Hong Kong Regulations

MERCHANT SHIPPING (SEAFARERS) (RETURNS OF BIRTHS, DEATHS AND MISSING PERSONS) REGULATION - SCHEDULE 6

RECORD OF DEATHS

[sections 12(b) & 16]

No. Name
of
ship,
official
no.
and
port of
registry

(1)

Date
and
place
of
birth

(2) Name,
surname
and
usual
residence
at time
of death

(3)

Sex

(4)

Age

(5) Profession
or
occupation,
rank or title
(if any)
and
nationality

(6)

Cause
of
death

(7)
Name,
description
and home
address of
informant

(8)

When
registered

(9)

Signature
of Super-
intendent

(10)