Name of Ship
|
Distinctive
Number or Letters
IMO Number
|
Port of Registry
|
Length (L) as defined Article 2(8) (in metres)
|
|
|
|
|
Freeboard assigned as*1/: Type of ship*1/:
A new ship Type “A”
Type “B ”
An existing ship Type “B” with reduced freeboard
Type “B” with increased freeboard
FREEBOARD FROM DECK LINE *2/ LOAD LINE *2/
Tropical .........……...................mm (T) .................................mm above (S)
Summer .........………...............mm (S) Upper edge of line through centre of ring
Winter .........…….........…......mm (W) ............................... mm below (S)
Winter North Atlantic...............mm (WNA) ............................... mm below (S)
Timber tropical .........................mm (LT) ............................... mm above (LS)
Timber summer ........................mm (LS) ............................... mm above (S)
Timber winter ..........................mm (LW) ............................... mm below (LS)
Timber winter ................ .........mm (LWNA) ............................... mm below (LS)
North Atlantic
Allowance for fresh water for all freeboards other than timber .........… mm. For timber freeboards ................ mm.
The upper edge of the deck line from which these freeboards are measured is ...... mm. …………..
deck at side.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LTF
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LF
|
|
|
|
|
|
|
|
|
|
|
LT
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TF
|
|
|
|
|
|
|
LS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
F
|
|
|
|
|
|
|
LW
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
T
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LWNA
|
|
|
|
|
|
|
|
|
|
|
|
S
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
W
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
WNA
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
*1/ Delete as appropriate.
*2/ Freeboards and Load Lines which are not applicable need not be entered on the Certificate.
Subdivision load lines may by entered on the certificate on a voluntary basis.
This is to certify:
-
That this ship has been surveyed in accordance with the requirements of article 14 of the Convention.
-
That the survey showed that the freeboards have been assigned and load lines shown above have been marked in accordance with the Convention.
This Certificate is valid until the _________day of _____________________________ subject to
annual surveys in accordance with Article 14(1)(c) of the Convention.
Completion date of the survey on which certificate 1s based: …………………………..
Issued at ________________ on the _______day of ______________________
Seal
DIRECTOR, maritime administration - .................. : ________________
(Signature of authorized official issuing the certificate)
No.
Notes: 1. When a ship departs from a port situated on a river or inland waters, deeper loading shall be permitted corresponding to the weight of fuel and all other materials required for consumption between the point of departure and the sea.
2. When a ship is in fresh water of unit density the appropriate load line may be submerged by the amount of the fresh water allowance shown above. Where the density is other than unity, an allowance shall be made proportional to the difference between 1.025 and the actual density.
|
Сподели с приятели: |