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CARGO SHIP SAFETY RADIO CERTIFICATE

( R).

This Certificate shall be supplemented by a Record of Equipment of Radio Facilities (form R).

1974 ,

___________________________________

( )

Issued under the provisions of the International Convention for the Safety of Life at Sea, 1974, as

amended under the authority of the Government by the Russian Maritime Register of Shipping

(name of the State)

/ PARTICULARS OF SHIP

Name of ship Distinctive Number or Letters   Port of Registry Gross Tonnage , ( IV/2) Sea areas in which ship is certified to operate (regulation IV/2) IMO Number
               

, , , , , , ______.

Date on which keel was laid or ship was stage of construction or, where applicable, date on which work for a conversion or an alteration or modification of a major character was commenced ___.

 

:

THIS IS TO SERTIFY THAT:

1. 1/9

That the ship has been surveyed in accordance with the requirements of regulation 1/9 of the Convention

2. , :

That the survey showed that:

2.1.

the ship complied with the requirements of the Convention as regards radio installations

2.2. , ,

The functioning of the radio installations used in life-saving appliances with complied with the requirements of the Convention

3. / *

That an Exemption Certificate has/has not been issued.

 

This Certificate is valid until

 

place of issue of Certificate
(
)
Issued at

 

 

Russian Maritime Register of Shipping

,

 

 

* Delete as appropriate

( R) RECORD OF EQUIPMENT FOR THE CARGO SHIP SAFETY RADIO CERTIFICATE (FORM R)





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