ENDORSEMENT FOR ANNUAL SURVEYS
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THIS IS TO CERTIFY that, at an annual survey required by Article 14 (1) (c) of the Convention, this ship was found to comply with the relevant requiremenets of the Convention.
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_____________________________________________________________________________________________________________
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Annual survey
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Place __________________________ Date ___________________
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Seal MARITIME
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ADMINISTRATION:_________________________________________________
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(Signature of authorized official)
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_____________________________________________________________________________________________________________
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Annual survey
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Place __________________________ Date ___________________
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Seal MARITIME
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ADMINISTRATION: ________________________________________________
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(Signature of authorized official)
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______________________________________________________________________________________________________________
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Annual survey
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Place __________________________ Date ___________________
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Seal MARITIME
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ADMINISTRATION: _________________________________________________
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(Signature of authorized official)
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______________________________________________________________________________________________________________
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Annual survey
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Place __________________________ Date ___________________
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Seal MARITIME
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ADMINISTRATION: ________________________________________________
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(Signature of authorized official)
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Annual survey in accordance with article 19(8)(c)
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THIS IS TO CERTIFY THAT at a survey in accordance with Article 19(8) (c) of the Convention, this ship was found to comply with the relevant requirements of the Convention.
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Place __________________________ Date ___________________
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Seal MARITIME
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ADMINISTRATION:________________________________________________
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(Signature of authorized official)
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Endorsement to extend the certificate if valid for less than 5 years where article 19(3) applies
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The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with article 19(3) of the Convention, be accepted as valid until: ______________________________________________________________
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Place __________________________ Date ___________________
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Seal MARITIME
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ADMINISTRATION: _______________________________________________
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(Signature of authorized official)
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Endorsement where the renewal survey has been completed and article 19(4) applies
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The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with article 19(4) of the Convention, be accepted as valid until:_________________________________________
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Place __________________________ Date _________________________
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Seal MARITIME
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ADMINISTRATION: ________________________________________________
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(Signature of authorized official)
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Endorsement to extend the validity of the certificate until reaching the port of survey or for a period of grace where article 19(5) or 19(6) applies.
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This certificate shall, in accordance with article 19(5)/19(6)*1/ of the Convention, be accepted as valid until ________________________________________
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Place __________________________ Date _________________________
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Seal MARITIME
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ADMINISTRATION: ________________________________________________
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(Signature of authorized official)
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Endorsement for advancement of anniversary date where article 19(8) applies
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In accordance with article 19(8) of the Convention, the new anniversary date is: _________________________________
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Place __________________________ Date _________________________
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Seal MARITIME
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ADMINISTRATION: _________________________________________________
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(Signature of authorized official)
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In accordance with article 19(8) of the Convention, the new anniversary date is: __________________________________
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Place __________________________ Date ___________________
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Seal MARITIME
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ADMINISTRATION: _______________________________________________
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(Signature of authorized official)
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*1/ Delete as appropriate.
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