| Issued in accordance with provisions of
regulation II-1/55.4 of the International Convention for the
Safety of Life at Sea (SOLAS), 1974, as amended, under the
authority of the Government of
...................…….…………………………….. by
………..…………………………….……….
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| (Name of
State)
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(Person or
organization authorized)
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| Name
of ship
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| Port
of registry
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| Ship
type
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| IMO
Number
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THIS IS TO CERTIFY that the following alternative design and arrangements applied to the
above ship have been approved under the provisions of SOLAS regulation
II-1/55:
1. Scope of the analysis or design, including the critical design assumptions and
critical design features:
2. Description of the alternative design and arrangements:
3. Conditions of approval, if any:
4. Listing of affected SOLAS chapter II-1 regulations:
5. Summary of the result of the engineering analysis and basis for approval, including
performance criteria and design casualty scenarios:
6. Test, inspection and maintenance requirements:
7. Drawings and specifications of the alternative design and arrangement:
| Issued at
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on
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....................................................
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(Signature of
authorized official issuing the certificate)
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| (Seal or stamp of issuing authority, as
appropriate)
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