SAFETY OF LIFE AT SEA 



C179 



App. 



Form of Safety Radiotelegraph)' Certificate for Cargo Ships 



CARGO SHIP SAFETY RADIOTELEGRAPHY CERTIFICATE 



(Official Seal) (Country) 



Issued under the provisions of the 



International Convention for the Safety of Life at Sea, 1960 



The 



(Name) Government certifies 



I, the undersigned (Name) certify 



I. That the above-mentioned ship compHes with the provisions of the 

 Regulations annexed to the Convention referred to above as regards 

 Radiotelegraphy : — 



Requirements of 

 Regulations 



Actual provision 



Hours of listening by operator 



Number of operators ... 



Whether auto alarm fitted 



Whether main installation fitted 



Whether reserve installation fitted 



Whether main and reserve transmitters 



electrically separated or combined 

 Whether direction-finder fitted 



II. That the functioning of the radiotelegraphy installations for motor 

 lifeboats and/or the portable radio apparatus for survival craft, if provided, 

 complies with the provisions of the said Regulations. 



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 this 

 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 J 952 

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

 at Sea, 1960, in which cases the actual date should be given. 



App. 



