(1) Name of ship;
(2) Port of registry; (3) Official number; (4) Gross tonnage; (5) Net tonnage; (6) Kilowatts; (7) Name and address of registered owner; (8) Description of the ship (e. g. whether passenger ship, tanker, ferry, general cargo, bulk carrier); (9) Date and place of commencement of agreement and list of crew, and signature of master; (10) Date and place of termination of agreement and list of crew, and signature of master.