288 



Date on which keel was laid or ship was in a similar stage of construction: 



Date of building contract : ..« 



Date on which a na jor conversion is connenced : , 



Date of delivery: 



It is certified that: 

 (l) The ship is 



(a) required to be constructed according to and complies with* 



(b) not required to be constructed according to*' 



(c) not required to be constructed according to, but conplies with^'^ 

 the reqxiirements of Hegulation 24 of ijinex I of the said Convention. 



(?) The capacit:/- of se/^rc^^tod ballast tanks is «...•.. »ryw.... ooblo iMtras. 

 ThlB satiafias tha ra^tdxwBanta of Eagulation 1^(3>^ 



* Dalata as appropriate 



56/ThiB part mi^t r«calx« aaandmanta, dapandls^ on th* daoislon of tha 

 Confaranoe on tha final taxt of Bagnlation 13(3)* 



