mezhdunarodnoe-svidetelstvo-o-gruzovoy-marke
Международная конвенция от 05.04.1966, в которой приведена данная форма, вступила в силу для СССР 22 июля 1968 года.
Annex III
CERTIFICATES
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)
______________________________________________________________________
by (full official designation of the competent person or
______________________________________________________________________
organization duly authorized under the provisions of the
______________________________________________________________________
International Convention on Load Lines, 1966)
Name of
Ship
|
Distinctive
Number or
Letters
|
Port of
Registry
|
Length (L)
as defined in
Article 2(8)
|
|
|
|
|
Freeboard assigned as: Type of ship
┌ A new ship ┌ Type "A"
<*> └ An existing ship │ Type "B"
<*> │ Type "B" with
│ reduced freeboard
│ Type "B" with
└ increased freeboard
Freeboard
from deck line Load Line
Tropical __mm. (inches) (T) __ram. (inches)
above (S)
Summer __mm. (inches) (S) Upper edge of line at
the level of center
of ring
Winter __mm. (inches) (W) __mm. (inches) below
(S)
Winter
North Atlantic __mm. (inches) (WNA) __mm. (inches) below
(S)
Timber tropical __mm. (inches) (LT) __mm. (inches) above
(LS)
Timber summer __mm. (inches) (LS) __mm. (inches) above
(S)
Timber winter __mm. (inches) (LW) __mm. (inches) below
(LS)
Timber winter
North Atlantic __mm. (inches) (LWNA) __mm. (inches) below
(LS)
Note: Freeboards and load lines which are not applicable need not
be entered on the certificate.
--------------------------------
<*> Delete whatever is inapplicable.
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. <*>
--------------------------------
<*> Рисунок не приводится.
Date of initial or periodical survey_____________________________
This is to 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) (с) of the Convention.
Issued at_____________________________________________________________
(Place of issue of certificate)
_______19___ _______________________________________________________
(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 required for consumption
between the point of departure and the sea.
2. When a ship is in fresh water of unit density the appropriate
load 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.
Reverse of Certificate
This is to certify that at a periodical inspection required by
Article. 14 (1) (с) 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.