return of births · 2021. 5. 26. · rev 02-2021 smafmrb1 return of births maritime authority of...
TRANSCRIPT
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A division of
REV 02-2021SMAFMRB1
RETURN OF BIRTHS
Maritime Authority of the Cayman Islands125 Owen Roberts Drive, Breezy Castle Unit 1
PO Box 2256 Grand Cayman KY1-1107 Cayman Islands
Tel: +1 345 949 8831 Fax: +1 345 949 8849Email: [email protected]
Website: www.cishipping.com
IMPORTANT
The Officer abroad to whom this Return is given should forward it without delay direct to:
For the purpose of Regulations 7 and 8 of the Merchant Shipping (Returns of Births and Deaths) Regulations, 2004.
1 Ship Information
Name of Ship:
Official Number:
Port of Registry:
Name and Address of Owners (if ship is Unregistered):
IMO Number:
2 Instructions to Masters1
A Return of Birth should be delivered to a Shipping Master at the earliest opportunity. The Master should produce the Return together with his Official Log Book recording the occurrence.
1 Master includes every person (except a pilot) having command or charge of any ship.
Cayman Islands Ships (Registered & Unregistered)
The Master is required to make a Return of any birth of a child.
Other Ships
If the ship calls at a port the Master is required to make a Return of any birth of a citizen of the Cayman Islands which has occurred in the ship
during the voyage.
Instructions to Shipping Masters
The Officer receiving a Return of Birth from the Master must be satisfied that:
• It is correctly completed in all particulars. Any omission or ambiguity will lead to a delay in registration;
• The person making the Return is the Master of the ship;
• The vessel is a seagoing ship; and
• The entry in this Return and in the Official Log Book (where carried) are consistent with one another.
In the event of difficulties completing this form, assistance should be sought from the Cayman Islands Shipping Registry at the above address.
The Shipping Master Cayman Islands Shipping Registry 125 Owen Roberts DriveBreezy Castle Unit 1PO Box 2256Grand Cayman, KY1-1107 Cayman Islands
Tel: +1 345 949 8831Fax: +1 345 949 [email protected]
4 Signature of Father3 and/or Mother of the Child
2/3 Note: If the parents of the child are unmarried, the particulars relating to the father must not be given unless it is at the joint request of the mother and the person acknowledging himself to be the father, in which case such person shall sign the Return as well as the mother.
Father's Signature
Full name of Father: Date:
Mother's Signature
Full name of Mother: Date:
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REV 02-2021SMAFMRB1
RETURN OF BIRTHS
3 Particulars of Birth
Date of Birth:
Place of Birth (Latitude and Longitude if at sea):
Forenames (if any):
Surname of Child:
The Father2
Name:
Surname:
Occupation:
Nationality:
Usual Home Residence:
The Mother
Name:
Surname:
Maiden Surname (if different):
Occupation:
Nationality:
Usual Home Residence:
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A division of
REV 02-2021SMAFMRB1
RETURN OF BIRTHS
5 Certificate Signatures
Certificate to be signed by the Shipping Master to whom this Return is delivered
Certificate to be signed by the Master
I certify that:
• This Return is correct and true
• I have recorded the Birth in the Official Log Book or other record of the ship
Full name of Master: Date:
Master's Signature
Master
I certify that:
• This Return was made to me at the date and place shown below
• I have examined the Official Log Book, containing the relevant entries
Full name of Officer:
Title of Officer:
Date:
Place/Port:
Officer
Officer's Signature