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SAFETY COMPLIANCE CERTIFICATE
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| (Official seal)
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| (Country)
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| Issued under the provisions of the
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| GUIDELINES FOR THE DESIGN, CONSTRUCTION AND OPERATION OF
PASSENGER SUBMERSIBLE CRAFT (MSC/Circ.981)
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| Name of the passenger submersible
craft
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Owner
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| Official number of the passenger
submersible craft
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Total duration of life-support in
excess of normal mission time
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| Port of registry
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Payload
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| Normal lightweight
displacement
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Minimum number of crew
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| Rated depth
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Number of lifejackets
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| Design depth
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Maximum number of passengers
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| Limiting
operational conditions
_______________________________________________________
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| _________________________________________________________________________________
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Limiting environmental conditions
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| _____________________________________________________
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| Date on
which the passenger submersible craft was certified for the first time
_______________________
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| Date of
the last dry-docking survey __________________________________
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| The
(Name) Government certifies
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| __________________________________
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| I, the undersigned
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(Name) certify
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1 |
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That the above-mentioned passenger submersible
craft has been duly surveyed in accordance with the provisions
of the Guidelines referred to above.
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2 |
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That the survey showed that the systems, components
and equipment and the conditions thereof are in all respects
satisfactory and that the system complies with the relevant
provisions.
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| This
certificate is valid until _________________ day of
___________________20...
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| Completion date of the survey on which this
certificate is based: ......................................
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| (dd/mm/yyyy)
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| Issued
at _________________________________ ___________________20...
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| (Place of
issue of certificate)
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| The undersigned declares that he is authorized by the said
Government to issue this Certificate.
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| (Signature of official issuing the
Certificate and/or seal of issuing authority)
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| (Seal or stamp of issuing authority,
as appropriate)
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| Surveys
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| This is to certify that, at a survey required by section
1.5 of the Guidelines, this passenger submersible craft was found
to comply with the relevant provisions of the Guidelines.
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| Annual
survey
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| Place____________________________ Date
___________________________________
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| (Signature
and official seal of issuing authority)
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| Dry-docking
survey
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| Place____________________________ Date
___________________________________
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| (Signature
and official seal of issuing authority)
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Endorsement for the extension of the Certificate
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| The passenger submersible fully complies with the
relevant provisions of the Guidelines and this Certificate shall, in
accordance with paragraph 1.6.2.4, of the Guidelines, be accepted as
valid until
_________________________________________________________________________
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| Signed
_______________________________________________________
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| (Signature of authorized official)
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| Place_______________________ Date
_____________________________
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| (Seal or stamp of the Administration, as
appropriate)
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