International Load Line Certificate (1966)
[FORM A1]
(Official seal of issuing authority.)
(Certificate No. ______)
Issued under the provisions of the International Convention on Load Lines, 1966, under the authority of the Government of the United States of America, and the Commandant, U.S. Coast Guard:
By
(INSERT FULL OFFICIAL DESIGNATION OF ISSUING AUTHORITY)
_______________________________
and duly authorized for assigning purposes under the provisions of the Convention.
Name of ship | Official number or distinctive letters | Port of registry | Length (L) as defined in Article 2(8) i.e., 46 CFR 42.13-15 |
Freeboard assigned as:1 | A new ship | Type of ship:1 | Type "A". |
An existing ship | Type "B". | ||
Type "B" with reduced freeboard. | |||
Type "B" with increased freeboard. | |||
FREEBOARD FROM DECK LINE LOAD LINE | |||
Tropical | ____ (inches) | (T) | ____ (inches) above (S). |
Summer | ____ (inches) | (S) | Upper edge of line at level of center of ring. |
Winter | ____ (inches) | (W) | ____ (inches) below (S). |
Winter (North Atlantic) | ____ (inches) | (WNA) | ____ (inches) below (S). |
Allowance for fresh water for all freeboards | ____ (inches). |
(ALL MEASUREMENTS ARE TO UPPER EDGE OF THE RESPECTIVE HORIZONTAL LINES)
The upper edge of the deck line from which these freeboards are measured is ____ inches above or below the top of the ____ deck at side; i.e., freeboard1 deck.
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 ________,2 subject to annual surveys in accordance with Article 14(1)(c) of the Convention, and endorsement thereof on the reverse side of the certificate.
Issued at __________________ (Place of issue of certificate), ____________________, 19____ (Date of issue)
_______________________________
(SIGNATURE OF OFFICIAL ISSUING THE CERTIFICATE)
[Seal of issuing
authority]
The undersigned declares that he is duly authorized by the said Government to issue this certificate.
(Signature)
notes
1 The issuing authority is authorized to delete or change words whenever it is inapplicable to a specific vessel and to arrange wording so appropriate word insertions may be made, which accurately describe the facts.
2 At the expiration of this certificate, applicable reissuance should be obtained in accordance with the Load Line Regulations.
(Reverse Side of Certificate)
annual surveys
This is to certify that at an annual survey required by Article 14(1)(c) of the Convention, this ship was found to comply with the relevant provisions of the Convention.
Place | Date |
(Signature and seal of issuing authority) | |
Place | Date |
(Signature and seal of issuing authority) | |
Place | Date |
(Signature and seal of issuing authority) | |
Place | Date |
(Signature and seal of issuing authority) | |
EXTENSION OF LOAD LINE CERTIFICATE | |
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 seal of issuing authority) |
notes
_______________________________
International Load Line Certificate (1966)
[FORM A2]
* * * * * * *
FREEBOARD FROM DECK LINE | LOAD LINE | ||
Tropical | |||
Summer | ____ (inches) | Upper edge of line at level of center of ring. | |
Winter | |||
Winter-North Atlantic | ____ (inches) | (WNA) | Upper edge of line ____ (inches) below upper edge at level of center of ring. |
Allowance for fresh water for all freeboards | ____ (inches). |
(ALL MEASUREMENTS ARE TO UPPER EDGE OF THE RESPECTIVE HORIZONTAL LINES)
The upper edge of the deck line from which these freeboards are measured is ____ inches above or below the top of the ________ deck at side; i.e., freeboard1 deck.
* * * * * * *
1 The issuing authority is authorized to delete or change words whenever it is inapplicable to a specific vessel and to arrange wording so appropriate word insertions may be made, which accurately describe the facts.
_______________________________
International Load Line Certificate (1966)
[FORM A3]
* * * * * * *
The timber freeboards given in this certificate are applicable only when this ship carries a timber deck cargo and complies with special requirements of the Load Line Regulations regarding timber deck cargoes.
FREEBOARD FROM DECK LINE | LOAD LINE | ||
Tropical | ____ (inches) | (T) | ____ (inches) above (S). |
Summer | ____ (inches) | (S) | Upper edge of line at level of center of ring. |
Winter | ____ (inches) | (W) | ____ (inches) below (S). |
Winter-North Atlantic | ____ (inches) | (WNA) | ____ (inches) below (S) |
Timber-tropical | ____ (inches) | (LT) | ____ (inches) above (LS). |
Timber-summer | ____ (inches) | (LS) | ____ (inches) above (S). |
Timber-winter | ____ (inches) | (LW) | ____ (inches) below (LS). |
Timber-winter-North Atlantic | ____ (inches) | (LWNA) | ____ (inches) below (LS). |
Allowance for fresh water for all freeboards other than timber | ____ (inches). | ||
Allowance for fresh water for all timber freeboards | ____ (inches). |
(ALL MEASUREMENTS ARE TO UPPER EDGE OF THE RESPECTIVE HORIZONTAL LINES)
The upper edge of the deck line from which these freeboards are measured is ____ inches above or below the top of the ________ deck at side; i.e., freeboard1 deck.
* * * * * * *
1 The issuing authority is authorized to delete or change words whenever it is inapplicable to a specific vessel and to arrange wording so appropriate word insertions may be made, which accurately describe the facts.
_______________________________
International Load Line Exemption Certificate
[FORM E1]
(Official seal of issuing authority.)
(Certificate No. ____)
Issued under the provisions of the International Convention on Load Lines, 1966, under the authority of the Government of the United States of America, and the Commandant U.S. Coast Guard:
By _______________________________
(INSERT FULL OFFICIAL DESIGNATION OF ISSUING AUTHORITY)
and duly authorized for assigning and exemption purposes under the provisions of the Convention.
Name of ship | Official numbers of distinctive letters | Port of registry |
This is to certify that the above-mentioned ship is exempted from the provisions of the 1966 Convention, under the authority conferred by Article 6(2),1 Article 6(4),1 of the Convention referred to above and that this ship has been surveyed accordingly.
The provisions of the Convention from which the ship is exempted under Article 6(2) are:
The voyage for which exemption is granted under Article 6(4) is:
From: _______________________________
To: _______________________________
Conditions, if any, on which the exemption is granted under either Article 6(2) or Article 6(4):
This certificate is valid until ________,2 subject, where appropriate, to annual surveys in accordance with Article 14(1)(c) of the Convention, and endorsement thereof on the reverse side of the certificate.
Issued at
(PLACE OF ISSUE OF CERTIFICATE)
(DATE OF ISSUE)
(SIGNATURE OF OFFICIAL ISSUING THE CERTIFICATE)
[Seal of issuing
authority]
The undersigned declares that he is duly authorized by the said Government to issue this certificate.
(Signature)
1 The issuing authority is authorized to delete whichever reference is inapplicable.
2 At the expiration of this certificate, applicable reissuance should be obtained in accordance with the Load Line Regulations, if permitted.
(REVERSE SIDE OF EXEMPTION CERTIFICATE)
annual surveys
This is to certify that this ship continues to comply with the conditions under which this exemption was granted.
Place | Date |
(Signature and seal of issuing authority) | |
Place | Date |
(Signature and seal of issuing authority) | |
Place | Date |
(Signature and seal of issuing authority) | |
Place | Date |
(Signature and seal of issuing authority) |
extension of load line certificate
This ship continues to comply with the conditions under which this exemption was granted and the validity of this certificate is, in accordance with Article 19(4)(a) of the Convention, extended until.
Place | Date |
(Signature and seal of issuing authority) |
46 C.F.R. §42.50-5