Appendix 3 - Example of an Addendum to the Ship's Certificate of Fitness
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Statutory Documents - IMO Publications and Documents - Circulars - Marine Environment Protection Committee - MEPC.1/Circular.512/Rev.1 – Guidelines for the Provisional Assessment of Liquid Substances Transported in Bulk - (15 October 2019) - Appendix 3 - Example of an Addendum to the Ship's Certificate of Fitness

Appendix 3 - Example of an Addendum to the Ship's Certificate of Fitness

(Also known as International Certificate of Fitness/International Pollution Prevention Certificate for the Carriage of Noxious Liquid Substances in Bulk)

               
  Addendum to Certificate No.footnote Issued at: dd/mm/yyyy  
  Issued in pursuance of the Code for the Construction and Equipment of Ships Carrying Dangerous Chemicals in Bulk/International Code for the Construction and Equipment of Ships Carrying Dangerous Chemicals in Bulk/Annex II to MARPOL, as amended" under the authority of the Government of: ….………………………………………………  
  Name of Ship Distinctive Number or Letters IMO Number Port of Registry Gross Tonnage Ship Type  
 

 
               
               
  THIS IS TO CERTIFY:

That the ship meets the requirements for the carriage in bulk of the following product(s), provided that all relevant operational provisions of/the Code and/Annex II of MARPOL are observedfootnote:

 
               
  Noxious Liquid Substance/Productfootnote Conditions of carriage (tank numbers, etc.) Pollution category  
 

 
 

 
               
  The transportation of this product is permitted between the following countries:    
  The issuance of this Addendum is based on document:        
  The Tripartite Agreement for this product is valid until: (dd/mm/yyyy)……………..    
  This Addendum will remain in force until: (dd/mm/yyyy)…………….      
               
  Place and date of issue:      
  (dd/mm/yyyy)………………………      
        Signed………………….  
        (signature of authorized official)  
               
Parent topic: MEPC.1/Circular.512/Rev.1 – Guidelines for the Provisional Assessment of Liquid Substances Transported in Bulk - (15 October 2019)
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