AUSTRALIAN CERTIFICATE
for the
CARRIAGE OF LIVESTOCK
This certificate shall be supplemented by a Record of Equipment and Arrangements
Issued under the provisions of
Marine Orders Part 43
by the AUSTRALIAN MARITIME SAFETY AUTHORITY
<table cellspacing="0" cellpadding="0" style="width:496.2pt; margin-top:0pt; border-collapse:collapse"><tbody><tr><td colspan="3" style="width:187.65pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">Name of ship</span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:74.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">IMO Number</span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:173.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">Port of registry</span></p></td></tr><tr><td colspan="7" style="width:485.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr><td style="width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">Gross tonnage</span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td colspan="3" style="width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">Date on which keel was laid</span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:173.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">Distinctive number or letters</span></p></td></tr><tr><td style="width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td colspan="3" style="width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:173.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr><td colspan="7" style="width:485.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="CommentText" style="margin-top:0pt; margin-bottom:18pt"><span style="font-family:'Times New Roman', serif">Name and address of operator</span></p></td></tr><tr style="height:0pt"><td style="width:141.75pt"></td><td style="width:14.2pt"></td><td style="width:42.5pt"></td><td style="width:14.2pt"></td><td style="width:85.05pt"></td><td style="width:14.2pt"></td><td style="width:184.3pt"></td></tr></tbody></table>
Division Form 4 - Marine Orders - Part 43: Cargo & Cargo Handling—Livestock, Issue 6 - Form 4 | Zoe
THIS IS TO CERTIFY THAT
The ship has been surveyed in accordance with Marine Orders Part 43 Issue……...
Subject to paragraph 3 the survey showed that:
2.1 the ship is permanently equipped for the carriage of livestock;
2.2 the ship is provided with a documented maintenance program for the structure and equipment relevant to the carriage of livestock;
2.3 the ship complied with requirements as regards the methods of construction and arrangement of fittings for the containment and movement of livestock;
2.4 the ship complied with requirements as regards the ventilation, lighting and livestock space draining arrangements;
2.5 the ship complied with the provisions for the storage and distribution of fodder and water for the livestock;
2.6 the ship has approved stability information and is able to comply with the stability criteria at all stages of the voyage; and
2.7 the ship complied with the requirements for fire fighting appliances in the livestock spaces.
A modification of provisions ………………………………………has been allowed in accordance with 5.1 of Marine Orders Part 43.
THIS CERTIFICATE IS VALID until
/
/
day
month
year
subject to annual surveys being satisfactorily completed in accordance with Marine Orders Part 43.
Issued at Canberra A.C.T.
Signed
Date
Official stamp
THIS IS TO CERTIFY that, at the first annual survey, the ship was found to comply with the relevant requirements of Marine Orders Part 43.
Signed
Official stamp
Place
Date
THIS IS TO CERTIFY that, at the second annual survey, the ship was found to comply with the relevant requirements of Marine Orders Part 43.
Signed
Official stamp
Place
Date
THIS IS TO CERTIFY that, at the third annual survey, the ship was found to comply with the relevant requirements of Marine Orders Part 43.
Signed
Official stamp
Place
Date
THIS IS TO CERTIFY that, at the fourth annual survey, the ship was found to comply with the relevant requirements of Marine Orders Part 43.
Signed
Official stamp
Place
Date
Form 2
Record of Equipment and Arrangements
1 General Description of ship
<table cellspacing="0" cellpadding="0" style="width:496.2pt; margin-top:0pt; margin-right:auto; margin-left:auto; border-collapse:collapse"><tbody><tr><td colspan="2" style="width:187.65pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:middle"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">Name of ship</span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:74.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">IMO Number</span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:173.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">Port of registry</span></p></td></tr><tr><td colspan="2" style="width:187.65pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:middle"><p style="margin-top:0pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:74.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:173.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr><td style="width:159.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:middle"><h6 id="navPoint_53" style="margin-top:6pt; margin-bottom:6pt; page-break-after:auto"><span style="font-family:'Times New Roman', serif">Arrangements for the carriage of livestock for</span></h6></td><td colspan="5" style="width:315.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:6pt; margin-bottom:6pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr><td style="width:159.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:middle"><h6 id="navPoint_54" style="margin-bottom:0pt; page-break-after:auto"><span style="font-family:'Times New Roman', serif"></span></h6></td><td colspan="5" style="width:315.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif; font-style:italic">(kind of livestock)</span></p></td></tr><tr style="height:0pt"><td style="width:170.1pt"></td><td style="width:28.35pt"></td><td style="width:14.2pt"></td><td style="width:85.05pt"></td><td style="width:14.2pt"></td><td style="width:184.3pt"></td></tr></tbody></table>
Failure alarms (description and location) ………………………………………………………………..
……………………………………………………………………………………………………………
4 Ship's generating capacity
Main sources of power:
Sources of power sufficient to supply power continuously for all livestock services while livestock is on board without interfering with the normal operation of the ship.
Number
Type
kW or kVA
Consumption per day (full load)
Secondary sources of power:
Sources of power sufficient to supply power continuously for all livestock services while livestock is on board if the primary source of power is out of action for any reason.
Number
Type
kW or kVA
Consumption per day (full load)
<table cellspacing="0" cellpadding="0" style="margin-top:0pt; margin-right:auto; margin-left:auto; border-collapse:collapse"><tbody><tr><td colspan="2" style="width:272.7pt; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:6pt; margin-bottom:3pt; font-size:12pt"><span style="font-family:'Times New Roman', serif; font-weight:bold">Total capacity of fuel tanks available for generators (excluding secondary source of power)</span></p></td><td style="width:201.85pt; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:18pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">…………………………………………</span></p></td></tr><tr><td colspan="2" style="width:272.7pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; font-size:12pt"><span style="font-family:'Times New Roman', serif; font-weight:bold">Capacities of fuel tanks available for generators providing secondary sources of power</span></p></td><td style="width:201.85pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:18pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">…………………………………………</span></p></td></tr><tr><td colspan="2" style="width:272.7pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; font-size:12pt"><span style="font-family:'Times New Roman', serif; font-weight:bold">Is fuel for main sources of power compatible with fuel for secondary sources of power?</span></p></td><td style="width:201.85pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:18pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">…………………………………………</span></p></td></tr><tr><td colspan="2" style="width:272.7pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; font-size:12pt"><span style="font-family:'Times New Roman', serif; font-weight:bold">Can secondary sources of power be supplied with fuel from all fuel tanks for secondary sources?</span></p></td><td style="width:201.85pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:18pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">…………………………………………</span></p></td></tr><tr><td colspan="2" style="width:272.7pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; font-size:12pt"><span style="font-family:'Times New Roman', serif; font-weight:bold">Can secondary sources of power be supplied with fuel from any or all fuel tanks for main sources?</span></p></td><td style="width:201.85pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:18pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">…………………………………………</span></p></td></tr><tr><td style="width:176.3pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:6pt; font-size:12pt"><span style="font-family:'Times New Roman', serif; font-weight:bold">Normal maximum load, auxiliary and domestic services,</span></p></td><td style="width:85.6pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:18pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">(a)</span><span style="width:6.88pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif">at sea:</span></p></td><td style="width:201.85pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:18pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">…………………………………………</span></p></td></tr><tr><td style="width:176.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; font-size:12pt"><span style="font-family:'Times New Roman', serif; font-weight:bold">including cargo non-livestock services</span></p></td><td style="width:85.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:12pt"><span style="font-family:'Times New Roman', serif">(b)</span><span style="width:6.21pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif">in port:</span></p></td><td style="width:201.85pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="font-size:12pt"><span style="font-family:'Times New Roman', serif">…………………………………………</span></p></td></tr><tr><td style="width:176.3pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:9pt; font-size:12pt"><span style="font-family:'Times New Roman', serif; font-weight:bold"></span></p></td><td style="width:85.6pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:9pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">(c)</span><span style="width:6.88pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif">ventilation:</span></p></td><td style="width:201.85pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:9pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">…………………………………………</span></p></td></tr><tr><td style="width:176.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:9pt; font-size:12pt"><span style="font-family:'Times New Roman', serif; font-weight:bold">Normal load, livestock services,</span></p></td><td style="width:85.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:9pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">(d)</span><span style="width:6.21pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif">lighting:</span></p></td><td style="width:201.85pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:9pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">…………………………………………</span></p></td></tr><tr><td style="width:176.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; font-size:12pt"><span style="font-family:'Times New Roman', serif; font-weight:bold"></span><span style="font-family:'Times New Roman', serif; font-weight:bold">continuous running</span></p></td><td style="width:85.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:9pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">(e)</span><span style="width:6.88pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif">fodder:</span></p></td><td style="width:201.85pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:9pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">…………………………………………</span></p></td></tr><tr><td style="width:176.3pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:9pt; font-size:12pt"><span style="font-family:'Times New Roman', serif; font-weight:bold"></span></p></td><td style="width:85.6pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:9pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">(f)</span><span style="width:8.21pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif">water:</span></p></td><td style="width:201.85pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:9pt; font-size:12pt"><span style="font-family:'Times New Roman', serif">…………………………………………</span></p></td></tr></tbody></table>
Generating capacity cross-connection arrangements
SOLAS generators
Can these supply livestock services?
Non-SOLAS generators
Can these supply non-livestock services?
Main 1
Yes/No
Livestock 1
Yes/No
Main 2
Yes/No
Livestock 2
Yes/No
Main 3
Yes/No
Main 4
Yes/No
Emergency
Yes/No
Spares for generators
…………………………………………………………………………………………………………….
…………………………………………………………………………………………………………….
Spares for secondary source of power
…………………………………………………………………………………………………………….
…………………………………………………………………………………………………………….
5 Drainage
Details appear on drawing(s) No.
General description …………………………………………………………………………………..…..
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
Position and capacity of drain wells …………………………………………………………………..…
Types of pumps …………………………………………………………………………………………
Situation of pumps…………………………………………………………………….………………….
Type of alarm system …………………………………………………………………………………….
Distribution arrangements from stowage to pens ………………………………………………………...
Feeding arrangements at pens ………………………………………………….……………………….
Alternative arrangements in event of mechanical failure ……………………………………………..
……………………………………………………………………………………………………………
8 Water
Details appear on drawing(s) No.
Tank capacities ………………………………………………………………………………………….
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
Total ………………………………………………………………………………………………..
Fresh water generation
type …………………………………………………………………………………………………
production per day ……………………………………………………………………………….
Fresh water pumps
type …………………………………………………………………………………………………
capacity ..……………………………………………………………………………………….
Description of automatic system
…………………………………………………………………………………………………………….
…………………………………………………………………………………………………………….
Description of additional portable or fixed pump
type …………………………………………………………………………………………………
capacity ………………………………………………………………………………………….
9 Summary of equipment
Compartment or zone
Number of extinguishers
Date of test
Fire hydrants
Fire hoses
Fresh water hydrants
Fresh water hoses
10 Humane killing device
Insert a statement indicating the devices provided for humanely killing livestock:
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
11 Disposal of carcases
Insert a statement indicating the means of disposal of carcases, together with details of comminuters/grinders and lifts usable for hoisting out carcases from lower decks:………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
12 Lighting
Lighting in passageways
type ……………………………………………………………………………………………….
level of illumination ……………………………………………………………………………..
Emergency lighting
type ……………………………………………………………………………………………….
level of illumination ……………………………………………………………………………..
Lighting in pens
type ……………………………………………………………………………………………….
level of illumination ………………………………………………………………………….….
Note: 'Level of illumination' means illumination in the horizontal plane measured at a height of one metre above the walking surface. Minimum and maximum levels are to be included.
13 Sewage
Arrangements provided under MARPOL Annex IV of discharge of livestock effluent:
Sewage treatment plant
……………………………….Fitted / not fitted
Holding tanks
……………………………………….m total
Maximum discharge rate of untreated undiluted effluent
……………………………………………m3/hr
14 List of supporting information and drawings
Title
Plan No.
Date
Form 3
MODIFICATION OF PROVISIONS
This Record shall be permanently attached to
the Australian Certificate for the Carriage of Livestock
Name of ship
IMO Number
The following modifications have been allowed to provisions of Marine Orders Part 43 in accordance with 5.1 of Marine Orders Part 43:
Issued at Canberra A.C.T.
Signed
Date
Official stamp
Form 4
Interim Document
Pending Issue of an
Australian Certificate for the Carriage of Livestock
Issued under the provisions of Marine Orders Part 43
by the Australian Maritime Safety Authority
<table cellspacing="0" cellpadding="0" style="width:496.2pt; margin-top:0pt; border-collapse:collapse"><tbody><tr><td colspan="3" style="width:187.65pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">Name of ship</span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:74.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">IMO Number</span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:173.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">Port of registry</span></p></td></tr><tr><td colspan="7" style="width:485.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr><td style="width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">Gross tonnage</span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td colspan="3" style="width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">Date on which keel was laid</span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:173.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; margin-bottom:18pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif">Distinctive number or letters</span></p></td></tr><tr><td style="width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td colspan="3" style="width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:3.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:173.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:0pt; text-align:center; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr><td colspan="7" style="width:485.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="CommentText" style="margin-top:0pt; margin-bottom:18pt"><span style="font-family:'Times New Roman', serif">Name and address of operator</span></p></td></tr><tr style="height:0pt"><td style="width:141.75pt"></td><td style="width:14.2pt"></td><td style="width:42.5pt"></td><td style="width:14.2pt"></td><td style="width:85.05pt"></td><td style="width:14.2pt"></td><td style="width:184.3pt"></td></tr></tbody></table>
THIS IS TO CERTIFY THAT
The ship identified above has been surveyed in accordance with 10.3 of Marine Orders Part 43 for the ISSUE / REISSUE* of an Australian Certificate for the Carriage of Livestock.
In accordance with Marine Orders Part 43, the Manager, Ship Inspections, has authorised the Surveyor signing this document to issue this interim document, pending the issue by the Manager, Ship Inspections, of the Australian Certificate for the Carriage of Livestock.
This interim document is valid for one month from the date of issue, and for that period has the effect of a valid Australian Certificate for the Carriage of Livestock for the ship identified above.