Annex III Certificates

Geldend

Documentgegevens:

Geldend vanaf 03-02-2010

Redactionele toelichting: Deze wijziging is reeds aangebracht bij wijziging MSC.172(79) van 09-12-2004, Trb. 2008, 197.
Bronpublicatie:: 01-12-2005, Trb. 2008, 196 (uitgifte: 01-01-2008, kamerstukken/regelingnummer: -)
Inwerkingtreding: 03-02-2010
Bronpublicatie inwerkingtreding:: 16-10-2009, Trb. 2009, 149 (uitgifte: 01-01-2009, kamerstukken/regelingnummer: -)
Vakgebied(en): Vervoersrecht / Zeevervoer

Form of International Certificate on Load Lines
INTERNATIONAL LOAD LINE CERTIFICATE
(Official seal)		(State)
Issued under the provisions of the International Convention on Load Lines, 1966, as modified by the Protocol of 1988 relating thereto
under the authority of the Government of
	…
	(name of the State)
by	…
	(person or organization authorized)

Particulars of ship1)
	Name of ship …
	Distinctive number or letters …
	Port of registry …
	Length (L) as defined in article 2(8) (in metres) …
	IMO Number2) …

Freeboard assigned as:3)		Type of ship3)
	(A new ship	(type ‘A’
	(	(Type ‘B’
	(An existing ship	(Type ‘B’ with (reduced freeboard (Type ‘B’ with (increased freeboard
Freeboard from deck line4)		Load Line4)

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 North Atlantic	… mm (LWNA)	… mm below (LS)
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.

This is to certify:
1. That the ship has been surveyed in accordance with the requirements of article 14 of the Convention. 2. 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 …5) subject to annual surveys in accordance with article 14(1)c) of the Convention. Completion date of the survey on which this certificate is based: …

Issued at …
(Place of issue of certificate)
… (Date of issue)	… (Signature of authorized official issuing the certificate)
(Seal or stamp of the authority, as appropriate)

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 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.

Endorsement for annual surveys
This is to certify that, at an annual survey required by article 14(1)c) of the Convention, the ship was found to comply with the relevant requirements of the Convention.
Annual survey:	Signed: … (Signature of authorized official)
	Place: …
	Date: …
(Seal or stamp of the authority, as appropriate)
Annual survey:	Signed: … (Signature of authorized official)
	Place: …
	Date: …
(Seal or stamp of the authority, as appropriate)
Annual survey:	Signed: … (Signature of authorized official)
	Place: …
	Date: …
(Seal or stamp of the authority, as appropriate)
Annual survey:	Signed: … (Signature of authorized official)
	Place: …
	Date: …
(Seal or stamp of the authority, as appropriate)
Annual survey in accordance with article 19(8)c):
This is to certify that, at a survey in accordance with article 19(8)c) 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 article 19(3) applies
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 …
	Signed: … (Signature of authorized official)
	Place: …
	Date: …
(Seal or stamp of the authority, as appropriate)
Endorsement where the renewal survey has been completed and article 19(4) applies
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 …
	Signed: … (Signature of authorized official)
	Place: …
	Date: …
(Seal or stamp of the authority, as appropriate)
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
This certificate shall, in accordance with article 19(5)/19(6)3) of the Convention, be accepted as valid until …
	Signed: … (Signature of authorized official)
	Place: …
	Date: …
(Seal or stamp of the authority, as appropriate)
Endorsement for advancement of anniversary date where article 19(8) applies
In accordance with article 19(8) of the Convention the new anniversary date is …
	Signed: … (Signature of authorized official)
	Place: …
	Date: …
(Seal or stamp of the authority, as appropriate)
In accordance with article 19(8) of the Convention the new anniversary date is …
	Signed: … (Signature of authorized official)
	Place: …
	Date: …
(Seal or stamp of the authority, as appropriate)

Form of International Exemption Certificate on Load Lines
INTERNATIONAL LOAD LINE EXEMPTION CERTIFICATE
(Official seal)		(State)
Issued under the provisions of the International Convention on Load Lines, 1966, as modified by the Protocol of 1988 relating thereto
under the authority of the Government of
	…
	(name of the State)
by	…
	(person or organization recognized)
Particulars of ship1)

Name of ship …

Distinctive number or letters …

Port of registry …

Length (L) as defined in article 2(8)(in metres) …

IMO Number2) …

This is to certify:

That the ship is exempted from the provisions of the Convention, under the authority conferred by article 6(2)/6(4)3) of the Convention referred to above.

The provisions of the Convention from which the ship is exempted under article 6(2) are:

…

The voyage for which exemption is granted under article 6(4) is:

From:…

To:…

Conditions, if any, on which the exemption is granted under either article 6(2) or article 6(4): … … … This certificate is valid until …4) subject to annual surveys in accordance with article 14(1)c) of the Convention. Completion date of the survey on which this certificate is based: …
Issued at …
(Place of issue of certificate)
…	…
(Date of issue)	(Signature of authorized official issuing the certificate)
(Seal or stamp of the authority, as appropriate)
Endorsement for annual surveys
This is to certify that, at an annual survey required by article 14(1)(c) of the Convention, the ship was found to comply with the conditions under which this exemption was granted.

Annual survey:	Signed:… (Signature of authorized official)
	Place:…
	Date: …
(Seal or stamp of the authority, as appropriate)
Annual survey:	Signed:… (Signature of authorized official)
	Place:…
	Date: …
(Seal or stamp of the authority, as appropriate)
Annual survey:	Signed:… (Signature of authorized official)
	Place:…
	Date: …
(Seal or stamp of the authority, as appropriate)
Annual survey:	Signed:… (Signature of authorized official)
	Place:…
	Date: …
(Seal or stamp of the authority, as appropriate)
Annual survey in accordance with article 19(8)c):
This is to certify that, at a survey in accordance with article 19(8)c) 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 article 19(3) applies.
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 …
	Signed:… (Signature of authorized official)
	Place:…
	Date: …
(Seal or stamp of the authority, as appropriate)
Endorsement where the renewal survey has been completed and article 19(4) applies
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 …
	Signed:… (Signature of authorized official)
	Place:…
	Date: …
(Seal or stamp of the authority, as appropriate)
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
This certificate shall, in accordance with article 19(5)/19(6)3) of the Convention, be accepted as valid until …
	Signed:… (Signature of authorized official)
	Place:…
	Date: …
(Seal or stamp of the authority, as appropriate)
Endorsement for advancement of anniversary date where article 19(8) applies
In accordance with article 19(8) of the Convention the new anniversary date is …
	Signed:… (Signature of authorized official)
	Place:…
	Date: …
(Seal or stamp of the authority, as appropriate)
In accordance with article 19(8) of the Convention the new anniversary date is …
	Signed:… (Signature of authorized official)
	Place:…
	Date: …
(Seal or stamp of the authority, as appropriate)’.

Toon alle voetnoten

Voetnoten

1).

Alternatively, the particulars of the ship may be placed horizontally in boxes.

2).

In accordance with resolution A.600(15) — IMO Ship Identification Number Scheme, this information may be included voluntarily.

3).

Delete as appropriate.

3).

Delete as appropriate.

4).

Freeboards and load lines which are not applicable need not be entered on the certificate. Subdivision load lines may be entered on the certificate on a voluntary basis.

4).

Freeboards and load lines which are not applicable need not be entered on the certificate. Subdivision load lines may be entered on the certificate on a voluntary basis.

5).

Insert the date of expiry as specified by the Administration in accordance with article 19(1) of the Convention, The day and the month of this date correspond to the anniversary date as defined in article 2(9) of the Convention, unless amended in accordance with article 19(8) of the Convention.

3).

Delete as appropriate.

1).

Alternatively, the particulars of the ship may be placed horizontally in boxes

2).

In accordance with resolution A.600(15) — IMO Ship Identification Number Scheme, this information may be included voluntarily.

3).

Delete as appropriate.

4).

Insert the date of expiry as specified by the Administration in accordance with article 19(10) of the Convention. The day and the month of this date correspond to the anniversary date as defined in article 2(9) of the Convention unless amended in accordance with article 19(8) of the Convention.

3).

Delete as appropriate.