THIS IS TO
CERTIFY that, at an annual/intermediatefootnote survey in accordance with paragraph 1.4.6.8.3 of the Code,
the ship was found to comply with the relevant provisions of the Code:
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Signed: …………………………………………
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(Signature of duly authorized official)
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Place:
………………………………....................
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Date (dd/mm/yyyy):
……………………………...
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(Seal or stamp of the Authority, as appropriate)
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