ure of authorized official
issuing the certificate)
(Seal or stamp of the issuing authority, as
appropriate) Endorsement for annual and intermediate surveys relating to
structure, machinery and equipment referred to in paragraph 2.1 of this
certificate
THIS IS TO CERTIFY that, at a survey required by regulation I/10 of
the Convention, the ship was found to comply with the relevant
requirements of the Convention.
Annual survey; Signed: --------------------------------------------
(Signature of authorized official)
Place: ---------------------------------------------
Date: ----------------------------------------------
(Seal or stamp of the authority, as appropriate)
Annual/Intermediate
①survey: signed: ------------------------------------------------
(Signature of authorized official)
Place: --------------------------------------------------
Date: ---------------------------------------------------
(Seal or stamp of the authority, as appropriate)
[ ① Delete as appropriate.]
Annual/Intermediate
①survey: Signed: ------------------------------------------------
(Signature of authorized official)
Place: --------------------------------------------------
Date: ---------------------------------------------------
(Seal or stamp of the authority, as appropriate)
[ ① Delete as appropriate.]
Annual survey:
Signed: -------------------------------------------------
(Signature of authorized official)
Place: --------------------------------------------------
Date: ---------------------------------------------------
(Seal or stamp of the authority, as appropriate)
Annual/intermediate survey in accordance with regulation I/14(h)(iii)
THIS IS TO CERTIFY that, at an annual/intermediate② survey in
accordance with regulations I/10 and I/14 (h) (iii) of the Convention, the
ship was found to comply with the relevant requirements of the Convention.
[ ② Delete as appropriate.]
Signed: -------------------------------------------------
(Signature of authorized official)
Place: --------------------------------------------------
Date: ---------------------------------------------------
(Seal or stamp of the authority, as appropriate) Endorsement
for inspections of the outside of the ship's bottom ①
[ ① Provision may be made for additional inspection.]
THIS IS TO CERTIFY that, at an inspection required by regulation I/10
of the Convention, the ship was found to comply with the relevant
requirement
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