| PERMIT TO OPERATE WIG CRAFT | 
                                 
                                    | Issued under the provisions of the | 
                                 
                                    | GUIDELINES FOR WING-IN-GROUND CRAFT | 
                                 
                                    | (MSC.1/Circ.1592) | 
                                 
                                    | 1 | Name of
                                       craft
                                       ........................................................................................................................................................ | 
                                 
                                    | 2 | Manufacturer’s model and hull number
                                       ................................................................................................................ | 
                                 
                                    | 3 | Distinctive number or letters
                                       ................................................................................................................................. | 
                                 
                                    | 4 | IMO
                                       numberfootnote
                                       ......................................................................................................................................................... | 
                                 
                                    | 5 | Port of
                                       registry
                                       ...................................................................................................................................................... | 
                                 
                                    | 6 | Category
                                       of craft: Assisted passenger craft/unassisted passenger craft/cargo
                                       craftfootnote | 
                                 
                                    | 7 | Name of
                                       operator
                                       .................................................................................................................... ................................................................................................................................... | 
                                 
                                    | 8 | Areas or
                                       routes of operation
                                       ................................................................................................. ................................................................................................................................... .................................................................................................................................... | 
                                 
                                    | 9 | Base
                                       port(s)
                                       ......................................................................................................................................... | 
                                 
                                    | 10 | Maximum
                                       distance from place of refuge
                                       .................................................................................................... ................................................................................................................................... | 
                                 
                                    | 11 | Number
                                       of: | 
                                 
                                    |  | .1 | passengers maximum permitted
                                       ....................................................................................................... | 
                                 
                                    |  | .2 | manning scale required
                                       ........................................................................................................................ | 
                                 
                                    | 12 | Worst intended conditions
                                       ....................................................................................................................................... ................................................................................................................................... ................................................................................................................................... | 
                                 
                                    | 13 | Other operational restrictions
                                       .................................................................................................................................. ................................................................................................................................... ................................................................................................................................... | 
                                 
                                    | This permit confirms that the service mentioned above
                                       has been found to be in accordance with the general provisions of 2.2 to 2.7
                                       of part A. | 
                                 
                                    | THIS PERMIT is issued under the authority of the
                                       Government of
                                       ....................................................................................... ................................................................................................................................... | 
                                 
                                    | THIS PERMIT is valid until
                                       ..................................................................................................................................................... | 
                                 
                                    | subject to the Wing-in-Ground Craft Safety Certificate
                                       remaining valid. | 
                                 
                                    | Issued at
                                       ................................................ | 
                                 
                                    | (Place of issue of permit) | 
                                 
                                    | ........................ | ............................................................................................... | 
                                 
                                    | (Date of issue) | (Signature of duly authorized official issuing the
                                       permit) | 
                                 
                                    | .......................................................................................... | 
                                 
                                    | (Seal or stamp of the issuing authority, as
                                       appropriate) |