Naval Agency and Distribution Act 1864

Form of Appointment of Ship’s AgentU.K.

I, (1) commanding officer of Her Majesty’s , (2)hereby appoint (3)of (4)to be the ship’sagent for the purposes of the Naval Agency and Distribution Act, 1864.

Dated the day of .

(Signed)A.B.

Witness,

(Signed)C.D.

(1) Name of officer.

(2) Description and name of ship.

(3) Name of agent.

(4) Address of agent.