Document ID: chunk:federal_register_of_legislation:F2013L00871:reg:23:p3
Version: federal_register_of_legislation:F2013L00871
Segment Type: reg
Provision Reference: reg 23 (pt 3/40)
Character Range: 174215–178045

Endorsement for annual surveys

THIS IS TO CERTIFY that, at an annual survey required by article 14(1)(c) of the Convention, the ship was found to comply with the conditions under which this exemption was granted.

Annual survey:

Place: .......................Date:............... Signed:.........................
 (Signature of authorised official)

Annual survey:

Place: .......................Date:............... Signed:.........................
 (Signature of authorised official)

Annual survey:

Place: .......................Date:............... Signed:.........................
 (Signature of authorised official)

Annual survey:

Place: .......................Date:............... Signed:.........................
 (Signature of authorised official)

Certificate Number

Annual survey in accordance with article 19(8)(c)

THIS IS TO CERTIFY that, at a survey in accordance with article 19(8)(c) of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Place: .......................Date:............... Signed:.........................
 (Signature of authorised official)

Endorsement to extend the certificate if valid for less than 5 years and if article 19(3) applies

The ship complies with the relevant requirements of the Convention, and this certificate will, in accordance
with article 19(3) of the Convention, be accepted as valid until ............................

Place: .......................Date:............... Signed:.........................
 (Signature of authorised official)

Endorsement if the renewal survey has been completed and article 19(4) applies

The ship complies with the relevant requirements of the Convention, and this certificate will, in accordance
with article 19(4) of the Convention, be accepted as valid until ............................

Place: .......................Date:............... Signed:.........................
 (Signature of authorised official)

Endorsement to extend the validity of the certificate until reaching the port of survey or for a period of grace if article 19(5) or 19(6) applies

This certificate will, in accordance with article 19(5) / 19(6)   of the Convention, be accepted as valid
until

Place: .......................Date:............... Signed:.........................
 (Signature of authorised official)

Endorsement for advancement of anniversary date if article 19(8) applies

In accordance with article 19(8) of the Convention the new anniversary date is ...........................

Place: .......................Date:............... Signed:.........................
 (Signature of authorised official)

In accordance with article 19(8) of the Convention the new anniversary date is ...........................

Place: .......................Date:............... Signed:.........................
 (Signature of authorised official)

* Delete as appropriate

Form 3

Australian Load Line Certificate
Navigation Act 2012

Issued under the authority of the Australian Government,
by      .

Name of Ship  Distinctive Number or Letters  Port of Registry  Length(L) as defined in Article 2(8)

Freeboard assigned as:

Type of ship:

Note: Freeboards and load lines which are not applicable need not be entered on the certificate.

Freeboard from Deck Line Load Line

Tropical       mm (T)         mm above (S)

Summer       mm (S)  Upper edge of line through centre of ring.

Winter          mm (W)         mm below (S)

Winter North Atlantic       mm (WNA)         mm below (S)

Timber Tropical       mm (LT)         mm above (LS)

Timber Summer        mm (LS)         mm above (S)

Timber Winter        mm (LW)         mm below (LS)

Timber Winter North Atlantic        mm (LWNA)        mm below (LS)

Allowance for fresh