International load line Certificate

(1966)

(Official seal)

Issued under the provisions of the International Convention on Load Lines, 1966, under the authority of the Government of

(full official designation of the country)

……………………………………………………………………………………….

(full official designation of the competent person or organization

by ……………………………………………………………………………………

recognized under the provisions of the international Convention

……………………………………………………………………………………….

on Load Lines, 1966)

………………………………………………………………………………………

Freeboard assigned as:

*

Type of ship:

*

_________________________

* Delete whatever is inapplicable

Note: Freeboards and load lines, which are not applicable, need not be entered on the certificate.

Allowance for fresh water for all freeboards other than timber ……... mm (inches).

For timber freeboards ……………. mm (inches).

The upper edge of the deck line from which these freeboards are measured is ………….mm (inches) ……….deck at side.

Date of initial or periodical survey …………………………..

This is certify that this ship has been surveyed and that the freeboards have been assigned and load lines shown above have been marked in accordance with the international Convention on Load Lines, 1966.

This certificate is valid until ……………….subject to periodical inspections in accordance with Article 14 (1) (c) of the Convention.

Issued at ……………………………………………………………...

(Place of issue of Certificate)

………………… ………………………………………………………….

(Date of issue) (Signature of official issuing the Certificate) and/or

(Seal of issuing authority)

If signed, the following paragraph is to be added:

The undersigned declares that he is duly authorized by the said Government to issue this certificate.

………………………..

(Signature)

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 requires for consumption between the point of departure and the sea.

2. When a ship is in trash water of unit density the appropriate loans 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.

This is to certify that at a periodical inspection required by Article 14 (1) (c) of the Convention, this ship was found to comply with the relevant provisions of the Convention.

Place ……………………………… Date …………………………

Signature and/or Seal of issuing authority.

Place ……………………………… Date …………………………

Signature and/or Seal of issuing authority.

Place ……………………………… Date …………………………

Signature and/or Seal of issuing authority.

Place ……………………………… Date …………………………

Signature and/or Seal of issuing authority.

The provisions of the Convention being fully complied with by this ship, the validity of this certificate is, in accordance with Article 19 (2) of the Convention, extended until ………………………………………………………..

Place ……………………………… Date …………………………

Signature and/or Seal of issuing authority.