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International Ocean Institute Training Programme

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ENDORSEMENT FOR ANNUAL AND INTERMEDIATE SURVEY(S)<br />

_____________<br />

BWM/CONF/36<br />

ANNEX<br />

Page 31<br />

THIS IS TO CERTIFY that a survey required by regulation E-1 of the Annex to the Convention<br />

the ship was found to comply with the relevant provisions of the Convention:<br />

Annual survey: Signed ...........................<br />

(Signature of duly authorized official)<br />

Place ............................<br />

Date...........................…<br />

(Seal or stamp of the authority, as appropriate)<br />

Annual*/Intermediate survey*: Signed ...........................<br />

(Signature of duly authorized official)<br />

Place ............................<br />

Date...........................…<br />

(Seal or stamp of the authority, as appropriate)<br />

Annual*/Intermediate survey*: Signed ...........................<br />

(Signature of duly authorized official)<br />

Place ............................<br />

Date...........................…<br />

(Seal or stamp of the authority, as appropriate)<br />

Annual survey: Signed ...........................<br />

(Signature of duly authorized official)<br />

* Delete as appropriate.<br />

I:\CONF\BWM\36.DOC<br />

Place ............................<br />

Date...........................…<br />

(Seal or stamp of the authority, as appropriate)

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