injury happening to a member of the crew, with the nature thereof, and the medical treatment adopted (if any). In cases of continued illness frequent entries should be made (daily if possible) showing the progress and treatment of the patient;
(h) Any case in which, where a daily allowance of anti-scorbutics is required by the Navigation Act or regulations to be issued, such issue is not made; also any refusal of a seaman or apprentice to take anti-scorbutics when served out (section 124);
(i) The name of every seaman or apprentice who ceases to be a member of the crew (otherwise than by death), with the place, time, manner, and cause thereof, together with
a statement of the effects left on board by the seaman and of the amount due to the seaman on account of wages at the time of his so ceasing to be a member of the crew;
(j) The wages due to any seaman who enters His Majesty’s naval service during the voyage;
(k) A description of the effects and a statement of the amount of money belonging to any seaman or apprentice who died during the voyage, together with a statement of the sum due to the deceased for wages and of the amount of deductions (if any) to be made therefrom;
(l)In case of sale of any effects of a deceased seaman or apprentice, a description of each article sold, and the sum received for each (section 150);
(m) Every birth, death, or marriage taking place on board with in each case, the particulars prescribed in regulation 22 of these Regulations (section 166);
(n)A list of the documents relating to the navigation of the ship and to the crew thereof received from the previous master (section 168);
(o) In the case of ships required by the Navigation Act or regulations to be divided into water-tight compartments, every occasion on which inspection and operation is made of the water-tight doors, side scuttles, valves, and other like contrivances, with an explicit record of any defects discovered (section 206);
(p)The draught of water and freeboard of the ship when leaving port (sections 222, 226);
(q)Every occasion on which collision, boat, or fire drill is practised on board the ship (section 235) or on which the life-saving and fire-extinguishing appliances on board the ship have been inspected for the purpose of seeing that those appliances are fit and, ready for use;
(r)Every occasion on which a wireless call is received from a ship in distress, with, in cases where the master does not proceed to the assistance of the persons in distress his reasons for not doing so (section 265);
(s) Every new danger to navigation observed; all messages or information received in regard to new dangers; and all messages and reports sent in regard to such dangers, with, in each case, the hour and minute and the position of the ship at the time (section 269a and Navigation (Danger Calls) Regulations 1921); and
(t) Every collision with another ship, or other matter required under section 268 of the Navigation Act to be reported, and the circumstances under which the same occurred.

Engineer’s log.

s. 175.

25. (1) An engine-room log-book, in Form M. & S.—17, shall be kept by the chief or only engineer of every steam-ship (other than a river and bay ship) of 15 tons gross registered tonnage or over.

(2) Entries shall be made in the engine-room log-book, in the manner prescribed in section 175 of the Navigation Act, of the following matters.

(a) Steam pressure, vacuum, revolutions of engines, and density of water in boilers, during each watch;
(b)Amount of coal consumed and average speed each day;
(c) Every telegraph call from the bridge (as far as practicable) with the time and nature of the call and, where necessary, remarks thereon;
(d)All pumpings to or from ballast tanks, holds, or other compartments;
(e) Full particulars of examinations of sea connexions, stern shaft, and propeller, and testing of main steam-pipe; and
(f) Full particulars of docking dates, and of general repairs and overhauls made in engine-room and stokehold.

(3) All indicator cards taken shall be kept by the engineer and shall be produced to the surveyor if so required by him.

Certificates of Service at Sea.

26. (1) Certificates showing the period and nature of a seaman’s service at sea, in respect of voyages terminating in Australia, may be issued by a superintendent in Form M. & S.—18.

(2) An application for a Certificate of Service at Sea shall be in Form M. & S.—19, and shall be accompanied by the proper fee, according to the following scale:—

For the first voyage for which certificate is required............ 2s.; and

For each subsequent voyage...................................................... 1s.

Forms.

27. (1) Where a prescribed form contains, by way of note or otherwise, a clear, indication or direction of any requirements as to—

(a)the number of copies of the document to be tendered (the words “in duplicate”, for example, being a sufficient indication of the number required);
(b)the nature or form of the information to be furnished; or
(c) any action, either by way of signing a form of declaration or otherwise, to be taken by the person concerned in the transaction in which the document is used, the requirement so indicated shall be deemed to be prescribed.

(2) Any form approved by the British Board of Trade under the Merchant Shipping Act, or by any State authority under a State Act, and which is substantially in accordance with a form prescribed by these Regulations, may, if the Director of Navigation so approves, be used in lieu of that prescribed form.

Charges for Forms.

s. 417.

28. The following charges shall be made for forms prescribed by these Regulations:—

s.	d.
Indenture of Apprenticeship (Form M. & S.—1; reg. 4), per set of two—original and duplicate.	5	0
Permit to Sign Articles (M. & S.—2; reg. 5) each.............................................	2	6
Agreement with Crew (M. & S.—3; reg. 6) per copy of—
8 pages......................................................................................................	2	6
12 pages....................................................................................................	3	6
16 pages....................................................................................................	4	6
24 pages....................................................................................................	5	6
36 pages....................................................................................................	6	6

Note.—No charge is made for the Office Copy of an Agreement retained by the Superintendent, or for the Forecastle Copy (or copies) issued when an Agreement is first opened.

Report of Substitutes Engaged (M. &. S.—4; reg. 7)	No charge
Account of Changes in Crew of Foreign-going Ship (M. &S.—5; reg. 8).............	No charge
Certificate of Discharge (M. & S—6; reg. 10)—
Price included in fee of Two shillings charged for each seaman discharged (reg. 9).
Report of Character (M. & S.—7; reg. 11).........................................................	No charge
Allotment Note (M. & S.—8; reg. 12)—per book of 25 forms.............................	1	0
Account of Wages (M. & S.—9; and M. & S.—9a; reg. 13)—
Account of Wages (M. & S.—9; and M. & S.—9a; reg. 13)—	(a)Account of Wages Form only (M. & S.—9)—per book of—
25 forms.....................................................................................................	(a)Account of Wages Form only (M. & S.—9)—per book of—	0	9
50 forms.....................................................................................................	1	3
100 forms....................................................................................................	2	0
(b)Combined with Master’s Account Book (M. & S.—9a), per book of—
	25 forms.....................................................................................................	1	0
50 forms.....................................................................................................	1	6
100 forms....................................................................................................	2	6
Form of Release (M. & S.—10; reg. 15) each.....................................................	1	0
Voucher for Payments by Master (M. & S.—11; reg. 16)....................................	No charge
Submission of Question to Arbitration (M. & S.—12; reg. 17)............................	No charge
Account of Wages, &c., of Seaman Left Behind (M. & S.—13; reg. 19)..............	No charge
List of Crew, to be used when Agreement with Crew and Official Log-book are not available (M. & S.—14; reg. 21) ...........................................................................................	No charge
Return of Births, Deaths, and Marriages (M. &. S.—15; reg. 22).........................	No charge
Official Log-book (M. & S—16; reg. 24), per copy of—
20 pages or under......................................................................................	2	6
Over 20 pages...........................................................................................	5	0
Engine-room Log-book (M. & S.—17; reg. 25), with provision for daily entries for 220 days; each. ................................................................................................................	7	6
Certificate of Service at Sea (M. & S.—18)—According to the number of voyages certified to (vide reg. 26).....................................................................................................
Application for Certificate of Service at Sea (M. & S.—19; reg. 26)....................	No charge

Overtime charges.

29.When, for the convenience of the public, work in connexion with the engagement or discharge of seamen is performed on board ship or any work is performed in a Mercantile Marine Office before

or after official hours, the following charges shall be made, for the services of the officers employed:—

(a) Work performed before or after official hours, ordinary working days—

(i) Discharge of crew on board ship—
Thirty hands or under.............................................................	£0	10	6
Over 30 and not exceeding 60 hands.......................................	1	1	0
Over 60 hands.......................................................................	2	2	0
(ii) Engagement of crew on board ship—
Thirty hands or under.............................................................	£0	10	6
Over 30 and not exceeding 60 hands.......................................	1	1	0
Over 60 hands.......................................................................	2	2	0

(iii) Discharge or engagement of crews in a Mercantile Marine Office—one-half of the above rates.
(iv) Clearance of agreements, or similar work of a clerical nature performed in a Mercantile Marine Office—for each officer engaged, per hour or part thereof, 3s.
(b)Work performed on Sundays and holidays—double the rates specified in paragraph (a) above.

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SCHEDULE.

issued under the navigation act 1912-1920.

* Full Address.

1 If there is a Surety his name is to be inserted here; but a Surety is not essential. If there is not one, the part relating to him should be struck out.

2 This space is available for additional stipulations.

3 See Note 1.

Form M. & S.—1.

INDENTURE OF APPRENTICESHIP TO THE SEA SERVICE.

This Indenture, made the day of 19 between

aged years, a native of , in the State of , now

residing at , of the first part,

of* , in the State of of the second part, and1

of , in the State of of the

third part, witnesseth, That the said hereby voluntarily binds himself Apprentice unto the said , his Executors, Administrators, and Assigns, for the term of years from the date hereof: And the said Apprentice hereby covenants that, during such time, the said Apprentice will faithfully serve his said Master, his Executors, Administrators, and Assigns, and obey his and their lawful commands, and keep his and their secrets, and will, when required, give to him and them true accounts of his or their goods and money which may be committed to the charge, or come into the hands, of the said Apprentice; and that the said Apprentice will not, during the said term, do any damage to his said Master, his Executors, Administrators, or Assigns, nor will he consent to any such damage being done by others, but will, if possible, prevent the same and give warning thereof; and will not embezzle or waste the goods ofhis Master, his Executors, Administrators, or Assigns, nor give or lend the same to others without his or their licence; nor absent himself from his or their service without leave; nor frequent Taverns or Alehouses, unless upon his or their business; nor play at unlawful games: In consideration whereof, the said Master hereby covenants with the said Apprentice, that during the said term he, the said Master, his Executors, Administrators, and Assigns, will and shall use all proper means to teach the said Apprentice or cause him to be taught the business of a Seaman,2

and the Master also agrees to provide the said Apprentice with sufficient Meat, Drink, Lodging, Washing, Medicine, and Medical and Surgical Assistance, and pay to the said Apprentice the sum of £ , in manner following (that is to say):—

the said Apprentice providing for himself all wearing apparel and necessaries (except such as are hereinbefore specially agreed to be provided by the said Master): and it is hereby agreed, that if at any time during the said term the said Master, his Executors, Administrators, or Assigns provide any necessary apparel for the said Apprentice he and they may deduct any sums properly expended thereon by him or them from the sums so agreed, to be paid to the said Apprentice as aforesaid: And for the performance of the Agreements herein contained, each of them, the said and3 doth hereby bind himself, his Heirs, Executors, and Administrators unto the other of them, his Executors and Administrators, in the penal sum of £ ; and for the performance of the covenants on the part of the said Apprentice herein contained, the said , as surety, doth hereby bind himself, his Heirs, Executors, and Administrators unto the said , his Executors and Administrators, in the penal sum of £ : Provided, that notwithstanding the penal stipulations herein contained, any Court, Magistrate, or Justice of the Peace may exercise such jurisdiction in respect of the said Apprentice as he or they might have exercised if no such stipulations had been herein contained.

In witness whereof the said parties have herein to set their hands and seals, the day and year above written.

Place of the Seal.

Signed, sealed, and delivered in the presence of (Master.)

Place of the Seal.

Official Superintendent, Mercantile Marine Office, (Apprentice.)

Place of the Seal.

Port of(Surety.)

Stamp.

Note.—This Indenture must be executed in duplicate, and in the presence of a Superintendent. One copy will be recorded and retained by the Superintendent, and the other, duly indorsed, will be returned to the Master of the Apprentice.

The Navigation Act further requires the Master to notify the Superintendent, as soon as practicable, of any assignment or cancellation of the Indenture, or the death or desertion of the Apprentice.

Registered at the Port of this day of 19

Signed

Form M. & S.—2.

Commonwealth of Australia.

_________________

Navigation Act 1912-1920. No.

_________________

Navigation Act 1912-1920,

Sec. 41; Nav. (M & S) Reg. 5.

PERMIT TO SIGN ARTICLES.

Name of Seaman.

Place of Birth.

Last Ship.

The above-named seaman, having satisfied me that he is qualified for the position of , that he is not a deserter from, and does not belong to, any ship now in this port, and that his certificates of discharge are not being withheld from him under the provisions of section 106a of the Navigation Act 1912-1920, is hereby granted permission to engage as a seaman in the capacity named above and to sign Articles.

Fee, Two shillings and sixpence, received.

Signature of Seaman

Port of

Date, / / 19 .

Official

Stamp.

Superintendent,

Mercantile Marine Office.

Form M. & S.— 3.

No.

AGREEMENT AND ACCOUNT OF CREW.

Australian Trade-ship (not leaving the Coast of Australia) or Limited Coast-trade Ship.

Issued under the Navigation Act 1912-1920.

Nav. (M.& S.) Reg. 6.

Any Erasure, Interlineation, or Alteration in this Agreement will be void unless made with the consent of the persons interested, and attested by some Superintendent of a Mercantile Marine Office, or Consular or other Proper Authority (Navigation Act, s. 55).

Name of Ship.

Official No.

Port of Registry.

Port No., and Date of Register.

Registered Tonnage.

Nominal Horse-power of Propelling Engines (if any).

Gross.

Net.

Registered Managing Owner or Manager.

No. of Seamen for whom Accommodation is Certified.

For Particulars as to Load-line see Page 2.

N.H.P. of all Engines in Engine-room (Navigation Act, Sch. I.).

Name.

Address (state No. of House, Street, and Town).

The Several Persons whose names are hereto subscribed, and whose descriptions are contained herein, and of whom are Able Seamen and Ordinary Seamen, hereby agree to serve on board the said Ship in the several capacities expressed against their respective Names, on a Voyage from1

And it is also agreed that3

And the crew agree to conduct themselves in an orderly, faithful, honest, and sober manner, and to be at all times diligent in their respective duties, and to be obedient to the lawful commands of the said Master, or of any Person who shalllawfully succeed him, and of their Superior Officers, in everything relating to the said Ship and the stores and cargo thereof, whether on board, in boats, or on shore; in consideration of which services to be duly performed, the said Master hereby agrees to pay to the said Crew as Wages the sums against their Names respectively expressed, and to supply them with Provisions according to the Scale on the other side hereof.

And it is hereby agreed that any Embezzlement or wilful or negligent Destruction of any part of the Ship's Cargo or Stores shall be made good to the Owner out of the Wages of the Person guilty of the same.

And it is further agreed that if any Seaman enters himself in a capacity for which he is incompetent he is liable to be disrated.

And it is also agreed that the Regulations authorized by the Navigation (Master and Seamen) Regulations, which are printed herein and numbered2

are adopted by the parties hereto and shall be considered as embodied in this Agreement.

And it is also agreed that if any Member of the Crew considers himself to be aggrieved by any breach of the Agreement or otherwise, he shall represent the same to the Master or Officer in charge of the Ship in a quiet and orderly manner, who shall thereupon take such steps as the case may require.

IN witness whereof the said Parties have subscribed their Names herein on the days mentioned against their respective signatures.

Signed by Master on the day of 19

Date of Commencement of Voyage.

Port at which Voyage commenced.

These Columns to be filled up at the end of the Voyage or Termination of the Agreement.

Date of Termination of Voyage.

Port at which Voyage Terminated.

Date of Delivery of Agreement to Superintendent.

I hereby declare to the truth of the Entries in this Agreement and Account of Crew, &c.

Master.

Note.—Under certain circumstances the name of the charterer or other person controlling the navigation and management of the vessel is also to be given (see Navigation (Master and Seamen) Reg. 6).

1 Here is to be inserted the nature, and, as far as practicable, the duration of the intended voyage or engagement *or, the maximum period and the places or parts of the world, if any, which are excluded.

2 Here are to be inserted the Numbers of any of the Regulations for preserving discipline authorized by the Navigation (Master andSeamen) Regulations, and printed on the third page hereof, which the parties agree to adopt.

3 Here any other stipulations may be inserted to which the parties agree, which are approved by the Superintendent, and which are not contrary to law.

Form M. & S.—3—continued

scale of provisions.

(Ships registered in Australia and British Ships engaged in the Coasting Trade.)

Required by section 117 of the navigation act 1912-1920 to be allowed and served out to the crew during the Voyage except in Cases in which the Crew furnish their own Provisions.

Note.—The Scale agreed upon is in addition to the Lime and Lemon Juice and Sugar or other Anti-Scorbutics, in any case required under Section 124 of the Act.

[Here is set out the scale of Provisions, the conditions in applying scale, and the list of Substitutes and Equivalents contained in Schedule III. to the Navigation Act.]

_____

LOAD-LINE AND DRAUGHT OF WATER.

Position of Disc.

* The centre of the disc is placed at feet inches below the deck-line marked under the provisions of the Merchant Shipping Act 1894.

* Position of Lines used in connexion with the Disc.

Maximum load-line in fresh water, feet inches above the centre of the disc.

Maximum load-line in winter, North Atlantic, feet inches below the centre of the disc.

Sailing Ship.

Steam-

Maximum load-line in fresh water, feet inches above the centre of the disc.

Maximum load-line in Indian summer, feet inches above the centre of the disc.

Maximum load-line in summer, the centre of the disc.

Maximum load-line in winter, feet inches below the centre of the disc.

Maximum load-line in North Atlantic winter, feet inches below the centre of the disc.

Steam-ship.

* These particulars are to be taken from the certificate of approval of the position, or alteration of the position, of the disc, and the words which are not applicable should be erased.

In the Northern Hemisphere the summer months are April to September inclusive, and the winter months October to March inclusive. In the Southern Hemisphere the summer and winter freeboards should be used during the corresponding or recognised summer and winter months respectively.

The additional freeboard specified for the North Atlantic trades is to apply to vessels sailing to or from the Mediterranean or any British or European port, and which may sail to or from or call at ports in British North America or Eastern ports in the United States north of Cape Hatteras from October to March inclusive.

The reduced freeboard allowed for voyages in the fine season in the Indian Seas only applies to vessels trading between the limits of Suez and Singapore.

Form M.& S.—3—continued.

REGULATIONS FOR MAINTAINING DISCIPLINE.

Sanctioned by the Navigation (Master and Seamen) Regulations 1922.

__________

These Regulations are distinct from,and in addition to, thosecontained in the Act, and are sanctioned but not universally required by law.All or any of them may be adopted by agreement between a Master and his Crew, and thereupon the offences specified in such ofthem as are so adopted will be legally punishable by the appropriate fines or punishments. These Regulations, however, are not to apply to Certificated Officers.

These Regulations are all numbered, and the numbers of such of them as are adopted must be inserted in the space left for that purpose in the Agreement, page 1, and the following copy ofthese Regulations must be made to correspond with the Agreement by erasing such of the Regulations as are not adopted. The signature or initials of the Superintendent of a Mercantile Marine Office, or consular or other Proper Authority before whom the Agreement is made, must be placed opposite such of the Regulations as are adopted.

For the purpose of legally enforcing any of the following penalties, the same steps must be adopted as in the case of other offences punishable under the Act; that is to say, a statement of the offence must, immediately after its commission,

be entered in the Official Log Book by the Master, or under his directions, and must at the same time be attested to be true by the signatures of the Master and an officer or some other member of the Crew; and a copy ofsuch entry must be furnished, or the same must be read over to the offender, before the ship reaches any port, or departs from the port at which she is; and an entry that the same has been so furnished or read over, and of the reply, if any, of the offender, must be made and signed in the same manner as the entry of the offence.These entries must, upon discharge of the offender, be shown to the Superintendent before whom the offender is discharged; and, II he is satisfied that the offence is proved, and that the entries, have been properly made,the fine must be deducted from the offender’s wages, and paid over to the Superintendent.

If, in consequence of subsequent good conduct, the Master desires to remit or reduce any fine upon any member of his Crew which has been entered in the Official Log, he may,subject to the approval of the Superintendent, make an entry in the Official Log Book to that effect, and upon the indorsement of the entry with the approval of the Superintendent, the fine shall thereupon be remitted or reduced accordingly.

No.	Offence.	Amount of Fine.	Signature of Superintendent.
1	Striking or assaulting any person on board or belonging to the ship (if not otherwise prosecuted)...................................................................................................	Five shillings
2	Bringing or having on board intoxicating liquors.................................................	Five shillings
3	Drunkenness—first offence...................................................................................	Five shillings
,, second and for each subsequent offence................................	Ten shillings
4	Taking on board and keeping possession of any firearms, knuckle-duster, loaded cane, slung shot, sword-stick, bowie-knife, dagger, or any other offensive weapon or offensive instrument without the concurrence of the Master—for every day during which a Seaman retains such weapon or instrument..............................................................	Five shillings
5	Insolent or contemptuous language or behaviour to the Master or Officers, or disobedience to lawful commands, if not otherwise dealt with according to law.................	Five shillings
6	Absence without leave and without reasonable cause (if not otherwise dealt with according to law) for each day on which such absence occurs........................................	Two days’ pay

ACCOUNT OF APPRENTICES ON BOARD.

Christian and Surnames of the Apprentices at full length.

Year of Birth.

Nationality.* (If British, state Birthplace.)

Registry of Indenture.

Date of Joining subsequent to commencement of this Agreement.

Date, Place, and Cause of leaving this Ship, or of Death. If the Apprentice remains it should be stated.

To be filled up by the Master.

Date of. 4.

Port of. 5.

Date. 7.

Place. 8.

Cause. 9.

If a British Subject, state Town or Country of birth; and, if born in a Foreign Country, state if a natural-born British Subject or naturalized.

name of

Reference No.	Particulars
	Signatures of Crew.	Year of Birth.	* Nationality (if British, state Birthplace.)	(1) Port of Engagement, Address, and (2) Home Address. N.B.—Both to be inserted. The Home Address is the one to which Communications should be made in the event of the Death of the Seaman.	Ship in which he last served and Date of Discharge therefrom.		Date and Place of Signing this Agreement.		In what Capacity engaged.	No. of Certificate (if any), and No. of Reserve Commission or R.V. 2 (if any).
					Date.	State Name and Official No. or Port she belonged to.	Date.	Place.
	1	2	3	4	5	6	7	8	9	10
1	Master to sign first.	(1)
		(2)
2	(1)
	(2)
3	(1)
	(2)
4	(1)
	(2)
5	(1)
	(2)
6	(1)
	(2)
7	(1)
	(2)
8	(1)
	(2)
9	(1)
	(2)

* If a British Subject, state Town or Country of Birth, and if born in

The capacities of Engineers not employed on the Propelling Engines and Boilers should be described here, and in the not merely as Engineers. Boys should be described as

‡If any Member of the Crew enters His Majesty's Service, the Name of the King's Ship into which he enters is to be should be briefly stated, thus,

Form M. & S.—3—continued.

ship.

of Engagement.			Particulars of Discharge, &c. To be filled in by the Superintendent upon the Discharge, Death, or Desertion of any Member of the Crew.				Release.
Date and Hour at which he is to be on Board.	Amount of Wages per Calendar Month.	Signature or Initials of Official before whom the Seaman is engaged.	Date, Place, and Cause of leaving this Ship, or of Death.			Balance of Wages Paid on Discharge.	We, the undersigned Members of the Crew of this Ship, do hereby release this Ship, and the Master and Owner or Owners thereof, from all Claims for Wages or otherwise in respect of this Voyage, except as stated hereunder; and I the Master, do hereby release the said undersigned Members of the Crew from all Claims in respect of the said Voyage. Signature of Crew (each to be on the Line on which he signed in Col. 1).	Signature or Initials of Official before whom the Balance of Wages was Paid and Release signed, and Date.	Reference No.
			Date.	Place.	Cause‡
11	12	13	14	15	16	17	18	19
1
2
3
4
5
6
7
6

a foreign country, state if a natural-born British Subject or naturalized.

Certificate of Discharge as Engine-drivers, Donkeymen, Refrigerating Engineers, Electrical Engineers, or Winchmen, and Deck boys, cabin boys, or as the case may be, not merely as Boys.

stated under the head of “Cause of leaving the Ship,” thus, “H.M.S. Revenge,”and the other causes of leaving the Ship “Discharged,” “Deserted,” “Left Sick,” “Died.”

C.4.—2

Form M. & S.—3—continued.

CERTIFICATES OR INDORSEMENTS MADE BY SUPERINTENDENTS.

Form M. & S.—3—continued.

AGREEMENT AND ACCOUNT OF CREW.

Foreign-Going Ship or Australian-Trade Ship trading to New Zealand or the Islands of the Pacific

Issued under the Navigation Act 1912-1920.

Nav.(M. & S.) Res. 6.

Any Erasure, Interlineation, or Alteration in this Agreement will be void unless made with the consent of the persons interested, and attested by some Superintendent of a Mercantile Marine Office, or Consular or other Proper Authority (Navigation Act, s. 55).

Name of Ship.

Official No.

Port of Registry.

Port No., and Date of Register.

Registered Tonnage.

Nominal Horse-power of Propelling Engines (if any).

Gross.

Net.

Registered Managing Owner or Manager .

No. of Seamen for whom Accommodation is Certified.

For Particulars as to Load-line see Page 2.

N.H.P. of all Engines in Engine-room (Navigation Act, Sch. I.).

Name.

Address (state No. of House, Street, and Town).

And the crew agree to conduct themselves in an orderly, faithful, honest, and sober manner, and to be at all times diligent in their respective duties, and to be obedient to the lawful commands of the said Master, or of any Person who shall lawfully succeed him, and of their Superior Officers, in everything relating to the said Ship and the stores and cargo thereof, whether on board, in boats, or on shore; in consideration of which services to be duly performed, the said Master hereby agrees to pay to the said Crew as Wages the sumsagainst their Names respectively expressed, and to supplythem with Provisions according to the Scale on the other side hereof.

And it is hereby agreed that any Embezzlement or wilful ornegligent Destruction of any part of the Ship’s Cargo or Stores shall be made good to the Owner out of the Wages of the person guilty of the same.

And it is further agreed that if any Seaman enters himself on a capacity for which he is incompetent he is liable to be disrated.

And it is also agreed that the Regulations authorized by by the Navigation (Master and Seamen) Regulations, which are printed herein and numbered2

are adopted by the parties hereto, and shall be considered as embodied in this Agreement.

And it is also agreed that if any Member of the Crew considers himself to be aggrieved by any breach of the Agreement or otherwise, he shall represent the same to the Master or officer in charge of the Ship in a quiet and orderly manner, who shall thereupon take such steps as the case may require. And it is also stipulated that allotments of part of wages shall be made as specified against the names of the respective seamen in the columns provided for that purpose.

And it is also agreed that3

In witness whereof the said Parties have subscribed their Names herein, on the days mentioned against their respective signatures.

Signed by Master on the day

of 19

Date of Commencement of Voyage.

Port at which Voyage commenced.

These Columns to be filled up at the end of the Voyage or Termination of the Agreement.

Date of Termination of Voyage.

Port at which Voyage Terminated.

Date of Delivery of Agreement to Superintendent.

I hereby declare to the truth of the Entries in this Agreement and Account of Crew, &c.

Master.

Note.—“Foreign-going ship” includes every ship (other than an Australian-trade ship) employed in trading or going between places in Australia and places beyond Australia.

“Australian-trade ship” includes every ship (other than a limited coast-trade ship or river and bay ship) employed in trading or going between places in Australia, and every ship employed in trading between (a)Australia and territories under the authority of the Commonwealth, New Zealand, or the Islands of the Pacific.

NOTE—Under certain circumstances the name of the charterer or other person controlling the navigation and management of the vessel is also to be given (See Navigation (Master and Seamen) Reg. 6).

1 Here is to be inserted the nature, and, as far as practicable, the duration of the intended voyage or engagement, or the maximum period and the places or parts of the world, if any, which are excluded.

2 Here are to be inserted the Numbers of any of the Regulations for preserving discipline authorized by the Navigation Master and Seamen Regulations, and printed on the third page hereof, which the parties agree to adopt.

3 Here anyother stipulations may be inserted to which the parties agree, which are approved by the Superintendent, and which are not contrary to law.

Form M. & S.—3—continued

SCALE OF PROVISIONS.

(Ships registered in Australia and British Ships engaged in the Coasting Trade.)

Required by Section 117 of the navigation Act 1912-1920 to be allowed and served out to the Crew During the Voyage, except in Cases in which the Crew furnish their own Provisions.

Note.—The Scale agreed upon is in addition to the Lime and Lemon Juice and Sugar, or other Anti-Scorbutics in any case required under Section 124 of the Act.

[Here is set out the Scale of Provisions, the conditions and exceptions in applying scale, and the list of Substitutes and Equivalents contained in Schedule III. to the Navigation Act.]

________

LOAD-LINE AND DRAUGHT OF WATER.

Position of Disc.

* The centre of the disc is placed at feet inches below the deck-line marked under the provisions of the Merchant Shipping Act 1894.

* Position of Lines used in connexion with the Disc.

Maximum load-line in fresh water, feet inches above the centre of the disc.

Maximum load-line in winter, North Atlantic, feet inches below the centre of the disc.

Sailing Ship.

Maximum load-line in fresh water, feet inches above the centre of the disc.

Maximum load-line in Indian summer, feet inches above the centre of the disc.

Maximum load-line in summer, the centre of the disc.

Maximum load-line in winter, feet inches below the centre of the disc.

Maximum load-line in North Atlantic winter, feet inches below the centre of the disc.

Steam-ship.

* These particulars are to be taken from the certificate of approval of the position, or alteration of the position, of the disc, and the words which are not applicable should be erased.

The reduced freeboard allowed for voyages in the fine season in the Indian Seas only applies to vessels trading between the limits of Suez and Singapore.

Form M. & S.—3—continued

REGULATIONS FOR MAINTAINING DISCIPLINE.

Sanctioned by the Navigation (Master and Seamen) Regulations 1922.

These Regulations are distinct from, and in addition to, those contained in the Act, and are sanctioned but not universally required by law. All or any of them may be adopted by agreement between a Master and his Crew, and thereupon the offences specified in such of them as are so adopted will be legally punishable by the appropriate fines or punishments. These Regulations, however, are not to apply to Certificated Officers.

These Regulations are all numbered, and the numbers of such of them as are adopted must be inserted in the space left for that purpose in the Agreement, page 1, and the following copy of these Regulations must be made to correspond with the Agreement by erasing such of the Regulations as are not adopted. The signature or initials of the Superintendent of a Mercantile Marine Office, or Consular or other Proper Authority before whom the Agreement is made, must be placed opposite such of the Regulations as are adopted.

or under his directions, and must at the same time be attested to be true by the signatures of the Master and an officer or some other member of the Crew; and a copy of such entry must be furnished, or the same must be read over to the offender, before the ship reaches any port, or departs from the port at which she is; and an entry that the same has been so furnished or read over, and of the reply, if any, of the offender, must be made and signed in the same manner as the entry of the offence. These entries must, upon discharge of the offender, be shown to the Superintendent before whom the offender is discharged; and, if he is satisfied that the offence is proved, and that the entries have been properly made, the fine must be deducted from the offender's wages, and paid over to the Superintendent.
If, in consequence of subsequent good conduct, the Master desires to remit or reduce any fine upon any member of his Crew which has been entered in the Official Log, he may, subject to the approval of the Superintendent, make an entry in the Official Log Book to that effect, and upon the indorsement of the entry with the approval of the Superintendent, the fine shall thereupon be remitted or reduced accordingly.

No.	Offence.	Amount of Fine.	Signature of Superintendent.
1	Striking or assaulting any person on board or belonging to the ship (if not otherwise prosecuted)...................................................................................................	Five shillings
2	Bringing or having on board intoxicating liquors.................................................	Five shillings
3	Drunkenness—first offence...................................................................................	Five shillings
„ second and for each subsequent offence......................................	Ten shillings
4	Taking on board and keeping possession of any firearms, knuckle-duster, loaded cane, slung shot, sword-stick, bowie-knife, dagger, or any other offensive weapon or offensive instrument without the concurrence of the Master—for every day during which a Seaman retains such weapon or instrument.................................................	Five shillings
5	Insolent or contemptuous language or behaviour to the Master or Officers, or disobedience to lawful commands, if not otherwise dealt with according to law.................	Five shillings
6	Absence without leave and without reasonable cause (if not otherwise dealt with according to law) for each day on which such absence occurs........................................	Two days’ pay

_______

ACCOUNT OF APPRENTICES ON BOARD.

Christian and Surnames of the Apprentices at full length.

Year of Birth.

Nationality. (If British, state Birthplace.)

Registry of Indenture.

Date of Joining subsequent to commencement of this Agreement.

Date, Place, and Cause of leaving this Ship, or of Death. If the Apprentice remains it should be stated.

To be filled up by the Master.

Date of.

Port of.

Date.

Place.

Cause.

* If a British Subject, state Town or Country of birth; and, if born in a Foreign Country, state if a natural-born British Subject or naturalized.

NAME OF

Preference No.	Particulars
	Signatures of Crew.	Year of Birth.	* Nationality (if British, state Birthplace.)	(1) Port of Engagement, Address, and (2) Home Address. N.B.—Both to be inserted. The Home Address is the one to which Communications should be made in the event of the Death of the Seaman.	Ship in which he last served and Date of Discharge therefrom.		Date and Place of Signing this Agreement.		In what Capacity engaged.	No. of Certificate (if any), and No. of Reserve Commission or R.V. 2 (if any).
					Date.	State Name and Official No. or Port she belonged to.	Date.	Place.
	1	2	3	4	5	6	7	8	9	10
1	Master to sign first.	(1)
		(2)
2	(1)
	(2)
3	(1)
	(2)
4	(1)
	(2)
5	(1)
	(2)
6	(1)
	(2)
7	(1)
	(2)
8	(1)
	(2)
9	(1)
	(2)

* If a British Subject, state Town or Country of Birth, and if born in

The capacities of Engineers not employed on the Propelling Engines and Boilers should be described here, and in the not merely as Engineers. Boys should be described as

‡If any Member of the Crew enters His Majesty’s Service, the Name of the King’s Ship into which he enters is to be should be briefly stated, thus,

Form M. & S.—3—continued.

SHIP

of Engagement.

Particulars of Discharge, &c. To be filled in by the Superintendent upon the Discharge, Death, or Desertion of any Member of the Crew.

Release.		Reference No.
Date and Hour at which he is to be on Board.	Amount of Wages per Calendar Month.		Amount of Weekly or Monthly Allotment	Signature or Initials of Official before whom the Seaman is engaged.	Date, Place, and Cause of leaving this Ship, or of Death.			Balance of Wages Paid on Discharge	We, the undersigned Members of the Crew of this Ship, do hereby release this Ship, and the Master and Owner or Owners thereof, from all Claims for Wages or otherwise in respect of this Voyage, except as stated hereunder; and I, the Master, do hereby release the said undersigned Members of the Crew from all Claims in respect of the said Voyage. Signature of Crew (each to be on the Line on which he signed in Col, 1).	Signature or Initials of Official before whom the Balance of Wages was Paid and Release signed, and Date.
					Date.	Place.	Cause ‡
11	12		13	14	15	16	17	18	19	20
1
2
3
4
5
6
7
8
9

a foreign Country, state if a natural-born British Subject or naturalized.

Certificate of Discharge as Engine-drivers, Donkeymen, Refrigerating Engineers, Electrical Engineers, or Winchmen, and Deck Boys, Cabin Boys, or as the case may be, not merely as Boys.
stated, under the head of “Cause of leaving the Ship,” thus, “H.M.S. Revenge,”and the other causes of leaving the Ship Discharged, “Deserted,” “Left Sick,” “Died.”

C.4.—2

allotments

The particulars of all Allotment Notes issued to Members of the Crew mentioned herein

Reference No.	Name of Seaman by whom Allotment is made.	Capacity.	Amount of Allotment.			Date of First Payment.
£	s.	d.

*NOTE.—The Navigation Act (Sec. 70) provides for allotment of wages being made by seamen engaged on Foreign

Form M. & S.—3—continued.

of wages.*

are to be inserted hereunder pursuant to Section 70 of the Navigation Act 1912-1920.

Periods at which Subsequent Payments are to be made.	Person to whom payment is to be made.			Initials of Superintendent.
	Name.	Address.	Relationship.

going Ships for voyages calculated to exceed two months. In no other case can any allotment be stipulated for or permitted.

C.4—3

Form M. & S.—3—continued.

Name of Ship

CERTIFICATES.

Or Indorsements made by Superintendents or by Consuls or other Proper Authorities.

Wages and Effects of Seamen left behind Abroad by Reason ofDesertion, Neglect to Join, etc. (Section 28, Merchant Shipping Act 1906.)

_____

Indorsement to be made by the Proper Officer on the Termination of the Voyage.

____

The wages and effects of seamen with the following reference numbers in this Agreement have been duly accounted for to me.

Nos.

Accounts of wages of seamen have not been delivered; those with reference Nos.

being exempted under Section 28 (12) (b), and those with reference Nos.

under Section 28 (12) (c).

Signature.

Date.

These exemptions do not apply when the Master elects to deal with the accounts collectively.

Form M. & S.—4.

Commonwealth of Australia.

Navigation Act 1912-1920.

REPORT OF SUBSTITUTES ENGAGED.

Issued under Nav. Act, s. 48; Nav.

(M. & S.) Reg. 7.

This Form is to be used whenever Substitutes are engaged aboard ship, except where a Foreign-going ship is leaving her final port in Australia, in which case Form M. & S.—5 is to be filled in and sent to the nearest Superintendent.

Note.—The Report is to be delivered or transmitted to the Superintendent within 24 hours of arrival at the next first port of call. Penalty: Ten Pounds.

Name of Ship.

Official Number.

Port of Registry.

Name of Master.

Nature of Voyage or Employment.

A.—Seamen who Failed to Join, or whose Services were, within 24 Hours of the Ship’s putting to Sea, lost by Death, Desertion, or other Unforeseen Cause.

Reference Number in Agreement.	Name of Seaman.	Year of Birth.	Birthplace.	Rating.	Date, Place, and Cause (whether Failure to Join (F.J.), Desertion (Des.), or Death.
					Date.	Place.	Cause.

B.—Seamen engaged as Substitutes. (See back of Form.)

0000000000000

I hereby declare to the truth of the Entries in this Report.

Master.

Date / / 19

To the Superintendent,

Mercantile Marine Office,

Port of

_____

[Back of Form.]

C.—Seamen Engaged as Substitutes.

Reference Number in Agreement.	Signature of Seaman.	Year of Birth.	Birthplace.	(1) Port of Engagement Address. (2) Home Address,	Last Ship.	Date and Place of Signing On.		Rating and Certificate (if any).	Date of commencing Work.	Initials of Master.
						Date.	Place.
(1)
(2)
(1)
(2)
(1)
(2)

Form M. & S.—5.

Commonwealth of Australia.

Navigation Act 1912-1920.

Issued under the Navigation Act 1912-1920,

Sec. 52; Nav. (M. & S.) Reg. 8.

Notice.—Any change in the Crew between the return to the Master by a Superintendent of the Agreement with the Crew and the final departure of the Ship from Australia must, whenever practicable, be effected before a Superintendent or Customs Officer, and this Account must be rendered to the Superintendent under a penalty of Five pounds for neglect. (Nav.. Act. s. 52.)

ACCOUNT OF CHANGES IN THE CREW OF A FOREIGN-GOING SHIP BEFORE FINAL DEPARTURE FROM AUSTRALIA.

Name of Ship.	Official Number.	Port of Registry.
Name and Address of Registered (Managing) Owner.
Name and Address of Master and No. of his Certificate (if any).

Mercantile Marine Office at which the Agreement was first opened, and the date.		Description of Voyage or Employment.
Date.	Place.

I hereby declare to the truth of the entries in this account of changes in crew.

(Signed) Master,

This day of 19 .

This Form is to be sent by the Master to a Superintendent of a Mercantile Marine Office.

_________

to be Forwarded at Once.

* Forwarded, in cases of Desertion or Failure to join, to the Superintendent, (where the Seamen were engaged) this day of 19 .

Signature of Superintendent, Mercantile

Marine Office at Port where Form is first received.

* Noted in “List of Deserters,” and forwarded to the Director of Navigation, Melbourne, this day of 19 .

Signature of Superintendent at

Port of Engagement.

* Strike out words which do not apply.

NOTICE.—The Discharges of men who fail to join, desert, or otherwise leave the ship, are to be returned with this Form. No entries or marks of any kind are to be made in the Books.

Form M. & S.—5.—continued.

Part I.)—SEAMEN WHO HAVE FAILED TO JOIN, DESERTED, OR OTHERWISE LEFT THE SHIP.

Reference No. in Agreement.

Christian and Surname at Length.

Birthplace and Year of Birth.

Date and Place of Signing Agreement.

Capacity; if Mate or Engineer, the No., of his Certificate.

If in the Reserve, the No. of R.V. 2.

Particulars of Leaving the Ship.

If the last Discharge is not forwarded with this Form, state the Reason.

Reference No. in Agreement.

Date.

Place.

Date, 7

Place. 8

Cause. 9

Date and Place of Death.

Christian and Surname of Deceased.

Sex.

Age.

Rating. 15

Nationality (stating Birthplace).

Home Address as recorded in Agreement.

Cause of Death (see footnotes*).

Date.

Place.

(Part II)—DEATHS OF MEMBERS OF THE CREW.

Form M. & S.—5.—continued.

(Part III.)—SUBSTITUTES ENGAGED.

Reference No. in Agreement.

Christian and Surname at Length.

Year of Birth.

Nationality

(stating Birthplace).

Addresses.

—

(1) Port of Engagement Address, and

(2) Home Address. N.B.—Both to be inserted. The Home Address is the one to which communications should be made in the event of the Death of the Seaman.

Ship in which he last Served, and Year of Discharge therefrom.

Date and Place of Signing the Agreement.

In what Capacity engaged. ‡No. of Certificate (if any) and No. of Reserve Commission or R.V. 2 (if any).

Date of commencing Work.

Amount of Wages per Week or

Calendar Month.

Amount of Weekly or Monthly Allotment.

Signature of Official or other Person before whom the Seaman is engaged.

Reference No. in Agreement.

Date.

State Name, Port of Registry, and Official No.

Date. 25

Place. 26

(1)——————

(2)——————

(1)——————

(2)——————

1. If the cause of death is from Disease, the name or nature of the same should be stated.

2. When the cause of death is Accidental, the circumstances attending the accident should be fully stated.

3. If at the time of an accidental death the vessel sustained any damage, loss of gear, cargo, &c, the nature of such damage or loss should be stated. If no damage or loss was sustained it should be so stated.

4. When the death is occasioned by any other cause, e.g., suicide, murder, &c.; full particulars of the same should be stated

If a British Subject, state Town or Country of birth: and if born in a foreign country, state whether a natural-born British Subject, or naturalized.

‡ The capacities of Engineers not employed on the Propelling Engines and Boilers should be described here and in the Certificate of Discharge as Engine-drivers, Donkeymen, Refrigerating Engineers, Electrical Engineers, or Winchmen and not merely as Engineers. Boys entirely employed in connexion with the work of Cooks and Stewards should be described as Cabin Boys, not merely as Boys.

M. & S.—6.

CERTIFICATE OF DISCHARGE.

No.

Issued under the Navigation Act

1912-1920.

For Seamen Discharged before the Superintendent of a Mercantile Marine Office in the Commonwealth of Australia.

Name of Ship.	Official No.	Port of Registry.	Reg. Tonnage.
Horse-power of Engines (if any).		Description of Voyage or Employment.

Name of Seaman.	Year of Birth.	Place of Birth.	No. of R.N.R. or R.A.N.B.—Comm. or Cert.	Capacity.—If Mate or Engineer, No. of Certificate (if any).
Date of Engagement.	Place of Engagement.		Date of Discharge.	Place of Discharge.

I certify that the above particulars are correct and that the above-named Seaman was discharged accordingly, *and that the character described hereon is a true copy of the Report concerning the said Seaman.

office seal

Dated this

day of 19

Master.

Authenticated by

Signature of Superintendent.

or official stamp

* If the Seaman does not require a Certificate of his character; obliterate the words appearing below, and score through the discs.

Character for Conduct.

Character For Ability.

Signature of Seaman

Note.—Any Person who forges or fraudulently alters any Certificate or Report, or who makes use of any Certificate or Report which is forged or altered or does not belong to him, shall for each such offence be deemed guilty of an indictable offence, and may be fined or imprisoned.

N.B.—Should this Certificate come into the possession of any person to whom it does not belong, it should be handed to the Superintendent of the nearest Mercantile Marine Office, or be transmitted to the Director of Navigation, Melbourne.

Form M. & S.—7.

Commonwealth of Australia.

Navigation Act 1912-1920.

_____

Sec. 67.

Nav. (M. & S.) Reg. 11.

REPORT OF CHARACTER.

Caution.—It is required by the Navigation Act and Regulations that the Master of a ship shall make and sign, in this Form, and shall forthwith deliver to the Superintendent, a report of the conduct, character, and qualifications of every seaman discharged before a Superintendent. The Act further provides that if anyperson knowingly makes a false Report of Character he shall be guilty of an indictable) offence.

Name of Ship.		Official Number.		Port of Registry.
No.	Name of Seaman.	Capacity.	Report of Character.			Initials of Master.	Date.
			For Ability.		For Conduct.
1 2 3 4 5 6

Date / /

Master.

Form M. & S.— 8.

Commonwealth of Australia.

Navigation Act 1912-1920.

Note.—The Navigation Act provides (Section 71) a summary remedy for the recovery of the Payments named in this Note.

_______

No.

Issued under the Navigation Act and Nav.

(M. & S.) Reg. 12.

SEAMAN’S ALLOTMENT NOTE.

The Allotment can only be in favour of the Seaman’s Wife, Father, Mother, Grandfather, Grandmother, Child, Grandchild, Brother, or Sister, or in favour of the Manager of a Savings Bank.

Name of Ship.	Port of Registry and Official No. of Ship.	Name and Address of Managing Owner.
Christian Name of Seaman.	Surname.	Rating.

Relation(1) or Bank in whose Favour this Allotment Note is given.

Name, Address, and Business or Occupation, or Name of Bank.

What Degree of Relationship.

Amount and Particulars of Allotment (First and Subsequent Payments).

Pounds.	Shillings.	Pence.
Figures
Words
Address at which Payment is to be made.		Date of First Payment (2).

The seaman named above, having entered into an Agreement to serve in the above-mentioned Ship, and having required that a stipulation be inserted in the Agreement for the allotment of part of his wages by means of an Allotment Note, and such stipulation having been inserted pursuant to Section 70 of the Navigation Act 1912-1920, I, the undersigned, being the Master(3) of the said Ship, give this Allotment Note for the amount in favour of the (relative) (bank) named above, to the intent that the said (relative) (bank) shall be entitled to recover the sum so allotted in accordance with the provisions of Section 71 of the said Act.

To Master. (3)

(The Person, Firm, or Company by whom payment is to be made.)

office

stamp. Seaman.

Date / / 19. Witness.(4)

(1) In the case of a Wife the Marriage Certificate must be produced, if required, when payment is demanded. (2) This must be one Month from the date of the agreement, and further payments must be made at the expiration of every subsequent month after the first month. (3) If the Owner or Agent givesthe note, this must be altered accordingly. (4) This should be the Superintendent of a Mercantile Marine Office. The Office Stamp should be affixed, to show the place of issue.

_______

[Back of Form M. & S.— 8.]

Received on the Within Written Note.

Date.	Sum Received.		Signature of Payee.
£	s.	d.
_

Form. M. & S.—9 & 9a.

Commonwealth of Australia.

Navigation Act 1912-1920.

_______

Issued under the Navigation Act

1912-1920, Sec. 76;

N. (M. & S.) Reg. 13.

ACCOUNT OF WAGES.

Name of Ship.			Port of Registry.			Official No.
Name of Seaman.	Reference No. in Agreement.	Date Wages Began.		Date Wages Ceased.	Total Period of Employment.
					Months.		Days.

Earnings.

Months at £ per month................................................

Days at per day....................................................

Overtime........................................................................................................ .

Extras..............................................................................................................

Total Earnings.................................................................................................

Deductions, excluding Allotments.

Date.	Particulars.	Amount.
Half Engagement and Discharge Fees Fines........................
Cash Advances, Stores, &c, supplied (in order of date)—
Cash on leaving Ship.........................................................
Total Deductions, exclusive of Allotments............................
Total Earnings (as above)................................................................................. Total Deductions, exclusive of Allotments (as above).........................................
Balance without deducting Allotments .............................................................
Allotments.......................................................................................................
Final Balance....................................................................... £

The above Account of Earnings and of Deductions, exclusive of Allotments, is correct—

Signature of Master

Port

Signature of Seaman

Date

Form M. & S.10.

RELEASE ON TERMINATION OF SERVICE.

With Note of Excepted Claims (if any).

Port of

Issued under the Navigation Act, Sec. 80;

and Nav. (M. & S.) Reg. 15.

Name of Ship.	Official Number.	Name of Master.	Name of Owner.	Description of Voyage.	Commencement of Voyage.
					Date.	Place.

We, the undersigned members of the crew of the above-named Ship, do hereby release the said Ship, and the Master and Owner thereof, from all claims for wages or otherwise (except as stated hereunder) in respect of the above-mentioned Voyage. And I, the Master, do hereby release the said undersigned Members of the crew from all claims in respect of the said Voyage.

Master.

Note.—There are excepted from this release any rights the seamen may have to benefits under Section 132 of the Navigation Act 1912-1920 (relating to Seamen left behind sick or injured, at a port in Australia, from a ship registered in Australia), and also the claims which are specified on the back hereof and which are identified by the signatures of the respective Seamen notifying such excepted claims.

Date.

Discharge. Number.

Signature of Seaman.

Balance of Wages Paid.

Date.

Discharge Number.

Signature of Seaman.

Balance of Wages Paid.

[Back of Form.]

Note of Specified Claims excepted from and entered by the respective Seamen whose Signatures appear below, upon signing the Release on the front hereof.

Signature of Seaman.

Claims Referred to Above.

Initials of Superintendent.

I attest the execution, in my presence, of the above Release, subject to the exceptions referred to.

Superintendent, M.M.O.

Form M. & S.—11.

Commonwealth of Australia.

______

Issued under the Navigation

Act, Sec. 80, and Nav.

(M. & S.) Reg. 16.

VOUCHER FOR PAYMENTS BY A MASTER.

Name of Ship.

Official Number.

Port of Registry.

Name of Master.

Description of Voyage.

Date of Final Termination of Voyage.

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

pounds shillings and pence.

£ : : [Official Stamp.]

Signed

Superintendent, Mercantile Marine Office.

Port of Date / / 192 .

Form M. & S.—12.

Commonwealth of Australia.

_____

Navigation Act 1912-1290.

_____

Issued under the Navigation

Act, Section 81, and Nav.

(M. & S.) Reg. 17.

SUBMISSION OF QUESTION TO ARBITRATION OF SUPERINTENDENT.

*I,/WE, the undersigned, hereby request that the Superintendent of the Mercantile Marine Office, , shall decide the following question, as being a question between the *Master / Owner and a Seaman or Apprentice in respect of a voyage or engagement in the ship of Official No. , which terminated on / / 19

Dated the day of 19

____

Question to be Decided.

(Signed)

*Master or Owner

*Seaman or Seamen

*Seaman or

Seamen

* Strike out the words that are inapplicable.

______

[Back of Form.]

*Refusal of Superintendent to Arbitrate.

I am of opinion that the question submitted is one that should be settled by a Court, and I accordingly refuse to decide it.

(Signed) Superintendent.

Date / / 19

______

*Decision by Superintendent in Regard to Question Submitted.

(Signed)

Superintendent.

Date / / 19

*Note.—The Superintendent will complete one or other of the indorsements above, the other indorsement being struck through. After the parties to the dispute have been informed of the result, the Form is to be retained by the Superintendent and filed as an official record.

Form M. & S. l—3.

Commonwealth of Australia.

Navigation Act 1912-1920.

ACCOUNT OF WAGES AND EFFECTS

Issued under the Navigation Act,

sec. 130, and Nav.

(M. & S.) Reg. 19.

of a Seaman left behind on the Ground of Unfitness or Inability to proceed on the Voyage.

Name and Official Number of Ship.

Port of Registry.

Name of Master.

Description of Voyage.

Name of Seaman.

Rating and the No. of his Certificate of Competency or Service (if any).

Date and Port of Engagement.

Date of Joining.

Date of Discharge.

Rate of Wages.

Creditor.

Amount.

Debtor.

Amount.

Wages at £

per Month for months days........

Allotment.............................

Deductions as per Contra.......

Balance due £

List of Effects.

I declare the above account to be just and true.

Dated this day of 192

Master.

(a) Here state cause.

(b) If illness, state nature of disesase and whether due to venereal disease, or the seaman’s wilful act, or default, or misbehaviour. If the result of injury in service, state nature of accident and injury.

I hereby certify that the above-named seaman was left at this port with my sanction on the ground of (a) (b) and that I have examined the above account and compared it with the Agreement, the Master’s Book, and the Official Log Book, and found it to be correct, and that the balance of wages, amounting to £ has been paid to me on account of the seaman, and the effects, together with the seaman’s

the seaman,

discharge book (Dis. A), have been delivered to (c)

discharges,

Dated this day of 192

Signature of Superintendent

Port of

I hereby acknowledge the correctness of this account of wages, and the receipt of the above-mentioned balance of wages due to me.

Date / / 192 Signature of Seaman

____

[Back of Form.]

I hereby consent to the final settlement of my wages being left to the Superintendent, Mercantile Marine Office, Port of

Signature of Witness Signature of Seaman

Date / / 192

Form M. & S.—14.

Commonwealth of Australia.

____

Navigation Act 1912-1920.

___

LIST OF CREW.

Issued under the Navigation

Act 1918-1920, s. 165;

and Nav. (M. & S.) Reg. 21.

To be delivered to the Superintendent of a Mercantile Marine Office when the particulars are not rendered in the form of an Agreement and Official Log.

Name of Ship.	Official No.	Port of Registry.	Port No. and Date of Register.	Registered Tonnage.		Nominal Horse-power of Engines.
				Gross.	Net.

Registered Managing Owner.

Name.

Address (State No. of House, Street, and Town).

Master.

Name.			No. of Certificate (if any).	Address (State No. of House, Street, and Town).
Commencement of Voyage.		Description of Voyage or Employment.			Termination of Voyage.
Date.	Place.				Date.	Place.

I hereby declare to the truth of the entries in this Account of Crew, &c.

Master or Owner.

Received at the Port of the day of 19

Superintendent.

Name of

Names of the Master and Crew.	Particulars of Engagement. To be filled in when the Agreement is not delivered.
	Year of Birth.	Nationality. (If British, state birthplace.)	Ship in which Seaman last served, and year of discharge therefrom. Particulars to be entered only when not given upon Office Copy of Agreement.		Date and Place of signing Agreement		In what Capacity engaged, No. of Certificate (if any), and No. Of Reserve Commission or R.V. 2 (if any).
	Year of Birth.	Nationality. (If British, state birthplace.)	Year.	Name of Ship and Official No. or Port she belonged to.	Date.	Place.
1	2	3	4	5	6	7	8
1	Master
2
3
4

Account of Apprentices on Board.

Christian Name and Surname at full length.	Year of Birth.	Place of Birth, stating name of Town or Country.	Registry of Indenture.		Date, Place, and Cause of leaving this Ship, or of Death.
			Date of.	Port of.	Date.	Place.	Cause.

In the case of lost vessels it should be clearly shown whether the seamen were “discharged,” “drowned,” or “supposed drowned, vessel

Form M. & S.—14—continued.

Ship.

(803y.)

Date of joining.	Particulars of Discharge or other Termination of Service. To be filled in when an Agreement is not delivered.					Release. For use when Crew are Discharged before a Superintendent and an Agreement is not Delivered.		Report of Character.
	Date, Place, and cause of leaving this Ship, or of Death.			Balance of Wages Due on Discharge.		We, the undersigned Members of the Crew of this Ship, do hereby release this Ship, and the Master and Owner or Owners thereof, from all Claims for Wages, or otherwise in respect of this voyage, and I, the Master, do hereby release the said undersigned Members of the Crew from all Claims in respect of the said Voyage. Signatures of Crew (each to be on the Line on which his name appears in Col. 1).	Signature or Initials of Official before whom the Balance of Wages was Paid and Release Signed, and Date.	To be entered when an Official Log is not Delivered.
	Date.	Place.	Cause.	Ability.	Conduct.
9	10	11	12	13		14	15	16	17
1
2
3
4

(To be filled in when the Agreement cannot be produced.)

Christian Name and Surname at full length.	Year of Birth.	Place of Birth, stating name of Town or Country.	Registry of Indenture.		Date, Place, and Cause of leaving this Ship, or of Death.
			Date of.	Port of.	Date.	Place.	Cause.

“Supposed drowned” and for missing vessels, the entry across columns 10, 11, and 12 should be missing since

Form M. & S.—14—continued.

To be filled in when an Official Log is not delivered.

MARRIAGES, BIRTHS, DEATHS, AND INJURIES THAT HAVE OCCURRED ON BOARD DURING THE VOYAGE.

Date of Marriage.	Christian and Surnames of both Parties.		Maiden Surname of Bride.*		Age.		Conjugal State.		Rank, Profession, or Occupation.
Birthplace and Nationality.		Last Place of Abode.		Name of Parents.		Rank, Profession or Occupation of Father.		Name, Permanent Address and Denomination of Officiating Clergyman.

*In the case of a widow or divorcee the Christian name, surname, and maiden surname should be given

e.g., Bachelor, spinster, widow, widower, or divorcee.

Date of Birth.

Christian Name (if any) of Child.

Sex.

Christian Name and Surname of Father.

Rank, Profession, or Occupation of Father.

Christian Name and Surname of Mother.

Maiden Surname of Mother.

(a) Birthplace, (b) Nationality, and (c) last place of abode.

Signature of Father or Mother.

Signature of Master.

Father.

Mother.

(a)

(b)

(c)

(a)

(b)

(c)

Date.	Place.	Christian Name and Surname of Deceased.	Sex and Age.	Rank, Profession, or Occupation.	Birthplace and Nationality.	Last Place of Abode.	Cause of Death. See footnotes.
Members of	Crew.
Passenger

Under the heading “Cause of Death” should be entered, as fully as the space will allow, the chief circumstances attending the death. If a fatal accident at or about the time of any injury to the ship, or to any part of it, or to the cargo, the fact should be stated.

If a death occurs in port it should be stated whether it occurred on board or in hospital.

If a seaman dies on shore from an accident which happened or a disease which developed while he was a member of the crew, it is desirable that an entry of the death should be made in the same way.

Date.

Place.

Name.

Rating on Board

Nature of Injury.

Circumstances.

Form M. & S.—15.

(In Duplicate.)

Commonwealth of Australia.

_____

Navigation Act 1912-1920.

_____

Issued under the Navigation Act

1912-1920. S. 166; and

Nav. (M & S.) Reg. 22.

RETURN OF BIRTHS, DEATHS, AND MARRIAGES.

To be furnished by the Master of a ship registered in Australia, or of any other ship (British or Foreign) carrying passengers to Australia.

Returns of Births and Deaths occurring on other British ships during the voyage to Australia, or whilst in Australian waters, are to be furnished in Board of Trade Form B. & D.I.

Name of Vessel.	Official Number.	Port of Registry.	Registered Tonnage.		Name of Master.
			Gross.	Net.

Description of Voyage.

Registered Owner.

Note.—It is important that the return on this form should be an exact copy of the entry in tabular form in the Official Log Book (if any).

Form M. & S.—15 (in Duplicate)—continued.

Name of Ship Official Number

Births.
Date of Birth.	Christian Name (if any) of Child.	Sex.	Christian Name and Surname of Father.	Rank, Profession, or Occupation of Father.	Christian Name and Surname of Mother.	Maiden Surname of Mother.	Father.		Mother.
							Birthplace and Nationality.	Last Place of Abode.	Birthplace and Nationality.	Last Place of Abode.
1 2 3 4 5

Deaths.

Date of Death.	Place of Death.	Christian Name and Surname of Deceased.	Sex.	Age.	Rating or Rank, Profession or Occupation.*	Birthplace and Nationality.	Home Address as recorded in Agreement.	Cause of Death.
Members of Crew, including Masters on European Agreement.
6 7 8 9 10
Persons who were not Members of the Crew.
11 12 13 14 15	Last Place of Abode.

Form M. & S.—15 (in Duplicate)—continued.

Marriages.

Date of Marriage.

Christian and Surnames of Both Parties.

Maiden Surname of Bride.

Age.

Conjugal State.‡

Rank, Profession, or Occupation.

Birthplace and Nationality.

Last Place of Abode.

Names of Parents.

Profession or Occupation of Father.

Name, Permanent Address, and Denomination of Officiating Clergyman.

* In the case of an Infant or Child, the words “Son of” or “Daughter of,” followed by the name of the Father, and his profession, should be recorded in the column for “Rating or Rank, Profession, or Occupation.” In the case of an illegitimate child the full name of the Mother, instead of that of the Father, should be recorded.

In the case of a Widow or Divorcee the Christian Name, Surname, and Maiden Surname should be given.

‡ e.g., Bachelor, Spinster, Widow, Widower, or Divorcee.

To be Filled in by the Master.	To be Filled in by the Superintendent to whom this Return is delivered.
I hereby certify that the above Return is an exact copy of the facts recorded in the tabular form in the Official Log Book of the above-named Ship. Signature of Master Date 192 The following particulars respecting a deceased Member of the Crew should also be given, if known:— Home Address	Strike out words which do not apply.	The above Return, which is an exact copy of the facts recorded in the tabular form in the Official Log Book, was delivered to me this day of , 192 , at the port of Additional Statement in case of Death. I have made inquiry into the death referred to, and reported the result on Form
Number of Certificate of Competency or of R.V. 2 (if any)	* State whether correct and true.	I find that this Return of the particulars of the death is* and that The wages and effects of the Deceased have been ‡
	State whether further inquiry is necessary or not.	Superintendent, M.M.O.
	‡State whether received by the Officer, or left in charge of the Master	Port of

Form M, & S.—15 (in Duplicate)—continued

Particulars of the Circumstances which led to the Death.

The Superintendent should also give the following particulars if the death occurred after the deceased had ceased to be a Member of the Crew:—

Date of Leaving Ship.	Place of Leaving Ship.	Cause of Leaving Ship. If an Injury, state the Nature and Cause of it.
Discharge
Desertion
Missing
Other Cause

—————————————

Form M. & S.—16.

Issued under the

Navigation Act 1912-1920,

Sec. 171; Nav. (M. & S.) Reg. 34.

[Pages ]

[Men ]

OFFICIAL LOG BOOK.

for

Foreign-going, Australian-trade, or Limited Coast-trade Ship.

Name of Ship.	Official No.	Port of Registry.	Registered Tonnage.		Name of Master.	No. of Certificate.
			Gross.	Net.

Port at which and Date when Voyage commenced.

Nature of the Voyage or Employment.

Port at which and Date when Voyage terminated.

Port..............................

Date..............................

Port..............................

Date..............................

Delivered to the Superintendent of Mercantile Marine at the Port of.......................................

on.....................day of.............................................19......

Countersigned

................................................................. ......................................................Master.

Superintendent.

.......................................................Address.

Form M. & S.—16—continued.

LIST OF CREW AND REPORT OF CHARACTER.

No.	Christian and Surname at Length of each Member of the Crew.	Capacity in which Engaged.	Report of Character.		If there is any entry in the Log relating in any way to the Crew, the page or pages in the Log where the entry is to be found should be written in this column opposite the man’s name.
			For Ability.	For General Conduct.
1
2
3

LOAD-LINE AND DRAUGHT OF WATER.

Position of the Load-line Disc and the Lines used in connexion with the Disc.

The centre of the disc is placed at feet inches below the deck-line marked under

the provisions of the Commonwealth Navigation Act 1912-1920 and of the Merchant Shipping Act 1894.

Maximum load-line in fresh water feet inches above the centre of the disc.

Maximum load-line in Indian summer feet inches above the centre of the disc.

Maximum load-line in summer the centre of the disc.

Maximum load-line in winter feet inches below the centre of the disc.

Maximum load-line in North Atlantic winter feet inches below the centre of the disc.

The above particulars are to be taken from the Load-line Certificate. The words which are not applicable should be erased.

______________

Dates of Arrival at and Departure from each Port touched at, with the free-board and Draught of Water upon every occasion of the Ship proceeding to Sea.

From						To
Date and Hour of Departure.	Dock, Wharf, Port or Harbour from which the Ship departs.	Draught of Water in salt water at time of proceeding to sea.		Free-board amidships corresponding to foregoing draught.		Date of Arrival.	Dock, Wharf, Port or Harbour.
		Forward.	Aft.	Port.	Starboard.
ft. in.	ft. in.	ft. in.	ft. in.

In the Northern Hemisphere the Summer Months are April to September inclusive, and the Winter Months October to March inclusive. In the Southern Hemisphere the Summer and Winter freeboards should be used during the corresponding or recognised Summer and Winter Months respectively.

The additional freeboard specified for the North Atlantic trades is to apply to vessels sailing to, or from, the Mediterranean or any British or European Port, which may sail to, or from, or call at, Ports in British North America, or eastern Ports in the United States, north of Cape Hatteras, from October to March inclusive.

The reduced freeboard allowed for voyages in the Fine Season in the Indian Seas only applies to vessels trading between the limits of Suez and Singapore.

The Fine Weather Season in the Indian Seas is defined as prevailing east of Tuticorin from the 15th November to the 25th May, and west of Tuticorin from the 1st September to the 25th May.

Form M. & S.—16—continued.

MARRIAGES, BIRTHS, AND DEATHS

Of Members of the Crew, and other persons on board, which have occurred during the voyage.

Marriages.

Date of Marriage.

Christian and Surnames of Both Parties.

Maiden Surname of Bride.*

Age.

Conjugal State. ‡

Rank, Profession or Occupation.

Birthplace and Nationality.

Last Place of Abode.

Names of Parents.

Profession or Occupation of Father.

Name, Permanent Address, and Denomination of Officiating Clergyman.

In the case of a Widow or Divorcee the Christian Same, Surname, and Maiden surname should be given.

‡ e.g., Bachelor, Spinster, Widow, Widower, or Divorcee.

(Signed).................................Officiating Clergyman.

............................. Master or Officer in Command

————————————

Births.

Columns to be filled in by the
Date of Birth.	Christian Name (if any) of Child.	Sex.	Christian Name and Surname of Father.	Rank, Profession, or Occupation of Father.	Christian Name and Surname of Mother.	Maiden Surname of Mother.
1
2
3
4
5

Deaths.

Columns to be filled in by the
Date of Death.	Place of Death.	Christian Name and Surname of Deceased.	Sex.	Age.	Rating, or Rank, Profession, or Occupation.*	Birthplace and Nationality.
6	Members of Crew, including.
7
8
9	Persons who were
10

In the case of an Infant or Child, the words “Son of” or “Daughter of,’ followed by the name of the

————————————

Form M. & S.—16—continued.

Officer in Command.								Columns to be filled in by Official to whom report is made.
Father.			Mother.			Signature of Father or Mother.	Signature of Master and Officer or member of Crew.	Port and Country at which the report is made.	Signature and Title of Officer to whom reported.
Birthplace and Nationality.	Last place of Abode.		Birthplace and Nationality.		Last place of Abode.
1
2
3
4
5
Officer in Command.
Home Address as recorded in Agreement		Cause of Death (See instructions on previous page).		Signature of Master or person in charge.		Signature of Officer or other member of the Crew.	Signature of Surgeon or Medical Practitioner, if any.
Masters on European Agreement. 6
7
8
not members of the Crew.—Last place of abode. 9
10

father and his profession, should be recorded in the column for “Rating or Rank, Profession or Occupation.” In the case of an illegitimate child the full name of the mother instead of that of the father should be recorded.

———————————

Form M. & S. 16—continued.

RECORD OF COLLISION, BOAT AND FIRE DRILLS AND OF EXAMINATION OF LIFE SAVING AND FIRE-EXTINGUISHING APPLIANCES AS REQUIRED BY REGULATIONS UNDER SECTIONS 217a AND 235 OF THE NAVIGATION ACT, OR (IN THE CASE OF BRITISH SHIPS TO WHICH THOSE REGULATIONS DO NOT APPLY) BY SECTION 9, MERCHANT SHIPPING ACT, 1906.

Date of Drill or Examination.

Nature of Drill (e.g., whether the boats were swung out, manned, &c.)

Nature of the Examination of Life Saving and Fire Extinguishing Appliances, and the condition in which they were found.

Date of Entry.

Signatures of Master and Mate.

______

OFFICIAL LOG of the

from

towards

Date of the Occurrence entered, with Hour.

Place of the Occurrence, or Situation by Latitude and Longitude at Sea.

Date of Entry.

Entries required by Act of Parliament.

Amount of Fine or Forfeiture inflicted.

N.B.—Every entry in this Log Book required by the Act must be signed by the Master and by an Officer or some other member of the Crew, and every entry of illness, injury, or death must also be signed by the Surgeon or Medical Practitioner on board (if any); and every entry of wages due to, or of the sale of the effects of, any Seaman or Apprentice who has died must be signed by the Master and by an Officer and some other member of the Crew; and every entry of wages due to any Seaman who enters His Majesty’s Service must be signed by the Master and by the Seaman or by the Officer authorized to receive the Seaman into such Service.

Form M. & S.—17.

Commonwealth of Australia.

Navigation Act 1912-1920.

ENGINE-ROOM LOG-BOOK.

Issued under the Navigation

Act 1912-1920, and Nav.

(M. & S.) Reg. 25.

Vessel.

Name of Ship.	Official Number.	Port of Registry.	Tonnage.
			Gross.	Net.

Engineers.

Names of Engineers.	Grade.	No. of Certificate.	Where Issued.	Period of Service.
				From.	To.

Boilers.

No. of.	Description.	Heating Surface in square ft.	Grate Area in square ft.	Evaporators.
No.
Maker

Engines.

No. of.	Description.	*Total N.H.P.	Sizes of Cylinders.	Diameter of Rotors.
In Engine-room—
Elsewhere—

* The N.H.P. to be calculated as prescribed in footnote to Schedule I. to the Navigation Act.

PERIODICAL SURVEY.

Full particulars to be entered here as to Docking, Examination of Boilers, Engines, Sea Connexions, Hull, Steam Pipes, and General Repairs in connexion with Periodical Survey.

Date.

ENGINE-ROOM LOG-BOOK.

Daily Register of the Ship on a voyage from to Date 192

Hour.

Steam Pressure per sq. in.

Vacuum, in inches, Condenser.

Revolutions—

Density of Water in Boilers (in ozs.).

Remarks on Condition of Weather, Telegraph Calls, Pumpings, and Accidents.

Per Watch of Four Hours.

Per Minute.

p.m. 1

Engineer on Watch.

a.m. 1

Engineer on Watch.

Lat.

Ship’s position at noon

Long.

Speed of engines….. nautical miles per day.

Speed of Ship ……. nautical miles per day.

Slip, per cent….

Revolutions for hours minutes

No. of days out from

Distance run …………………............miles.

Distance to go to …………….............miles.

Average revolutions per minute

Coal Account.

Coal used for propelling ship since noon yesterday ..	Tons.	Cwt.	Total amount consumed since noon yesterday.	Tons.	Cwt.	lbs. of coal per sq. foot of fire-grate per hour.
Coal used for working cargo	Remaining.............					lbs. of coal per sq. foot of fire-grate per hour.
„ „ lighting ..	Received at
„ ,, cooking ..	„	lbs. of coal per I.H.P. per hour.
,, ,, heating ..	„	lbs. of coal per I.H.P. per hour.
Banked fires .. ..	On board ……	per cent. ash.

Average Consumption of Coal per hour= tons.

Master.

Chief Engineer.

Form M. & S.—18.

Commonwealth of Australia.

Mercantile Marine Office.

NAVIGATION ACT 1912-1920.

No.

Nav. (M. & S.) Reg. 26.

Port of

This is to certify that (about years of age in 19 ) appears by the Official Records to have served in the undermentioned vessels in the capacities, and during the respective periods, herein stated, viz.:—

Vessel’s Name

Official Number.

Port of Registry.

Tons.

Horse Power.

Capacity in which he served.

From—

To—

Trade.

Conduct.

Ability.

Dated this day of 19

Official

Superintendent.

Stamp.

Form M. & S.—19.

Commonwealth of Australia.

Navigation Act 1912-1920.

APPLICATION FOR CERTIFICATE OF SERVICE AT SEA.

Nav. (M. & S.)

Reg. 26.

Name of Applicant in full.	Year of Birth.	Place of Birth.	Address to which the Certificate is to be sent.	No. of Certificate of Competency (if any).	Purposes for which the undermentioned Services are required to be verified.
1.	2.	3.	4.	5.	6.

The Applicant above-named requests that the following statement of Services may be verified.*

Name of Ship (if a steam vessel, S.S. should beplaced before the name.)	Official Number (if Known.)	Port Belonging to.	Tonnage.	Whether employed in Foreign or Coasting Trade.	Name of Master.	Capacity of Applicant on Board.	Period of Service to be verified.		Port in Australia at which discharged.
							From (Year and Month.)	To (Year and Month.)
7.	8.	9.	10.	11.	12.	13.	14.	15.	16.

*The Superintendent should verify as much service as possible from Discharges in possession of Applicant.

Signature of Applicant

_________________________

Printed and Published for the Government of the Commonwealth of Australia by Albert J. Mullett, Government Printer for the State of Victoria.