New Zealand Gazette – 1854 – No. 2

Page 10

✨ Quarantine Forms and Templates



10

er communication with on your passage, and
from whence did they come?
Answer.

  1. Have you any, and what Bills of Health?
    Answer.

  2. Did the Cholera or any other highly in-
    fectious and dangerous disease prevail at the
    place from which you sailed, or at any of the
    places at which you have touched, or on
    board of any vessel with which you have had
    communication? If so, state when and
    where?
    Answer.

  3. In the course of your voyage, have any
    persons on board suffered from sickness of
    any kind, what was the nature of such sick-
    ness, and when did it prevail? How many
    persons were affected by it, and have any of
    them died in the course of the voyage?
    Answer.

  4. What number of Officers, Mariners, and
    Passengers have you on board?
    Answer.

  5. What was the whole number of persons
    on board your vessel when you sailed?
    Answer.

  6. What is the whole number of persons
    now ill on board your vessel ?
    Answer.

  7. If there be no sickness now on board,
    when did the last attack of disease appear,
    and when did it entirely disappear ?*
    Answer.

PILOT'S LICENCE.

By virtue of the power in me vested, you
are hereby authorised and directed to act as
Pilot for the Port of and you are
enjoined to use your best skill and knowledge
in all duties appertaining to that office, strictly
conforming to the regulations of the Harbour
aforesaid, and obeying such orders and in-
strucions as you may from time to time re-
ceive from me.

Given under my hand this
day of in the year of
our Lord 185, at Government
House, Auckland, New Zealand.

SCHEDULE B. DECLARATION.

I, A. B., of the do
solemnly declare that I have delivered all
Public Despatches, Letters, Parcels, News-
papers, and all Post Office Mails and Letters,
both in parcels and loose, which were on
board my vessel,

Witness Signature of Master.

Auckland:—Printed by WILLIAMSON & WILSON, for the New Zealand Government.




Online Sources for this page:

VUW Te Waharoa — PDF NZ Gazette 1854, No 2




✨ LLM interpretation of page content

🏛️ Continuation of Harbour and Quarantine Regulations Questionnaire (continued from previous page)

🏛️ Governance & Central Administration
12 January 1854
Quarantine, Health declaration, Infectious disease, Ship voyage, Passenger count

🏘️ Template for Pilot's Licence Issuance for a Port

🏘️ Provincial & Local Government
Pilot licence, Port regulations, Harbour duties, Auckland

🚂 Schedule B Declaration regarding delivery of Public Despatches and Mails

🚂 Transport & Communications
Schedule B, Declaration, Public Despatches, Master, Post Office Mails