제19066호                                   관              보                    2017. 8. 4.(금요일)
          ENDORSEMENT TO EXTEND THE VALIDITY OF THE CERTIFICATE UNTIL
                     REACHING THE PORT OF SURVEY OR FOR A PERIOD OF GRACE
                                       WHERE REGULATION E-5.5 OR E-5.6 APPLIES
This Certificate shall, in accordance with regulation E-5.5 or E-5.6* of the Annex to the
Convention, be accepted as valid until ............................
                                                      Signed ................................
                                                      (Signature of authorized official)
                                                      Place ..................................
                                                      Date ...................................
                                       (Seal or stamp of the authority, as appropriate)
                        ENDORSEMENT FOR ADVANCEMENT OF ANNIVERSARY DATE
                                                 WHERE REGULATION E-5.8 APPLIES
In accordance with regulation E-5.8 of the Annex to the Convention the new Anniversary date is
.....................................
                                                      Signed .................................
                                                      (Signature of authorized official)
                                                      Place ...................................
                                                      Date ....................................
                                       (Seal or stamp of the authority, as appropriate)
In accordance with regulation E-5.8 of the Annex to the Convention the new Anniversary date is
......................................
                                                      Signed .................................
                                                      (Signature of authorized official)
                                                      Place ...................................
                                                      Date ....................................
                                       (Seal or stamp of the authority, as appropriate)
* Delete as appropriate
                                                                             APPENDIX II
                                        FORM OF BALLAST WATER RECORD BOOK
                              INTERNATIONAL CONVENTION FOR THE CONTROL AND
                         MANAGEMENT OF SHIPS’BALLAST WATER AND SEDIMENTS
                                                          Period From: .............. To: ...............
Name of Ship ......................................................................................
IMO number .........................................................................................
Gross tonnage ......................................................................................
Flag .......................................................................................................
Total Ballast Water capacity (in cubic metres) ..............................
The ship is provided with a Ballast Water Management plan □
Diagram of ship indicating ballast tanks:
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