Endorsement for annual and intermediate surveys
|
|
|
THIS IS TO CERTIFY that, at a survey required by regulation
I/10 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/Intermediatefootnote survey:
|
Signed:
.......................................................
|
|
(Signature of authorized official)
|
|
Place:
.........................................................
|
|
Date:
..........................................................
|
|
(Seal or stamp of the authority, as appropriate)
|
|
|
Annual/Intermediatefootnote 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/intermediate survey in accordance with regulation I/14(h)(iii)
|
THIS IS TO CERTIFY that, at an
annual/intermediate surveyfootnote 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 for inspections of the outside of the ship's bottomfootnote
|
THIS IS TO CERTIFY that, at an inspection required by
regulation I/10 of the Convention, the ship was found to comply
with the relevant requirements of the Convention.
|
|
|
First inspection:
|
Signed:
.......................................................
|
|
(Signature of authorized official)
|
|
Place:
.........................................................
|
|
Date:
..........................................................
|
|
(Seal or stamp of the
authority, as appropriate)
|
|
|
Second inspection:
|
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
|
This 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)
|