Marine Pollution (Prevention of Pollution from Ships) Act, 1986 (Act No. 2 of 1986)ScheduleInternational Convention for the Prevention of Pollution from Ships, 1973Protocol of 1978Relating to the International Convention for the Prevention of Pollution from Ships, 1973Annexes : RegulationsAnnex II : Regulations for the Control of Pollution by Noxious Liquid Substances in BulkAppendixesAppendix V : Form of CertificateInternational Pollution Prevention Certificate for the Carriage of Noxious Liquid Substances in Bulk |
APPENDIX V
FORM OF CERTIFICATE
INTERNATIONAL POLLUTION PREVENTION CERTIFICATE FOR THE CARRIAGE OF NOXIOUS LIQUID SUBSTANCES IN BULK
Issued under the provisions of the International Convention for the Prevention of Pollution from Ships, 1973, as 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 ship |
Distinctive number of letters |
Port of registry |
Gross tonnage |
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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 |
Conditions of carriage (tank numbers) |
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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)
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 survey:
Signed ...........................................................................
(Signature of duly authorized official)
Place .............................................................................
Date ..............................................................................
(Seal or stamp of the Authority, as appropriate)