Appendix 2 to Annex 4
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Statutory Documents - IMO Publications and Documents - International Conventions - AFS - International Convention on the Control of Harmful Anti-Fouling Systems on Ships, 2001 - Annex 4 - Surveys and Certification Requirements for Anti-Fouling Systems - Appendix 2 to Annex 4

Appendix 2 to Annex 4

MODEL FORM OF DECLARATION ON ANTI-FOULING SYSTEM
DECLARATION ON ANTI-FOULING SYSTEM
Drawn up under the
International Convention on the Control of Harmful Anti-Fouling Systems on Ships
Name of ship .................................................................................................................................
Distinctive number or letters .........................................................................................................
Port of registry ...............................................................................................................................
Length ……………………………………………………………………………………………
Gross tonnage ...............................................................................................................................
IMO number (if applicable) ............................................................................................................
   
I declare that the anti-fouling system used on this ship complies with Annex 1 of the Convention.
………………………… ............................................................................................
(Date) (Signature of owner or owner's authorized agent)
   
Endorsement of anti-fouling system(s) applied
Type(s) of anti- fouling system(s) used and date(s) of application.................................................
.......................................................................................................................................................
………………………… ............................................................................................
(Date) (Signature of owner or owner's authorized agent)
Type(s) of anti- fouling system(s) used and date(s) of application.................................................
.......................................................................................................................................................
………………………… ............................................................................................
(Date) (Signature of owner or owner's authorized agent)
Type(s) of anti- fouling system(s) used and date(s) of application.................................................
.......................................................................................................................................................
………………………… ............................................................................................
(Date) (Signature of owner or owner's authorized agent)
Parent topic: Annex 4 - Surveys and Certification Requirements for Anti-Fouling Systems
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