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Appendix XI — Form of Exemption Certificate for UNSP Barges (regulation 8.4) Internationaal Verdrag ter voorkoming van verontreiniging door schepen, 1973, zoals gewijzigd door het Protocol van 1978 daarbij

Form of Exemption Certificate for UNSP Barges (regulation 8.4)

INTERNATIONAL AIR POLLUTION PREVENTION EXEMPTION CERTIFICATE FOR UNMANNED NON-SELF-PROPELLED (UNSP) BARGES

Issued under the provisions of the Protocol of 1997, as amended, to amend the International Convention for the Prevention of Pollution from Ships, 1973, as modified by the Protocol of 1978 relating thereto (hereinafter referred to as “the Convention”) under the authority of the Government of:

............

(full designation of the country)

by | ............

(full designation of the competent person or organization authorized under the provisions of the Convention)

Particulars of ship

Name of ship............

Distinctive number or letters............

IMO Number............

Port of registry............

Gross tonnage............

THIS IS TO CERTIFY THAT:

1. the UNSP barge has been surveyed in accordance with regulation 3.4 of Annex VI to the Convention;

2. the survey shows that the UNSP barge:

1. is not propelled by mechanical means;

2. has no system, equipment and/or machinery fitted that may generate emissions controlled by Annex VI to the Convention; and

3. has neither persons nor living animals on board; and

3. the UNSP barge is exempted, under regulation 3.4 of Annex VI to the Convention from the certification and related survey requirements of regulations 5.1 and 6.1 of Annex VI to the Convention.

This Certificate is valid until (dd/mm/yyyy) ............

subject to the exemption conditions being maintained.

Completion date of the survey on which this Certificate is based (dd/mm/yyyy) Issued at

Issued at | ............

(place of issue of certificate)

(dd/mm/yyyy): | ............ | ............

(date of issue) | (signature of duly authorized official issuing the certificate)

(seal or stamp of the authority, as appropriate)

Regeling
Internationaal Verdrag ter voorkoming van verontreiniging door schepen, 1973, zoals gewijzigd door het Protocol van 1978 daarbij
Afkortingen
MARPOL, MARPOL 73/78
Soort
Verdrag
Geldend vanaf
01-03-2026
BWB-id
BWBV0003241
Versie
2026-03-01_0

In de hele regeling · Officiële tekst op wetten.overheid.nl