Endorsement for annual and periodical surveys
|
THIS IS
TO CERTIFY that, at an a survey required by regulation
I/8 of the Convention, the ship was found to comply with the
relevant requirements of the Convention.
|
|
|
Annual survey:
|
Signed:
.......................................................
|
|
(Signature
of authorized official)
|
|
Place:
.........................................................
|
|
Date:
..........................................................
|
|
(Seal or stamp of the
authority, as appropriate)
|
|
|
Annual/Periodicalfootnotesurvey:
|
Signed:
.......................................................
|
|
(Signature of authorized official)
|
|
Place:
.........................................................
|
|
Date:
..........................................................
|
|
(Seal or stamp of the
authority, as appropriate)
|
|
|
Annual/Periodicalfootnote survey:
|
Signed:
.......................................................
|
|
(Signature of authorized official)
|
|
Place:
.........................................................
|
|
Date:
..........................................................
|
|
(Seal or stamp of the
authority, as appropriate)
|
|
|
Annual survey:
|
Signed:
.......................................................
|
|
(Signature
of authorized official)
|
|
Place:
.........................................................
|
|
Date:
..........................................................
|
|
|
(Seal or stamp of the
authority, as appropriate)
|
|
|
Annual/periodical survey in accordance with regulation I/14(h)(iii)
|
THIS IS
TO CERTIFY that, at an annual/periodicalfootnote survey in accordance with regulation
I/14(h)(iii) of the Convention, this ship was found to comply with
the relevant requirements of the Convention.
|
|
|
|
Signed:
.......................................................
|
|
(Signature of authorized official)
|
|
Place:
.........................................................
|
|
Date:
..........................................................
|
|
|
(Seal or stamp of the
authority, as appropriate)
|
|
|
Endorsement to extend the certificate if valid for less than 5 years
where regulation I/14(c) applies
|
The ship complies with the relevant requirements of
the Convention, and this certificate shall, in accordance with regulation
I/14(c) of the Convention, be accepted as valid until
..............................................................................................................................................
|
|
|
|
Signed:
.......................................................
|
|
(Signature of authorized official)
|
|
Place:
.........................................................
|
|
Date:
..........................................................
|
|
(Seal or stamp of the
authority, as appropriate)
|
|
|
Endorsement where the renewal survey has been completed and regulation I/14(d) applies
|
The ship
complies with the relevant requirements of the Convention, and this
certificate shall, in accordance with regulation
I/14(d) of the Convention, be accepted as valid until
..............................................................................................................................................
|
|
|
|
Signed:
.......................................................
|
|
(Signature
of authorized official)
|
|
Place:
.........................................................
|
|
Date:
..........................................................
|
|
(Seal or stamp of the
authority, as appropriate)
|
|
|
Endorsement to extend the validity of the certificate until reaching
the port of survey or for a period of grace where regulation I/14(e) or I/14(f) applies
|
The certificate shall, in accordance with regulation
I/14(e) / I/14(f)
footnote of the Convention, be accepted as valid until
................................................................................................
|
|
|
|
Signed:
.......................................................
|
|
(Signature
of authorized official)
|
|
Place:
.........................................................
|
|
Date:
..........................................................
|
|
|
(Seal or stamp of the
authority, as appropriate)
|
|
|
Endorsement for advancement of anniversary date where regulation I/14(h) applies
|
In accordance with regulation
I/14(h) of the Convention, the new anniversary date is
...............................................................................................................................
|
|
|
|
Signed:
.......................................................
|
|
(Signature of authorized official)
|
|
Place:
.........................................................
|
|
Date:
..........................................................
|
|
(Seal or stamp of the
authority, as appropriate)
|
|
|
In accordance with regulation
I/14(h) of the Convention, the new anniversary date is
...............................................................................................................................
|
|
|
|
Signed:
.......................................................
|
|
(Signature
of authorized official)
|
|
Place:
.........................................................
|
|
Date:
..........................................................
|
|
(Seal or stamp of the
authority, as appropriate)
|