Annex - Sample Format for Confirmation of Compliance. Confirmation of Compliance SEEMP Part II
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Annex - Sample Format for Confirmation of Compliance. Confirmation of Compliance SEEMP Part II

 
Issued under the provisions of the Protocol of 1997, as amended, to amend the International Convention for the Prevention of Pollution by Ships, 1973, as modified by the Protocol of 1978 related thereto (hereinafter referred to as "the Convention") under the authority of the Government of:
..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(full designation of the Party)
by . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(full designation of the competent person or organization authorized under the provisions of the Convention)
Particulars of shipfootnote        
  Name of ship . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
  Distinctive number or letters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ..
  IMO Numberfootnote . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
  Port of registry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .
  Gross tonnage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .
SEEMP part II date of revision, as applicable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
THIS IS TO CONFIRM:
Taking into account the 2016 Guidelines for the development of a Ship Energy Efficiency Management Plan (SEEMP) adopted by resolution MEPC.282(70), the ship's SEEMP has been developed and complies with regulation 22.2 of Annex VI of the Convention.
Issued at: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(place of issue of Confirmation)
Date (dd/mm/yyyy) . . . . . . . . . . . . . .   . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .
  (date of issue)   (signature of duly authorized official issuing the Confirmation)
      (seal or stamp of the authority, as appropriate)

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