SAFETY OF LIFE AT SEA CI 75 



App. 



Form of Safety Construction Certificate for Cargo Ships 

 CARGO SHIP SAFETY CONSTRUCTION CERTIFICATE 



{Official Seal) (Country) 



Issued under the provisions of the 

 International Convention for the Safety of Life at Sea, 1960 



Distinctive i Date on which 



Name of Ship i Number or Port of Registry Gross keel was laid 



Letters Tonnage (see Note 



] I below) 



The {Name) Government certifies 



I, the undersigned (TVawe) certify 



That the above-mentioned ship has been duly surveyed in accordance with 

 the provisions of Regulation 10 of Chapter I of the Convention referred to 

 above, and that the survey showed that the condition of the hull, machinery and 

 equipment, as defined in the above Regulation, was in all respects satisfactory 

 and that the ship complied with the applicable requirements of Chapter II 

 (other than that relating to fire extinguishing appliances and fire control plans). 



This certificate is issued under the authority of the 

 Government. It will remain in force until 



Issued at the day of 19 . 



Here follows the seal or signature of the authority entitled to issue the 

 certificate. 



{Seal) 



If signed, the following paragraph is to be added: — 



The undersigned declares that he is duly authorised by the said Government 

 to issue this certificate. 



{Signature) 



Note. — It will be sufficient to indicate the year in which the keel was laid except for 1952 

 and the year of the coming into force of the International Convention for the Safety of Life 

 at Sea, J 960, in which cases the actual date should be given. 



App. 



