Commonwealth Numbered Regulations

1982 No. 7 NAVIGATION (MASTER AND SEAMEN) REGULATIONS (AMENDMENT) - REG 3

3. Schedule 2 to the Navigation (Master and Seamen) Regulations is amended by
omitting Form 4 and substituting the following form:
FORM 4
Regulations 8 and 8B
COMMONWEALTH OF AUSTRALIA
Navigation Act 1912 REPORT OF CHANGES IN CREW THAT HAVE TAKEN PLACE OTHERWISE
THAN IN
THE PRESENCE OF A PROPER AUTHORITY
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--
                    Home Port or                           Date and place of

  Name of Ship    Port of Registry     Description of

                                           voyages         signing agreement

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--
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-- PART I - SEAMEN WHO FAILED TO JOIN THE SHIP OR WHOSE SERVICES WERE
LOST WITHIN 24 HOURS BEFORE THE SHIP PUT TO SEA
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-- Reference No. in agreement
Proper
return
       port   Name

of
seaman Year
of
birth Place
of
birth Nationality
Home
address Date
and
place of
signing
agreement Capacity
in which
engaged
Nos. of
certificates
(if any)
Date
and
place of
failure
to join
or loss
of
services Reason
for loss of services
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--
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--
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-- Referen No. in agreement
Proper
return
port
Name of
seaman
Year of
birth
Place
of
birth
Nationality
Home
Address
Date and
place of
signing
agreement
Capacity
in which
engaged
Nos. of
certificates
(if any)
Date and hour
to be on board
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--
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--
PART III - SEAMEN WHO HAVE BECOME
         MEMBERS  OF  THE CREW           PART  IV - SEAMEN  WHO  HAVE  CEASED

TO BE MEMBERS OF THE CREW
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-- Reference
         Name            Date             Reference

                                                   Name       Date

No. in    of            became             No. in   of        became
agreement
seaman Capacity
                        member    Port    agreement

seaman
Capacity
member
Port
Reason
for cessation
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--
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--
(Signature of Master)
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-- TOTAL COMPLEMENT OF SHIP
  Dated this          day of          19  .