Document ID: chunk:federal_register_of_legislation:C2010C00802:schedule:6:p26
Version: federal_register_of_legislation:C2010C00802
Segment Type: schedule
Provision Reference: sch 6 (pt 26/29)
Character Range: 202130–205699

modified by the Protocol of 1978 relating thereto as amended (hereinafter referred to as "the Convention") under the authority of the Government of
..........................................................
(full official designation of the country)
by
..........................................................
(full official designation of the competent
person or organization authorized under the
provisions of the Convention

Name of  Distinctive number or letters  Port of   Gross
ship                                    registry  tonnage

THIS IS TO CERTIFY:

  1 That the ship has been surveyed in accordance with the provisions of Regulation 10 of Annex II of the Convention.

  2 That the survey showed that the structure, equipment, systems, fitting, arrangements and material of the ship and the condition thereof are in all respects satisfactory and that the ship complies with the applicable requirements of Annex II of the Convention.

  3 That the ship has been provided with a manual in accordance with the standards for procedures and arrangements as called for by Regulation 5, 5A and 8 of Annex II of the Convention, and that the arrangements and equipment of the ship prescribed in the manual are in all respects satisfactory and comply with the applicable requirements of the said Standards.

  4 That the ship is suitable for the carriage in bulk of the following noxious liquid substances, provided that all relevant operational provisions of Annex II of the Convention are observed.

Noxious liquid substances                         Conditions of carriage
                                                  (tank numbers etc.)

*Continued on additional signed and dated sheets

This certificate is valid, until.....................................
subject to surveys in accordance with Regulation 10 of Annex II of the Convention
Issued at...................................................
(place of issue of Certificate)
..................19    ....................................
 (Date of issue) (Signature of duly authorized official
  issuing the Certificate)
(Seal or stamp of the issuing Authority, as appropriate)
* Delete as necessary

ENDORSEMENT FOR ANNUAL AND INTERMEDIATE SURVEYS

THIS IS TO CERTIFY that at a survey required by Regulation 10 of Annex II of the Convention the ship was found to comply with the relevant provisions of the Convention:

Annual survey: Signed:......................
 (signature of duly authorized official)
 Place:.......................
 Date:........................
(seal or stamp of the Authority, as appropriate)

Annual*/Intermediate* survey: Signed:......................
 (signature of duly authorized official)
 Place:.......................
 Date:........................
(seal or stamp of the Authority, as appropriate)

Annual*/Intermediate* survey: Signed:......................
 (signature of duly authorized official)
 Place:.......................
 Date:........................
seal or stamp of the Authority, as appropriate)

Annual survey: Signed:......................
 (signature of duly authorized official)
  Place:.......................
 Date:........................
(seal or stamp of the Authority, as appropriate)
* Delete as appropriate
SCHEDULE 5
Section 3

ADOPTION OF AMENDMENTS TO THE PROTOCOL OF 1978 RELATING TO THE INTERNATIONAL CONVENTION FOR THE PREVENTION OF POLLUTION FROM SHIPS, 1973 (RELATING TO PROTOCOL I TO THE INTERNATIONAL CONVENTION FOR THE PREVENTION OF POLLUTION FROM SHIPS, 1973 AS MODIFIED BY THE PROTOCOL OF 1978 RELATING THERETO)