Appendix 1 - Form of Statement of Compliance
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - Resolutions - Marine Environment Protection Committee - Resolution MEPC.94(46) - Condition Assessment Scheme - (adopted on 27 April 2001) - Annex - Condition Assessment Scheme - Appendix 1 - Form of Statement of Compliance

Appendix 1 - Form of Statement of Compliance

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

That the ship has been surveyed in accordance with the requirements of the Condition Assessment Scheme (CAS) (resolution MEPC.94(46), as amended);

2 =

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.

   
Date of completion of the CAS survey: dd/mm/yyyy.
   
This Statement is valid until .................................., or the date of issue of the Statement of Compliance, whichever is the earlier date.
   
Issued at ..............................................................................................................................
(Place of issue of the Statement)
............................................ ....................................................................................
(Date of issue) (Signature of duly authorized official issuing the Statement)
   
(Seal or stamp of the Recognized Organization, as appropriate)

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