(a) The chris-
tian and sur-
names in full,

with the address
and trade or occu-
pation of the
party applying
for the licence,

must be correctly

inserted. If a

member of a firm,

the christian and surnames of all the members must be given.

A. B. (a) of

Form of Passage Broker's Licence.*

in the

having shown to the satisfaction of me [or us] the undersigned, that he hath given bond to Majesty, as by the "Passengers Act, 1855," required, and also given fourteen days' previous notice to the emigration commissioners of his intention to make application for a licence to carry on the business of a passage broker in respect of passages from the United Kingdom to any place out of Europe, and not being within the Mediterranean Sea, I [or we], the undersigned, having had no sufficient cause shown to me [or us], and seeing no valid reason why the said A. B. should not receive such licence, do hereby license and authorize the said A. B. to carry on the business of a passage broker as aforesaid until the end of the present year, and thirty-one days afterwards, unless this licence shall be sooner determined by forfeiture for misconduct on the part of the said A. B. as in the "Passengers Act, 1855," is provided. Given under my hand and seal [or our respective hands and seals], this day of 186, at Justices of the Peace, Police or Stipendiary Magistrate, or Sheriff or Steward, or Sheriff or Steward Substitute [as the case may be].

Signature

(L.S.)

N.B.-Each member of a firm or partnership who acts as a passage broker must have a separate licence.

(b) Insert the christian and

surnames in full, with the address and occupation of the party.

Form of Notice to be given to the Emigration Commissioners by Justices

Gentlemen,

granting a Licence.

This is to give you notice, That we [or I], the undersigned, did on the license A. B. of (b)

day of

186

to carry on the

business of a passage broker under the provisions of the "Passengers Act, 1855."

Form of Notice to be given to the Emigration Commissioners by any Applicant for a Passage Broker's Licence.

Gentlemen,

in

I, A. B. (a) of do hereby give you notice, that it is my intention to apply, after the expiration of fourteen clear days from the putting of this notice into the post, to the justices to be assembled in petty sessions to be held (b) [or to the police or stipendiary magistrate or, if in Scotland, to the as the case may be,] for a licence to carry on the business of a passage broker under the provisions of "The Passengers Act, 1855."

for the city, or borough or district of sheriff or steward of

Signature

Date

To the Emigration Commissioners,

London.

Form of Notice to be given by the Justices to the Emigration Commissioners of Forfeiture of a Passage Broker's Licence.

of

Gentlemen,

This is to give you notice, That the licence granted on the 186

to A. B. (c) of
day of

broker, was on the

in

day (c) The christian

and surnames in

to act as a passage full, with the adnow last past duly declared by dress and trade or me [or us] the undersigned justices of the peace in petty sessions assembled, occupation of the

to be forfeited (d).

party to be here inserted.

(d) Here state generally the reason of forfeiture.

Form of Appointment of Passage Broker's Agent.

I, A. B., of, dc [or as the case may be] one of the partners and on behalf of the firm of, &c. [name all the partners and the style of the firm] carrying on the business of do hereby nominate and appoint you, C. D. of, &c., to act as my agent and on my behalf in the sale or letting of passages and otherwise in the business of a passage broker, according to the provisions of "The Passengers Act, 1855." Signature in full

Counter Signature

Place and date

186 .

{ Emigration Officer at the

on the

NOTICE TO CABIN PASSENGERS.

1. If cabin passengers, through no default of their own, fail to obtain a passage in
the ship, and on the day named in this contract ticket, they may obtain redress for
breach of contract by summary process under the 73rd section of the "Passengers
Act, 1855."

2. Cabin passengers must produce, on demand, their contract tickets to the
Government Emigration Officer under a penalty not exceeding £10. This ticket
should therefore be preserved and kept in readiness to be produced on board the ship.
N.B.-This contract ticket is exempt from stamp duty.

PASSENGER'S CONTRACT TICKET.

1. A contract ticket in this form must be given to every passenger engaging a passage from the United Kingdom to any place out of Europe, and not being within the Mediterranean Sea.

2. The victualling scale for the voyage must be printed in the body of the ticket.

3. All the blanks must be correctly filled in, and the ticket must be legibly signed with the christian names and surname and address in full of the party issuing the same. 4. The day of the month on which the passengers are to embark must be inserted in words and not in figures.

5. When once issued, this ticket must not be withdrawn from the passenger, nor any alteration, addition, or erasure made in it.

tons register, to take in passengers at
day of
186

in

I engage that the person named in the margin hereof shall be provided with a steerage passage to, and shall be landed at, the port of in the ship with not less than ten cubic feet for luggage for each statute adult, and shall be victualled during the voyage and the time of detention at any place before its termination, according to the subjoined scale, for the sum of £ including government dues before embarkation, and head money, if any, at the place of landing, and every other charge, except freight for excess of luggage beyond the quantity above specified, and I hereby acknowledge to have full received the sum of £ part

in {

payment.

The following quantities, at least, of water and provisions (to be issued daily), will be supplied by the master of the ship, as required by law, viz., to each statute adult three quarts of water daily, exclusive of what is necessary for cooking the articles required by the Passengers Act to be issued in a cooked state; and a weekly allowance of provisions according to the following scale:

[Here insert the victualling scale intended to be used on the voyage. This must be either the scale prescribed in the 35th section of the Passengers Act, 1855, or that scale modified by the introduction of articles authorized by the act to be substituted for oatmeal, rice, and potatoes.]

[N.B.-If mess utensils and bedding are to be provided by the ship, the stipulation must be inserted here.]

To be signed in full by the party issuing

the ticket.

* Insert number of souls and of statute adults respectively.

NOTICES TO PASSENGERS.

1. If passengers, through no default of their own, are not received on board on the day named in their contract tickets, or fail to obtain a passage in the ship, they should apply to the government emigration officer at the port, who will assist them in obtaining redress under the Passengers Act.

2. Passengers should carefully keep this part of their contract ticket till after the end of the voyage.

N.B.-This contract ticket is exempt from stamp duty.

(a) The christian and surnames in

full, with the ad

dress of the party

applying for the licence, must be here correctly inserted.

(b) City, town, or district in which the emi

grant runner is to carry on his business.

A. B. (a) of

Form of Emigrant Runner's Annual Licence.

in the

having made application in writing to us, the undersigned justices of the peace assembled in petty sessions, for the (b) of to grant to him a licence to enable him to be registered as an emigrant runner in and for (b) , and the said [A. B.] having also been recommended as a proper person to receive such licence by an emigration officer, or by the chief constable [or other head officer of police, as the case may be] of [the district, town or place in which the said A. B. is to carry on his business]: We, the under-mentioned justices, having no sufficient cause shown to us, and seeing of ourselves no valid reason why the said A. B. should not receive such licence, do hereby grant to him this licence for the purposes aforesaid, subject nevertheless to be revoked for misconduct on the part of the said A. B., as in the "Passengers Act, 1855," is provided.

(c) Insert this when the defendant is summoned.

(d) Insert this in

case a witness is summoned.

Form of Summons for a Defendant or a Witness.

A. B. Complainant. Į
C. D. Defendant.

County, or city, or
borough, or police
district of
[as
the case may be].

This is to command you to appear without fail on instant [or next] at

day of

noon,

at

the o'clock in the before me, or other the magistrate or justices of the peace then and there present (c) [to answer the complaint of (an emigration officer, or assistant emigration officer, or officer of customs), or [in the colonies a government emigration or immigration agent, as the case may be], for a breach of the section [or sections, as the case may be,] of the "Passengers Act, 1855,”] (d) [or to give evidence in the complaint of A. B. against C. D. for breach of the " Passengers Act, 1855."]

Justice of the peace, or police

or stipendiary magistrate, or sheriff or steward, or sheriff substitute, or steward substitute [as the case may be].

18.

(a) State whether
emigration officer,

or officer of cus-
toms, or govern-
ment emigration
agent, or passen-
ger of the ship
, as the case
may be.

(b) Here describe
briefly and in
general terms the
requirement [or
requirements] of
the act which has
not been fulfilled.
(c) Name the

witness, or witnesses if more than one.

Form of Conviction and Order of Adjudication under the “Passengers Act,
1855," when the Defendant appears.

A. B. Complainant. Į Be it remembered, that on the
day of
C. D. Defendant. instant, C. D. of
personally came before me
[or us, as the case may be], at to answer the
complaint of A. B. (a) for a breach of the
section [or sections, as the case may be], of "The Pas-
sengers Act, 1855," in that, &c. (b) or [as the case may
be], for a breach of the contract contained in a certain
contract ticket, dated
and issued by
in the ship

County, or city, or
borough, or police
district, or stew-
artry of
[as

the case may be].

to

for a passage to

Whereupon I [or we] did proceed to examine into the complaint so made against the said C. D., and the same having been [admitted to be true by the said C. D., or as the case may be,] fully proved to my [or our] satisfaction by the testimony on oath of E. F. (c), a credible witness [or witnesses], I [or we] (d) (do convict him the said C. D. of the offence [or offences] aforesaid; and I [or we]) do adjudge and order that he shall pay to the said A. B. as such [emigration officer, or government emigration agent, or viction, but only officer of customs, or passenger of the ship as the case may be], the sum of £ by way of penalty [or by way of subsistence money, or of

(d) Omit these words where there is no con

an order of adjudication.