Issued under the provision of THE INTERNATIONAL CONVENTION FOR THE SAFETY OF
LIFE AT SEA, 1974, as amended
under the authority of the Government of the REPUBLIC OF BULGARIA
by THE MARITIME ADMINISTRATION OF BULGARIA
Name of ship
Distinctive or letters/IMO number*4/
Port of registry
Gross tonnage (GT)
Deadweight*2/ (metric tons)
Type of ship*1/:
Oil tanker, Chemical tanker, Gas carrier, Bulk carrier, Cargo ship other than any of the above
Date of Build:
- Date of building contract ...................................................
- Date on which keel was laid or ship was at a similar stage of construction
- Date of delivery .........................................................
- Date on which work for a conversion or an alteration or modification of a major character was commenced (where applicable) .....................................
All applicable dates shall be completed.
THIS IS TO CERTIFY:
1. That the ship has been surveyed in accordance with the requirements of regulation I/10 of the Convention.
2. That the survey showed that the condition of the structure, machinery and equipment as defined in the above regulation was satisfactory and the ship complied with the relevant requirements of chapters II-1 and II-2 of the Convention (other than those relating to fire safety systems and appliances and fire control plants).
3. That the last two inspections of the outside of the ship’s bottom took place
on ___________________________________ and _____________________________________
4. The ship was/was not*1/ subjected to an alternative design and arrangements in pursuance of regulation(s) II-1/55/II-2/17*1/ of the Convention.
5. That a Document of approval of alternative design and arrangements for machinery and electrical installations/fire protection*1/ is/is not*1/ appended to this Certificate.
6. That an Exemption Certificate has/has not*1/ been issued.
This certificate is valid until the _______ day of ___________________ *3 subject to the annual and intermediate surveys and inspections of the outside of the ship’s bottom in accordance with regulation I/10 of the Convention.
Completion date of survey on which this certificate is based: …………………………………………
Issued at _____________________________ on the _______ day of _______________________
No. DIRECTOR, MARITIME
Seal ADMINISTRATION - .................: _____________________________
(Signature of authorized official issuing
the certificate)
*1/ Delete as appropriate.
*2/ For oil tankers, chemical tankers and gas carriers only.
*3/ Insert the date of expire as specified by the Administration in accordance with regulation I/14(a) of the Convention. The day and month of this date correspond to the anniversary date, as defined in regulation I/2 of the Convention, unless amended in accordance with regulation I/14(h).
*4/ In accordance with the IMO ship identification number scheme, adopted by the Organization by resolution A.600(15).
ENDORSMENT FOR ANNUAL AND INTERMEDIATE SURVEY
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
