Form of International Certificate on Load Lines
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - International Conventions - Load Lines, 1966/1988 - International Convention on Load Lines, 1966, as Amended by the Protocol of 1988 - Annex III - Certificates - Form of International Certificate on Load Lines

Form of International Certificate on Load Lines

INTERNATIONAL LOAD LINE CERTIFICATE
 
(official seal)     (State)
  Issued under the provisions of the INTERNATIONAL CONVENTION ON LOAD LINES, 1966, as modified by the Protocol of 1988 relating thereto  
 
under the authority of the Government of
  ___________________________________________________________  
  (name of the State)  
by ___________________________________________________________  
  (person or organization recognized)  
 
Particulars of ship footnote
Name of ship ..........................................................................................................................................................................................
Distinctive number or letters ...............................................................................................................................................................
Port of registry .......................................................................................................................................................................................
Length (L) as defined in article 2(8) (in metres) ..............................................................................................................................
IMO Numberfootnote.......................................................................................................................................................................................
  Freeboard assigned as:footnote Type of shipfootnote  
           
  A new ship   Type 'A'    
      Type 'B'    
  An existing ship Type 'B' with reduced freeboard  
      Type 'B' with increased freeboard  
           
Freeboard from deck line footnote Load line  
Tropical ... mm (T) ... mm above (S)
Summer ... mm (S) Upper edge of line through centre of ring
Winter ... mm (W) ... mm below (S)
Winter North Atlantic ... mm (WNA) ... mm below (S)
Timber tropical ... mm (LT) ... mm above (LS)
Timber summer ... mm (LS) ... mm above (S)
Timber winter ... mm (LW) ... mm below (LS)
Timber winter North Atlantic ... mm (LWNA) ... mm below (LS)
Allowance for fresh water for all freeboards other than timber ... mm. For timber freeboards ... mm.
The upper edge of the deck line from which these freeboards are measured is ... mm ......... deck at side.
 
THIS IS TO CERTIFY:
1 That the ship has been surveyed in accordance with the requirements of article 14 of the Convention.
2 That the survey showed that the freeboards have been assigned and load lines shown above have been marked in accordance with the Convention.
           
This certificate is valid until ...........................................footnote subject to annual surveys in accordance with article 14(1)(c) of the Convention.
Completion date of the survey on which this certificate is based: ..............................................
(dd/mm/yyyy)
Issued at ..................................................................................................................................................................................................
(Place of issue of certificate)
..................................................................   .......................................................................................................
(Date of issue)   (Signature of authorized official issuing the certificate)
(Seal or stamp of the authority, as appropriate)
 

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 fresh water allowance shown above. Where the density is other than unity, an allowance shall be made proportional to the difference between 1.025 and the actual density.

Endorsement for annual surveys
       
THIS IS TO CERTIFY that, at an annual survey required by article 14(1)(c) 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 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 Survey:   Signed ......................................................................................................
    (Signature of authorized official)
    Place .........................................................................................................
    Date ..........................................................................................................
  (Seal or stamp of the authority, as appropriate)    
Annual survey in accordance with article 19(8)(c)
       
THIS IS TO CERTIFY that, at a survey in accordance with article 19(8)(c) of the Convention, the ship was found to comply with 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 article 19(3) applies
The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with article 19(3) 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 article 19(4) applies
The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with article 19(4) 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 article 19(5) or 19(6) applies
This certificate shall, in accordance with article 19(5)/19(6) 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 article 19(8) applies
In accordance with article 19(8) 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 article 19(8) of the Convention the new anniversary date is ....................................................
    Signed ......................................................................................................
    (Signature of authorized official)
    Place .........................................................................................................
    Date ..........................................................................................................
(Seal or stamp of the authority, as appropriate)
* Delete as appropriate.
Parent topic: Annex III - Certificates
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