CCS船舶检验申请书

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中国船级社

CHINA CLASSIFICATION SOCIETY APPLICATION FOR CLASSIFICATION Form AFC-2 No.

(This form in duplicate may be submitted through the local office of this Society)

We hereby apply China Classification Society to carry out classification survey of the following vessel for first entry/ re-classification and to issue the classification certificates.

A Major Conversion or modification to the vessel is planned together with the

Classification Survey.

Name of Ship ZHONGGUOSHUIDIAN J06 IMO No.

Flag CHINA Port of Registry TIANJIN

Type of Ship Year of built 2008.

Length (B.P.)(m) 99．95 Breadth(m) 15．40 Depth(m) 4.00

Builder Tianjin Xinhe Shipbuilding Heavy Industy Co，Ltd., China

Gross Tonnage

(69 Tonnage/National*) 1498

Ex. Name of Ship Ex. Class / ID No.

Owner

/Address

Operator

/Address

Address for Cert. Mailing

Post Code TEL 0086-022-******** FAX No.

0086-022-662

72080

Contact with

In addition we apply that the following certificates be issued and the documents approved by China Classification Society on behalf of National Authorities.

☐Load Line

☐Safety Construction ☐Safety Equipment ☐Safety Radio

☐IOPP

☐IAPP

☐NLC ☐Tonnage 1969

☐National Tonnage

☐Suez Canal Tonnage

☐Panama Canal Tonnage

☐COF(Chemical)

☐COF(Gas)

☐CFD/CBC

☐Navigation Safety

☐OPP

☐Cargo Gear

☐Passenger Safety

☐

☐

☐

We agree to pay the specified classification survey fee, relevant survey fee and, in addition, any traveling and other expenses incurred by the Survey in connection with the survey. It is understood that in the event of this project not being completed under the Society's survey, the Society reserves the right to charge its services pro rata.

WE HEREBY DECLARE THA T CHINA CLASSIFI CA TION SOCIETY HAS BEEN AUTHORIZED TO GAIN THE RELEV ANT DOCUMENTS FROM THE PREVIOUS CLASS SOCIETY.

Applicant(Signature) Date

Tel: Fax: E-mail

中国船级社

CHINA CLASSIFICATION SOCIETY

营运检验申请

APPLICATION FOR SURVEYS AND ISSUE OF

CERTIFICATES OF SHIP IN SERVICE

No.

下面署名申请人/公司申请中国船级社对船舶/设施进行检验和发证，申请人/公司承诺提供有关图纸资料和检验条件以及负担检验费和相关费用。

The undersigned requests CHINA CLASSIFICA TION SOCIETY to carry out survey(s)/ to issue certificate(s) for the ship below and installations and the undersigned promises to provide drawings/survey condition and bear all survey fee and expenses involved.

船名

Name of ship ZHONGGUOSHUIDIAN J06 船级登记号

CCS No. 08X0107

船旗Flag 中国船舶种类

Type of ship

绞吸式挖泥船

检验地点Place of survey 巴基斯坦卡拉奇检验日期

Date of survey

申请人/公司Applicant 中国水电建设集团港航建设有限公司

船东或管理人

邮寄证书地址

*Address of Owners or Operators for Cert. Mailing 天津保税区通达广场1号国际贸易服务中心3楼邮编

Post Code300461 电话

TEL 86-022-********

传真

FAX

No.

86-022********

联系人

Contact with

许锋

代理名址Agency Bulk Shipping & Trading（Pvt.）Ltd

电话

TEL 92-21-2851406

传真

FAX No. 92-21-2851400

联系人

Contact with Tariq Haleem

For your convenience, please fill with full address to ensure the certificates to be properly mailed to your company. 检验种类Kind of Survey(s):

A. 船级检验CLASS SURVEYS

☐特别检验（船体/轮机）（开始/进行中/完成）*

Special survey（H/M）(Commenced/incompleted/Completed)* ☐尾轴和螺旋桨轴检验（部分/变通）* Screwshaft and Tube Shaft Survey(Partial/Modified)*

☐冷藏装置特别检验

Special survey for Refrigerated Cargo Installation ☐锅炉检验Boiler Survey

✓年度检验(船体/轮机/冷藏)* Annual Survey(H/M/R)* ☐修理/改装*检验Repair/Alteration* Survey

☐中间检验（(船体/轮机/冷藏)）* Intermediate Survey(H/M/R)* ☐临时检验Occasional Survey

☐循环检验（轮机/冷藏）* Continuous Survey(M/R)* ☐展期检验Postponement Survey for

☐坞检/水下检验Docking/Inwater* Survey ☐其他：

Others: *不适用者划去Delete as appropriate

B. 法定检验STA TUTORY SURVEYS

载重线LL 构造

SC

设备

SE

无线电

SR

客船

PSS

防油污

IOPP

生活污水

ISPP

大气污染

IAPP

初次Initial □□□□□□□□□□换新Renewal □□□□□□□□□□期间Intermediate □□□□□定期Periodical □□□□□年度Annual □□□□□□□附加Additional □□□□□□□□□□C. 起货设备CARGO GEAR SURVEY(S)

☐四年度Quadrennial ✓年度/年度全面AI/ATE ☐临时Occasional ☐吊重Load Test ☐

付款方式Form of Payment ☐现金Cash ☐支票Cheque ✓银行转账Through Bank ☐