4 Limitations on areas of operation:
………………………………………..……………….………………………………………………………………
This certificate is valid until ................................. subject to surveys in accordance with the Navigation Act
Issued at .................................................................................…………………………………………..
(Place of issue of certificate)
| .....................................(Date of issue) | ………………….....................................................(Signature of authorised official issuing the certificate) |
|---|
Endorsement to extend the validity of the certificate for a period of grace
This certificate shall, in accordance with the Navigation Act, be accepted as valid until ................
| Signed: ............................................................................(Signature of authorised official) | Place: ................................. ............................Date: .............................................................. |
|---|
Endorsement for periodical surveys
THIS IS TO CERTIFY THAT, at an Annual Intermediate Survey required by Marine Order 31 (Ship surveys and certification), the vessel was found to comply with the relevant requirements:
| Hull, structure, machinery and associated equipment | Radio equipment | Lifesaving appliances, fire safety systems, navigational and other equipment |
|---|
| First annual surveySigned..........................…….….......(signature of authorized official)Place...........……........Date.......….... | First annual surveySigned..........................…….….......(signature of authorized official)Place...........……........Date.......….... | First annual surveySigned..........................…….….......(signature of authorized official)Place...........……........Date.......….... |
| Second annual surveySigned..……...................................(signature of authorized official)Place......……............Date....…........ | Second annual surveySigned..……...................................(signature of authorized official)Place......……............Date....…........ |
<table cellspacing="0" cellpadding="0" style="margin-right:auto; margin-left:auto; border:0.75pt solid #000000; border-collapse:collapse"><tbody><tr><td style="width:343.7pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; margin-bottom:6pt; font-size:8pt"><span>1</span><span style="width:19.05pt; display:inline-block"> </span><span>Total number of persons for which life-saving appliances are provided</span></p></td><td colspan="2" style="width:131.1pt; border-bottom:0.75pt solid #000000; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:6pt; margin-bottom:6pt; font-size:8pt"><span>.....................................</span></p></td></tr><tr><td style="width:343.7pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; font-size:8pt"><span></span></p></td><td style="width:60.2pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; font-size:8pt"><span>Port side</span></p></td><td style="width:60.2pt; border-left:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; font-size:8pt"><span>Starboard side</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; font-size:8pt"><span>2</span><span style="width:19.05pt; display:inline-block"> </span><span>Total number of lifeboats</span></p></td><td style="width:60.2pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:6pt; text-align:center; font-size:8pt"><span>.....................</span></p></td><td style="width:60.2pt; border-left:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; text-align:center; font-size:8pt"><span>.....................</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; font-size:8pt"><span>2.1</span><span style="width:13.05pt; display:inline-block"> </span><span>Total number of persons accommodated by them</span></p></td><td style="width:60.2pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:6pt; text-align:center; font-size:8pt"><span>.....................</span></p></td><td style="width:60.2pt; border-left:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; text-align:center; font-size:8pt"><span>.....................</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; font-size:8pt"><span>2.2</span><span style="width:13.05pt; display:inline-block"> </span><span>Number of partially enclosed lifeboats</span></p></td><td style="width:60.2pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:6pt; text-align:center; font-size:8pt"><span>......................</span></p></td><td style="width:60.2pt; border-left:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; text-align:center; font-size:8pt"><span>.....................</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; font-size:8pt"><span>2.3</span><span style="width:13.05pt; display:inline-block"> </span><span>Number of totally enclosed lifeboats</span></p></td><td style="width:60.2pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:6pt; text-align:center; font-size:8pt"><span>......................</span></p></td><td style="width:60.2pt; border-left:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; text-align:center; font-size:8pt"><span>.....................</span></p></td></tr><tr><td style="width:343.7pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>3</span><span style="width:19.05pt; text-indent:0pt; display:inline-block"> </span><span>Number of rescue boats</span></p></td><td colspan="2" style="width:131.05pt; border-top:0.75pt solid #000000; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:6pt; font-size:8pt"><span>........................................………….......</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>3.1</span><span style="width:13.05pt; text-indent:0pt; display:inline-block"> </span><span>Number of boats which are included in the total lifeboats shown above</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:6pt; font-size:8pt"><span>..............................................………….</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>4</span><span style="width:19.05pt; text-indent:0pt; display:inline-block"> </span><span>Liferafts</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:6pt; font-size:8pt"><span></span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>4.1</span><span style="width:13.05pt; text-indent:0pt; display:inline-block"> </span><span>Those for which approved launching appliances are required</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; font-size:8pt"><span></span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>4.1.1</span><span style="width:7.05pt; text-indent:0pt; display:inline-block"> </span><span>Number of liferafts</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; font-size:8pt"><span>..............................................………….</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>4.1.2</span><span style="width:7.05pt; text-indent:0pt; display:inline-block"> </span><span>Number of persons accommodated by them</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; font-size:8pt"><span>..............................................………….</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>4.2</span><span style="width:13.05pt; text-indent:0pt; display:inline-block"> </span><span>Those for which approved launching appliances are not required</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; font-size:8pt"><span></span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>4.2.1</span><span style="width:7.05pt; text-indent:0pt; display:inline-block"> </span><span>Number of liferafts</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; font-size:8pt"><span>..............................................………….</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>4.2.2</span><span style="width:7.05pt; text-indent:0pt; display:inline-block"> </span><span>Number of persons accommodated by them</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; font-size:8pt"><span>..............................................………….</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>5</span><span style="width:19.05pt; text-indent:0pt; display:inline-block"> </span><span>Number of lifebuoys</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:6pt; font-size:8pt"><span>..............................................………….</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>6</span><span style="width:19.05pt; text-indent:0pt; display:inline-block"> </span><span>Number of lifejackets</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:6pt; font-size:8pt"><span>..............................................………….</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>7</span><span style="width:19.05pt; text-indent:0pt; display:inline-block"> </span><span>Immersion suits</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:6pt; font-size:8pt"><span></span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>7.1</span><span style="width:13.05pt; text-indent:0pt; display:inline-block"> </span><span>Total number</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; font-size:8pt"><span>..............................................………….</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>7.2</span><span style="width:13.05pt; text-indent:0pt; display:inline-block"> </span><span>Number of suits complying with the requirements of lifejackets</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; font-size:8pt"><span>..............................................………….</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>8</span><span style="width:19.05pt; text-indent:0pt; display:inline-block"> </span><span>Number of thermal protective aids, excluding those carried as part of the equipment of survival craft and rescue boats</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="font-size:8pt"><span>......................................………….........</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>9</span><span style="width:19.05pt; text-indent:0pt; display:inline-block"> </span><span>Radio installations used in life-saving appliances</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:6pt; font-size:8pt"><span></span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>9.1</span><span style="width:13.05pt; text-indent:0pt; display:inline-block"> </span><span>Number of search and rescue locating devices</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; font-size:8pt"><span></span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>9.1.1</span><span style="width:7.05pt; text-indent:0pt; display:inline-block"> </span><span style="font-family:'CG Times', serif">Radar search and rescue transponders (SART)</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; font-size:8pt"><span>......................................………….........</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>9.1.2</span><span style="width:7.05pt; text-indent:0pt; display:inline-block"> </span><span style="font-family:'CG Times', serif">AIS search and rescue </span><span>transmitters</span><span style="font-family:'CG Times', serif"> (AIS-SART)</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; font-size:8pt"><span>......................................………….........</span></p></td></tr><tr><td style="width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top"><p style="margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt"><span>9.2</span><span style="width:13.05pt; text-indent:0pt; display:inline-block"> </span><span>Number of two-way VHF radiotelephone apparatus</span></p></td><td colspan="2" style="width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; font-size:8pt"><span>..............................................………….</span></p></td></tr></tbody></table>
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