SOLAS-2012

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Appendix, Certificates, Part A Endorsement for periodical surveys <strong>SOLAS</strong> 74/78 page 29/83 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)
Appendix, Certificates, Part A <strong>SOLAS</strong> 74/78 page 30/83 Periodical survey in accordance with regulation I/14(h)(iii) THIS IS TO CERTIFY that, at a periodical survey in accordance with regulation I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention. Signed: . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of authorized official) Place: . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . (Seal or stamp of the authority, as appropriate) Endorsement to extend the certificate if valid for less than 5 years where regulation I/14(c) applies The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(c) of the Convention, be accepted as valid until . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signed: . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of authorized official) Place: . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . (Seal or stamp of the authority, as appropriate) Endorsement where the renewal survey has been completed and regulation I/14(d) applies The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as valid until . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signed: . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of authorized official) Place: . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . (Seal or stamp of the authority, as appropriate)
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