Victoria. Intern Load Line Certificate
Victoria. Intern Load Line Certificate
Victoria. Intern Load Line Certificate
I
ilhis certificate replaces certificate number GOT 1650111/01 issued on 13 April 2016 Certificate no: GOT1650111/A1
which is hereby cancelled. Page 1 of 4
Particulars of Ship
LWNA
*Delete as appropriate
1 Freeboards and load lines which
are not appficable need not be entered on the ceftificate. Subdivision toad tines may be entered on the certificate on a voluntary basis.
'Lloyd's Register'. Lloyd's Register assumes no responsibility and shall not be liable to any person for any loss, damage or expense caused by reliance on the information or
advice in this document or howsoever provided, unless that person has signed ä conträct with the relevant Lloyd's Register entity for the provision of this information or
advice and in that case any responsibility or liabili§ is exclusively on the terms and conditions set out in that contract.
Q.e
Certificateno. GOT1550111/A1
Page 2 of 4
This is to certify:
1. that the ship has been surveyed in accordance with the requirements of article 1 4 of the Convention;
2. that the survey showed that the freeboards have been assigned and load lines shown on page t have been marked in accordance with the
Convention.
This certificate is valid unti12 17 April2021 subject to annual surveys in accordance with article 1a(1) (c) of the Convention.
Completion date of the survey on which this certificate rs based 13 April 2016
Rikard Enskär
Surveyor to Lloyd's Register EMEA
Service endorsement*
Notes:
1. When a ship departs from a port situated on a river or lnland 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 fresh water allowance shown above.
Where the density is other than unity, the allowance shall be made proportional to the difference between 1.025 and the actual density.
2 lnseft the date of expiry as specifred by the Administration in accordance with article 19 (1) of the Convention. The day and the month of this date correspond to the
anniversary date as defined in article 2 (9) of the Convention, unless amended in accordance with article 9 (8) of the Convention.
1
"Delete as appropriate
This is to certify that, at an annual survey required by article 14(1Xc) of the Convention, the ship was found to comply with the relevant requirements
of the Convention.
Annual survey
Sisned: RikarJ E,asär W#WoH*,
Place of rrr.y l^gle&
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Annual survey
Signed: -lR*.. E*tge55-
Placeof survey W Fi^r.-L b,.rsrÅ,c,r*-
Date " ?-ora
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Annual survey
Signed: t4a.--r- El-iLL§§tv!-
Placeofsurvey 6,afr+.\<\-e\^-r
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Date \6 §\a- y t-o\n
Annual survey
Signed:
Place of survey
Date
Annual survey
Signed:
Place of survey
Date
Endorsement to extend the certificate if valid for less than 5 years where article 19(3) applies
The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance
with article l9(3) of the Convention, be accepted as valid until
Signed:
Place of survey
Date
Endorsement where the renewal survey has been completed and article 19(4) applies
\-. The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance
with article 19(4) of the Convention, be accepted as valid until
Signed:
Place of survey
Date
Endorsement to extend the validi§ of the certificate until reaching the port of survey or for a period of
grace where artacle 19(5) or 19(5) applies
This certificate shall in accordance with article 19(5) / 19(5)" of the Convention, be accepted as valid until
Signed:
Place of survey
Date
ln accordance with article 19(8) of the Convention, the new anniversary date is
Signed:
Place of survey
Date
In accordance with article 19(8) of the Convention, the new anniversary date is
Signed:
Place of survey
Date
*Delete as appropriate
Form2210 (2015.06)
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