Merchant Shipping Act, 1951 (Act No. 57 of 1951)

ANNEX

PRESCRIBED FORMS

FORM 2 (Regulation 4(a))

REPUBLIC OF SOUTH AFRICA

SOUTH AFRICAN MARITIME SAFETY AUTHORITY

LICENCE UNDER SECTION 68 OF ACT 57 OF 1951

Official No. ................................................

Issued at .................................on ........................................expires ........................................

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Signature and designation