Merchant Shipping Act, 1951 (Act No. 57 of 1951)RegulationsDistressed Seamen's Regulations, 1961AnnexuresAnnexure B : Order for the Conveyance of a Distressed Seaman |
Annexure B
T.V. 5/243
REPUBLIC OF SOUTH AFRICA
DEPARTMENT OF TRANSPORT-MARINE DIVISI0N
ORDER FOR THE CONVEYANCE OF A DISTRESSED SEAMAN
(Section 155 of Act 57/1951)
1. | To the master of the ship _________________________at the port of _____________________________ |
Official No. of ship
Port of registry of ship
Owner of ship
You are hereby required to receive on board your ship and to convey in accordance with the provisions of section 155 of Act 57/1951, the undermentioned seaman to the port of ____________________________. You will be paid at the rates specified on the final page of this form.
Dated at this day of _________________19_______
OFFICIAL STAMP.
______________________________ |
Signature of Proper Officer | Designation of Proper Officer |
Names of Seaman to be conveyed (In block letters) |
Place of Birth of Seaman |
Date of Birth of Seaman |
Race and Nationality |
No. of Seaman's Record Book |
Home Address of Seaman |
Proper Return Port (i.e the final port of destination of seaman) |
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2. | Particulars regarding voyage during which seaman became distressed and circumstances relating to such distress. |
(a) Particulars of Last Voyage |
(b) Place of Discharge or leaving behind of Seaman and Date |
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Name of Ship |
Official No. |
Port of Registry (or nationality) |
Port where Seaman was Engaged and Date |
Port where Voyage was to Terminate and Date |
Rank or Rating of Seaman |
Wages of Seaman |
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(c) Cause of Discharge or leaving behind of Seaman |
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Desertion |
Absence without Leave |
Imprisonment for Misconduct |
Discharge by Maritime Court on ground of Misconduct |
Illness (state nature of and whether due to own wilful act of default or own mis- behaviour) |
Injury (state nature of and whether due to own wilful act or default or own mis- behaviour) |
Termination of Agreement |
Mutual Consent |
Other Causes (specify) |
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3. | Statement of wages of seaman, and expenses incurred by proper officer. |
(a) | Particulars of wages paid to proper officer and credited to Secretary. |
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Rand |
Cent |
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Rand |
Cent |
Wages— Amount |
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Deductions— Advances
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Less total deductions |
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Other (specify)
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Net Balance |
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Total Deductions |
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NOTE: -Insert "NONE" if wages not deposited.
(b) | Particulars of expenses incurred by proper officer. |
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Rand |
Cent |
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Total |
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4. | Declaration to be made by master of conveying ship before the proper officer at the port to which the seaman is conveyed. |
Name of Ship |
Official No. |
Port of Registry |
Name of Master |
Complement of Crew
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No. of Crew while Distressed Seaman was being conveyed |
Date when Maintenance on Board commenced |
Place where Distressed Seaman Landed (if not landed, cause to be stated) |
Date when Distressed Seaman landed or otherwise disposed of |
Number of Days Distressed Seaman was maintained |
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I hereby declare that the distressed seaman recorded in this order form was maintained by me for the period stated and that during the whole of that period I had my full complement of crew (except_____________________), exclusive of the aforesaid seaman.
Signature of Master
Declared before me ____________________ on this _______ day of ___________________19_____
Port _____________________
OFFICIAL STAMP
Signature of Proper Officer
5. | Claim for expenses incurred by master of ship for medical attendance and extra diet in respect of the distressed seaman. |
Nature of Illness |
Dates on which Medical Attendance was given |
Dates on which extra Diet was given |
Number of Days |
Wine and Spirits Supplied |
Total Amount Due |
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Description |
Price |
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Rand |
Cent |
Rand |
Cent |
I hereby acknowledge receipt of the medical attendance, etc., stated herein.
Date____________________________ |
Signature of Seaman
Certified in accordance with the official log-book.
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Signature of Master | Signature of Medical Practitioner |
Date ____________________________
6. | Certificate of the proper officer at the port where the distressed seaman is landed, and receipt of master for conveyance. |
No. of Days Maintained |
Rate per Day |
Amount |
I hereby certify that the amount of ___________is due for the conveyance of the distressed seaman.
OFFICIAL DATE STAMP
Port ___________________
________________________ Signature of Proper Officer |
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Rand |
Cent |
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Suez Canal dues which when payable |
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Medical attendance, etc., as in division 5 |
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TOTAL |
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I hereby acknowledge receipt of the sum of __________________as shown above.
Port _____________________________
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Signature of Master
Date ____________________
7. | Balance of wages. |
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Rand |
Cent |
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Rand |
Cent |
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Wages— |
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Expenses— |
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Balance of wages as stated in division 3 |
Rail fare to |
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Less total deductions (a) and (b) |
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Maintenance charges, etc. |
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BALANCE DUE TO SEAMAN |
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TOTAL DEDUCTIONS |
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(NOTE. | Deductions are only to be made in cases of desertion, absence without leave, imprisonment for misconduct from ship by a maritime court on the ground of misconduct, discharge by mutual consent, and in cases of illness or injury of the seaman's own wilful act or default or own misbehaviour). |
I declare that I am proceeding to the following address ________________________________________________________________________________________________________________________
I acknowledge receipt of the amount of ______________ being the balance of wages due to me.
Date ______________________ | _________________________________ |
Signature of Seaman
Place
Summary— |
Rand |
Cent |
Port ____________________ |
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TOTAL |
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INSTRUCTIONS TO BE OBSERVED
1. | It is most important that the particulars in division 2 of this form shall be correct as they form the basis of settlement with seaman when landed. |
2. | The seaman's effects, discharge book and account of wages (if any) shall accompany him. |
3. | Entries shall be made in the official log-book of the receipt on board of the seaman and of any medical attention or comfort given and of his disembarkation. |
4. | If the seaman is transferred to any other ship, the particulars, with the date of transfer and the ship's name, shall be entered at the time of transfer in the official log-book of both ships. |
5. | On arrival at the port to which the seaman is conveyed, the master shall arrange for him to be taken to the proper officer. |
6. | Responsibility for the payment of the claim will not be accepted unless the seaman is produced or adequate reasons furnished to show why this cannot be done. |
7. | In special cases where in the opinion of the medical practitioner, the health of a seaman conveyed under this order demands medical attention, extra diet or wines, entries shall be made in the official log-book of the days on which such attendance, etc., was given and signed by the master and medical practitioner who shall complete division 5 in order, to obtain the allowance of 10c a day granted in cases where seamen have required such attendance or extra diet, and payment of wines supplied under the order of the medical practitioner. |
8. | Deductions shall only be made in cases of desertion, absence without leave, imprisonment for misconduct, discharge from ship by a maritime court on the grounds or misconduct, discharge by mutual consent, and in cases of illness or injury due to the seaman's own wilful act or default or own misbehaviour. |
9. | The conveyance rates prescribed are as follows:— |
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Per Day |
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R1,00 |
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R0,75 |
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R0,40 |
10. | A separate form shall be used for each seaman. |
11. | Proper officers are required to satisfy themselves from the ship's papers that claims in respect of expenses incurred by the master are correct before making payment to the master under division 6 or to the seaman under division 7. In cases where they are not satisfied, the matter shall be referred to the Secretary. |