The Coasting-Vessels Act, 1838
This is to certify that (here insert the names, occupation and residence of the owners) having declared that (he or they) are sole owner or owners of the vessel (fishing-vessel or harbour-craft) called (the name) which is of the burthen of (number of 1[tons])and that the said vessel (fishing-vessel or harbour-craft) was (where and when built), the said vessel (fishing-vessel or harbour-craft) has been duly registered at the port of (name of port).
Certified under my hand.
1. Subs. by Act22 of 1952, s. 9, for "Bombay khandls".
(Signature of Officer)