INTERNATIONAL LOAD LINE CERTIFICATE (1966)
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(Official
seal)
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Issued
under the provisions of the International Convention on Load Lines, 1966, under
the authority of the Government of
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(full official designation of the country)
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by
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(full official designation of the competent person or
organization
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recognized under the provisions of the International
Convention
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on Load Lines, 1966)
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Name of Ship
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Distinctive Number or Letters
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Port of Registry
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Length (L) as defined in Article 2
(8)
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Freeboard
assigned as:
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Type of
ship
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A new
shipfootnote
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Type
'A'footnote
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An existing
shipfootnote
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Type
'B'footnote
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Type 'B'
with reduced freeboardfootnote
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Type 'B'
with increased freeboardfootnote
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Freeboard from deck
line
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Load line
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Tropical
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...... mm. (inches) ( T)
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...... mm.
(inches) above (S)
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Summer
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...... mm. (inches) ( S)
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Upper edge
of line through centre of ring
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Winter
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...... mm. (inches) ( W)
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...... mm. (inches) below (S)
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Winter
North Atlantic
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...... mm. (inches) ( WNA)
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...... mm. (inches) below (S)
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Timber
tropical
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...... mm. (inches) ( LT)
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...... mm. (inches) above (LS)
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Timber
summer
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...... mm. (inches) ( LS)
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...... mm. (inches) above (S)
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Timber
winter
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...... mm. (inches) ( LW)
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...... mm. (inches) below (LS)
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Timber
winter North Atlantic
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...... mm. (inches) ( LWNA)
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...... mm.
(inches) below (LS)
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Note Freeboards and load lines which are not applicable need not
be entered on the certificate.
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Allowance
for fresh water for all freeboards other than timber ........ mm. (inches). For
timber freeboards ........ mm. (inches).
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The upper
edge of the deck line from which these freeboards are measured is ........ mm.
(inches) ........ deck at side.
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Date of
initial or periodical survey
...............................................................
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This is to
certify that this ship has been surveyed and that the freeboards have been
assigned and load lines shown above have been marked in accordance with the
International Convention on Load Lines, 1966.
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This
certificate is valid until
..............................................................., subject to
periodical inspections in accordance with Article 14 (1)
(c) of the Convention.
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Completion date of the survey on which this certificate is based:
...................................
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(dd/mm/yyyy)
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Issued at
.................................................................................................................................
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(Place of issue of certificate)
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...............................
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19 ........
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(Date of
issue)
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(Signature of official issuing the certificate)
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and/or
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(Seal of issuing authority)
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If signed, the following paragraph is to be added:
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The
undersigned declares that he is duly authorized by the said Government to issue
this certificate.
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.......................................................................................
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(Signature)
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Note
1. When a ship departs from a port situated
on a river or inland waters, deeper loading shall be permitted
corresponding to the weight of fuel and all other materials required for
consumption between the point of departure and the sea.
Note
2. When a ship is in fresh water of unit
density the appropriate load line may be submerged by the amount of the
fresh water allowance shown above. Where the density is other than unity,
an allowance shall be made proportional to difference between 1.025 and
the actual density.
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Reverse of Certificate
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This is to certify that at a periodical inspection
required by Article 14 (1) (c) of the Convention, this ship was found to comply
with the relevant provisions of the Convention.
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Place
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Date .........................................
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Signature and/or Seal of issuing authority.
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Place
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Date .........................................
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Signature and/or Seal of issuing authority.
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Place
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Date .........................................
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Signature and/or Seal of issuing authority.
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Place
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Date .........................................
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Signature and/or Seal of issuing authority.
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The provisions of the Convention being fully complied
with by this ship, the validity of this certificate is, in accordance with
Article
19 (2) of the Convention, extended until
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Place
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Date .........................................
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Signature and/or Seal of issuing authority.
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