T.V. 5/405.

ANNEX D.

REPORT OF COURT OF SURVEY.

(REGULATION 19.)

In the matter of the appeal noted by ........................................................ against the statement made by ...................................................................., a surveyor,  (or the notice given by .............................................................., a surveyor; or the refusal by .......................................................................,  a surveyor, to give a  certificate, as the case may be) in respect of the ship ........................................................., registered at the port of .....................................................................

The Court, having sat at .................................................... on the ................................................................ (here state all the days on which the Court sat) ............................................................ for the hearing of the appeal, makes, for the reasons stated in the Appendix hereto, the following order*:—

........................................................................................................................................

........................................................................................................................................

........................................................................................................................................

Dated at ....................................this ................day of ........................................, 19 ..............

...................................................................

Presiding Officer.

We (or I) concur in the above report.

....................................................................

Member.

....................................................................

Member.

APPENDIX TO THE REPORT.

(Here state fully the circumstances of the case and the reasons for the order made by the Court.)

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*As to the orders which a Court of Survey is competent to make, attention is invited to section 278 of Act No. 57 of 1951.