Merchant Shipping (Salvage and Wreck) Act, 1993
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 SECOND SCHEDULE Declaration of Claim to Remuneration for Salvage Services, etc.  | ||||||||||||||||||||||
DECLARATION OF CLAIM TO REMUNERATION FOR SALVAGE SERVICES AND APPLICATION TO THE RECEIVER OF WRECK TO DETAIN PROPERTY FOR PAYMENT THEREOF  | ||||||||||||||||||||||
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WE, WHOSE NAMES are hereto subscribed—  | ||||||||||||||||||||||
1. Do severally and conjointly, solemnly and sincerely declare that we have rendered salvage services to......................................................................................(a), of ..................................................................................................(b), when in danger on the ..... day of ................ [month], ....... [year], and that we are entitled to salvage for such services.  | ||||||||||||||||||||||
2. Therefore apply to the Receiver of Wreck for the District of ............... to detain such vessel/property(c) under the provisions of the Merchant Shipping Acts, 1894 to 1993.  | ||||||||||||||||||||||
AND WE MAKE this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act, 1938 .  | ||||||||||||||||||||||
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Declared before me at ................................  | ||||||||||||||||||||||
this ....... day of ............................ [month],  | ||||||||||||||||||||||
....... [year]  | ||||||||||||||||||||||
........................................................  | ||||||||||||||||||||||
Judge of the District Court/Peace Commissioner(c),  | ||||||||||||||||||||||
NOTES  | ||||||||||||||||||||||
(a) Here insert name and description of the vessel or other property salved.  | ||||||||||||||||||||||
(b) Here insert the nature of the services with any particulars necessary to identify the service rendered.  | ||||||||||||||||||||||
(c) Delete as appropriate.  | 
                			