DECLARATION OF OWNERSHIP

I son/daughter of of town/village district subject of the state of residing permanently at do hereby declare that was built at by in the year and was purchased by me for Rs I wish to have the said vessel registered in my name at the port/place I declare that I am the sole owner of the said vessel. I further declare that the vessel is intended to ply in the port of .

Made and subscribed on by in the presence of son/daughter of of village/town district state .

Signature of owner