[ ① Delete as appropriate.]
Signed: -------------------------------------------------
(Signature of authorized official)
Place: --------------------------------------------------
Date: ---------------------------------------------------
(Seal or stamp of the authority, as appropriate) Endorsement
for periodical surveys relating to radio installations referred to in
paragraphs 2.6 and 2.7 of this certificate
THIS IS TO CERTIFY that, at a survey required by regulation I/9 of the
Convention, the ship was found to comply with the relevant requirements of
the Convention.
Periodical survey:
Signed: -------------------------------------------------
(Signature of authorized official)
Place: --------------------------------------------------
Date: ---------------------------------------------------
(Seal or stamp of the authority, as appropriate)
Periodical survey: Signed: ----------------------------
(Signature of authorized official)
Place: -----------------------------
Date: ------------------------------
(Seal or stamp of the authority, as appropriate)
Periodical survey: Signed: ----------------------------
(Signature of authorized official)
Place: -----------------------------
Date: ------------------------------
(Seal or stamp of the authority, as appropriate)
Periodical survey: Signed: ----------------------------
(Signature of authorized official)
Place: -----------------------------
Date: ------------------------------
(Seal or stamp of the authority, as appropriate) Periodical
survey in accordance with regulation I/14(h)(iii)
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