| Issued under the provisions of the Condition
Assessment Scheme (resolution MEPC.94(46), as amended) by:
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(full name of the Recognized Organization)
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Particular of ship
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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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| Gross tonnage
.....................................................................................................................
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| Deadweight of ship (metric tons)
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| IMO number
.........................................................................................................................
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| Category of tanker
...............................................................................................................
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| THIS IS TO
CERTIFY:
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1 |
= |
That the ship has been surveyed in accordance with
the requirements of the Condition Assessment Scheme (CAS)
(resolution MEPC.94(46), as amended);
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2 |
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That the survey showed that the structural
conditions of the ship covered by CAS are in all respects
satisfactory and the ship complies with the survey requirements
of CAS.
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| Date of completion of the CAS survey:
dd/mm/yyyy.
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| This Statement is valid until
.................................., or the date of issue of the Statement of
Compliance, whichever is the earlier date.
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| Issued at
..............................................................................................................................
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(Place of issue of the Statement)
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| ............................................
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....................................................................................
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(Date of issue)
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(Signature of duly authorized official issuing the Statement)
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(Seal or stamp of the Recognized Organization, as appropriate)
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