Modelo de certificado provisional de gestión de la seguridad

Pages23-24

Page 23

(Sello oficial) (Estado)

Certificado Nº

Expedido en virtud de las disposiciones del CONVENIO INTERNACIONAL PARA LA SEGURIDAD DE LA VIDA HUMANA EN EL MAR, 1974, enmendado

Con la autoridad conferida por el Gobierno de__________________________________________________(nombre del Estado)

por____________________________________________________________________________________________(persona u organización autorizada)

Nombre del buque:..............................................................................

Nuómero o letras distintivos: .................................................................

Puerto de matrícula:...........................................................................

Tipo de buque:1..............................................................................

Arqueo bruto...

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