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ENDORSEMENT FOR ANNUAL AND INTERMEDIATE
SURVEYS
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THIS IS
TO CERTIFY that at a survey required by 1.6.2 of the Code, the ship was
found to comply with the relevant provisions of the Code.
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Annual survey:
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Signed
....................................................................................
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(Signature of duly authorized official)
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Place
......................................................................................
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Date
(dd/mm/yyyy)
................................................................
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(Seal or stamp of the Authority, as appropriate)
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Annual/Intermediatefootnote survey:
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Signed
....................................................................................
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(Signature of duly authorized official)
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Place
...................................................................................
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Date (dd/mm/yyyy)
................................................................
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(Seal or stamp of the Authority, as
appropriate)
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Annual/Intermediatefootnote survey:
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Signed
................................................................................
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(Signature of duly authorized official)
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Place
......................................................................................
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Date
(dd/mm/yyyy)
................................................................
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(Seal or stamp of the Authority, as appropriate)
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Annual
survey:
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Signed
................................................................................
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(Signature of duly authorized official)
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Place
......................................................................................
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Date (dd/mm/yyyy)
................................................................
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(Seal or stamp of the Authority, as
appropriate)
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ANNUAL/INTERMEDIATE SURVEY IN ACCORDANCE WITH PARAGRAPH 1.6.6.8.3
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THIS IS
TO CERTIFY that, at an annual/intermediatefootnote survey in accordance with 1.6.6.8.3 of the Code, the ship
was found to comply with the relevant provisions of the Convention:
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Signed
................................................................................
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(Signature of duly authorized official)
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Place
......................................................................................
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Date (dd/mm/yyyy)
................................................................
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(Seal or stamp of the Authority, as appropriate)
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ENDORSEMENT TO EXTEND THE CERTIFICATE IF VALID FOR LESS THAN 5 YEARS
WHERE PARAGRAPH 1.6.6.3 APPLIES
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The ship complies with the relevant provisions of the
Convention, and this Certificate shall, in accordance with 1.6.6.3 of the
Code, be accepted as valid until
................................................................................
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Signed
................................................................................
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(Signature of duly authorized official)
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Place
......................................................................................
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Date (dd/mm/yyyy)
................................................................
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(Seal or stamp of the Authority, as
appropriate)
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ENDORSEMENT WHERE THE RENEWAL SURVEY HAS BEEN COMPLETED AND PARAGRAPH
1.6.6.4 APPLIES
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The ship complies with the relevant provisions of the
Convention, and this Certificate shall, in accordance with paragraph 1.6.6.4
of the Code, be accepted as valid until
................................................................................
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Annual
survey:
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Signed
................................................................................
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(Signature of duly authorized official)
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Place
......................................................................................
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Date (dd/mm/yyyy)
................................................................
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(Seal or stamp of the Authority, as
appropriate)
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ENDORSEMENT TO EXTEND THE VALIDITY OF THE CERTIFICATE UNTIL REACHING THE
PORT OF SURVEY OR FOR A PERIOD OF GRACE WHERE PARAGRAPH 1.6.6.5 OR
1.6.6.6 APPLIES
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This Certificate shall, in accordance with
1.6.6.5/1.6.6.6footnote of the Code, be accepted as valid until
................................................................................
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Signed
................................................................................
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(Signature of duly authorized official)
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Place
......................................................................................
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Date (dd/mm/yyyy)
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(Seal or stamp of the Authority, as
appropriate)
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ENDORSEMENT FOR ADVANCEMENT OF ANNIVERSARY DATE WHERE PARAGRAPH 1.6.6.8
APPLIES
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In accordance with paragraph 1.6.6.8 of the Code, the
new anniversary date is
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Signed
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(Signature of duly authorized official)
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Place
......................................................................................
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Date (dd/mm/yyyy)
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(Seal or stamp of the Authority, as
appropriate)
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In accordance with paragraph 1.6.6.8, the new
anniversary date is
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Signed
................................................................................
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(Signature of duly authorized official)
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Place
......................................................................................
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Date (dd/mm/yyyy)
................................................................
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(Seal or stamp of the Authority, as
appropriate)
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