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Appendix
2
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Model
of Conformance test report
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Conformance
test report
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| issued under
the provisions of MSC.1/Circ.1307 on Guidance on the survey and certification
of compliance of ships with the requirements to transmit LRIT information
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| issued
by …………………….
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| on behalf of
the Government of ……………………….
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| Name
of ship:
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| Port
of registry:
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| Distinctive
number or letters:
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| IMO
Number:
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| Maritime
Mobile Service Identity:
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| Gross
tonnage:
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| Sea
areas in which the ship is certified to operatefootnote:
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| Sea
areas for which this report is validfootnote:
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| Application
Service Provider conducting the test:
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| THIS
IS TO CERTIFY that the shipborne equipment designated to transmit
LRIT information and specified below:
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.1 |
= |
is of a type approved by the Administration in accordance with
the provisions of regulation V/19-1;
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.2 |
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is of a type approved by the Administration in accordance with
the provisions of regulation IV/14;
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.3 |
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has been certified by the Administration as meeting the requirements
of IEC 60945 (2002-08) and IEC 60945 Corr.1 (2008-04) on Maritime
navigation and radiocommunication equipment and systems – General
requirements – Methods of testing and required test results;
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.4 |
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has been certified by the Administration as meeting the requirements
of the provisions of regulation XI-2/6; and of resolution MSC.136(76) on Performance standards for a ship
security alert system4footnote/resolution MSC.147(77) on Adoption of the
Revised performance standards for a ship security alert system5footnote;
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.2 |
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has undergone conformance testing
in accordance with the procedures and provisions set out in MSC.1/Circ.1307,
and has shown that it can operate within the tolerances of the acceptance
criteria stated in the aforesaid circular.
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| The
conformance test was satisfactorily completed on..........................................................................................................................................................................................................
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(date of
completion of testing)
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| Details
of the shipborne equipment used to transmit LRIT information (e.g,
maker model, serial number and shipborne equipment identifier):
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| Issued
at ..............................................................................................................................
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on..............................................................................................................................................
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(place
of issue)
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(place of issue)
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..........................................................................................................................................................................................................................................
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(name and
signature of authorized person issuing the report)
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