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Schedule 7

FORMS

FORM 1

(Regulation 23(a)(i))

APPLICATION FOR INTERNATIONAL LOADLINE CERTIFICATE (1966)

SAINT LUCIA

APPLICATION FOR INTERNATIONAL LOADLINE CERTIFICATE FOR VESSELS TWENTY-FOUR METERS AND ABOVE

PARTICULARS OF SHIP
IMO/HIN/Caribbean Number			Port of Registry
(if known)
Delete as appropriate
Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)
Construction Material			Overall Length
Year to Build			Country to Build
PARTICULARS OF FREEBOARD
Freeboard from deck line			Load line
Tropical Mm (T)			mm. Above (S)
Allowance for fresh water for all freeboards other than timber			mm
For timber freeboards			mm
The upper edge of the deck line from which these freeboards are measured is
mm
above/below from deck at side

The provisions which the ship is exempted are
Completion date of survey on which this certificate is based
NB:-(Freeboards and load lines which are not applicable need not be entered on the certificate. Subdivision load lines may be entered on the certificate on a voluntary basis)
PARTICULARS OF THE APPLICANT(S)
Full Name(s)
Address(es) (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
Telephone number(s)				Fax number(s)
E-mail address(es)
SIGNATURE
Place				Signature of Witness
Date	/ /
	(d/m/y)
Signature of Owner(s) In case of a body corporate, an authorized officer of the body corporate				Full Name of Witness
				Address of Witness
SURVEYORS DECLARATION
This is to certify that —
1. The ship has been surveyed in accordance with the requirements of the Shipping Act, Cap 13.27.
2. The survey showed that the freeboards have been assigned and the load lines shown above have been marked in accordance with Part 47 of the Maritime Rules as per photographs of the port and starboard load line marks and draught marks showing the subject vessel's name.
3. The application for the issuance of a Saint Lucian load line is made direct to The Division of Maritime Affairs on behalf of the registered owner.
4. A copy of the attending Surveyor's completed check list for the load line is attached.
5. For an initial survey a copy of the Naval Architect's freeboard calculations and the completed and signed off Stability Book is attached.
6. The initial survey must make a complete inspection of the ship's structure and equipment and the relevant information.
7. For a renewal survey, proof of structure has been surveyed is attached, such as photographs of void space showing internal structure remaining unchanged due to modification, fracture or failure.
*FOR OFFICIAL USE ONLY*
Name of Surveyor:
Signature:
Date:
WHEN COMPLETED YOU SHOULD SEND THIS FORM TO THE REGISTRAR OF SHIPS (see below)
Registrar of Ships		OFFICIAL USE ONLY
Division of Maritime Affairs
Address		Entry in Register made on
Telephone:
Fax:					/ /
Email:		(d/m/y)
		At (time)
		By Officer (print name)

FORM 2

(Regulation 23(a)(ii)

APPLICATION FOR SAINT LUCIA LOCAL LOAD LINE CERTIFICATE

SAINT LUCIA
APPLICATION FOR SAINT LUCIA LOCAL LOADLINE CERTIFICATE FOR VESSELS UNDER TWENTY-FOUR METERS
PARTICULARS OF SHIP
IMO/HIN/Caribbean Number Port of Registry
(if known)
(delete as appropriate)
Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)
Construction Material Overall Length
Year to Build Country to Build
PARTICULARS OF FREEBOARD
Freeboard from deck line Load line
Tropical      Mm (T)      mm. Above (S)
Allowance for fresh water for all freeboards other than timber      mm
For timber freeboards      mm
The upper edge of the deck line from which these freeboards are measured is
     mm above/below from deck at side
NB:-(Freeboards and load lines which are not applicable need not be entered on the certificate. Subdivision load lines may be entered on the certificate on a voluntary basis).
PARTICULARS OF THE APPLICANT(S)
Full Name(s)
Address(es) (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
Telephone number(s) Fax number(s)
E-mail address(es)
SIGNATURE
Place
Date      /     /     Signature of Witness
(d/m/y)
Signature of Owner(s) Full Name of Witness
In case of a body corporate, an authorised officer of the body corporate Address of Witness
SURVEYORS DECLARATION
This is to certify that —
1.     The ship has been surveyed in accordance with the requirements of the Shipping Act, Cap 13.27.
2.     The survey showed that the freeboards have been assigned and the load lines shown above have been marked in accordance with Part 47 of the Maritime Rules as per photographs of the port and starboard load line marks and draught marks showing the subject vessel's name.
3.     The application for the issuance of a Saint Lucian load line is made direct to The Division of Maritime Affairs on behalf of the registered owner.
4.     A copy of the attending Surveyor's completed check list for the load line is attached.
5.     For an initial survey a copy of the Naval Architect's freeboard calculations and the completed and signed off Stability Book is attached.
6.     The initial survey must make a complete inspection of the ship's structure and equipment and the relevant information.
7.     For a renewal survey, proof of structure has been surveyed is attached, such as photographs of void space showing internal structure remaining unchanged due to modification, fracture or failure.
FOR OFFICIAL USE ONLY
Name of Surveyor:
Signature:
Date:
WHEN COMPLETED YOU SHOULD SEND THIS FORM TO THE REGISTRAR OF SHIPS (see below),
Registrar of Ships OFFICIAL USE ONLY
Division of Maritime Affairs
Address Entry in Register made on
Telephone:
Fax:      /     /
Email: (d/m/y)
at      (time)
By Officer (print name)
Or
SAINT LUCIA
APPLICATION FOR SAINT LUCIA LOCAL LOADLINE CERTIFICATE FOR VESSELS TWENTY-FOUR METERS AND ABOVE
PARTICULARS OF SHIP
IMO/HIN/Caribbean Number Port of Registry
(if known)
(Delete as appropriate)
Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)
Construction Material Overall Length
Year to Build Country to Build
PARTICULARS OF FREEBOARD
Freeboard from deck line Load line
Tropical      Mm (T)      mm. Above (S)
Allowance for fresh water for all freeboards other than timber      mm
For timber freeboards      mm
The upper edge of the deck line from which these freeboards are measured is
     mm above/below from deck at side
NB:-(Freeboards and load lines which are not applicable need not be entered on the certificate. Subdivision load lines may be entered on the certificate on a voluntary basis)
PARTICULARS OF THE APPLICANT(S)
Full Name(s)
Address(es) (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
Telephone number(s) Fax number(s)
E-mail address(es)
SIGNATURE
Place Signature of Witness
Date      /     /
(d/m/y)
Signature of Owner(s) Full Name of Witness
In case of a body corporate, an authorised officer of the body corporate Address of Witness
SURVEYORS DECLARATION
This is to certify that —
1.     The ship has been surveyed in accordance with the requirements of the Shipping Act, Cap 13.27.
2.     The survey showed that the freeboards have been assigned and the load lines shown above have been marked in accordance with Part 47 of the Maritime Rules as per photographs of the port and starboard load line marks and draught marks showing the subject vessel's name.
3.     The application for the issuance of a Saint Lucian load line is made direct to The Division of Maritime Affairs on behalf of the registered owner.
4.     A copy of the attending Surveyor's completed check list for the load line is attached.
5.     For an initial survey a copy of the Naval Architect's freeboard calculations and the completed and signed off Stability Book is attached.
6.     The initial survey must make a complete inspection of the ship's structure and equipment and the relevant information.
7.     For a renewal survey, proof of structure has been surveyed is attached, such as photographs of void space showing internal structure remaining unchanged due to modification, fracture or failure.
FOR OFFICIAL USE ONLY
Name of Surveyor:
Signature:
Date:
WHEN COMPLETED YOU SHOULD SEND THIS FORM TO THE REGISTRAR OF SHIPS (see below),
Registrar of Ships OFFICIAL USE ONLY
Division of Maritime Affairs
Address Entry in Register made on
Telephone:
Fax:      /     /
Email: (d/m/y)
At      (time)
By Officer (print name)

FORM 3

(Regulation 23(b)(i))

APPLICATION FOR INTERNATIONAL LOAD LINE EXEMPTION CERTIFICATE

SAINT LUCIA

APPLICATION FOR INTERNATIONAL LOADLINE EXEMPTION CERTIFICATE FOR VESSELS UNDER 24 METERS AND ABOVE

PARTICULARS OF SHIP
IMO/HIN/Caribbean Number			Port of Registry
(if known)
(Delete as appropriate)
Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)
Construction Material			Overall Length
Year to Build			Country to Build
PARTICULARS OF FREEBOARD
Freeboard from deck line			Load line
Tropical Mm (T)				mm. Above (S)
Allowance for fresh water for all freeboards other than timber				mm
For timber freeboards				mm
The upper edge of the deck line from which these freeboards are measured is
mm above/below from deck at side

The provisions from which the ship is exempted are
Completion date of survey on which this certificate is based:
NB:-(Freeboards and load lines which are not applicable need not entered on the certificate. Subdivision load lines may be entered on the certificate on a voluntary basis)
PARTICULARS OF THE APPLICANT(S)
Full Name(s)
Address(es) (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
Telephone number(s)			Fax number(s)
E-mail address(es)
SIGNATURE
Place			Signature of Witness
Date	/ /
	(d/m/y)
Signature of Owner(s)			Full Name of Witness
In case of a body corporate, an authorised officer of the body corporate			Address of Witness

SURVEYORS DECLARATION
This is to certify that —
1. The ship has been surveyed in accordance with the requirements of the Shipping Act, Cap 13.27.
2. The survey showed that the freeboards have been assigned and the load lines shown above have been marked as per photographs of the port and starboard load line marks and draught marks showing the subject vessel's name.
3. The application for the issuance of a Saint Lucian load line is made direct to The Division of Maritime Affairs on behalf of the registered owner.
4. A copy of the attending Surveyor's completed check list for the load line is attached.
5. For an initial survey a copy of the Naval Architect's freeboard calculations and the completed and signed off Stability Book is attached.
6. The initial survey must make a complete inspection of the ship's structure and equipment and the relevant information.
7. For a renewal survey, proof of structure has been surveyed is attached, such as photographs of void space showing internal structure remaining unchanged due to modification, fracture or failure.
*FOR OFFICIAL USE ONLY*
Name of Surveyor:
Signature:
Date:
WHEN COMPLETED YOU SHOULD SEND THIS FORM TO THE REGISTRAR OF SHIPS (see below)
Registrar of Ships		OFFICIAL USE ONLY
Division of Maritime Affairs
Address
Telephone:						/ /
Fax:					(d/m/y)
Email:		At (time)
		By Officer (print name)

FORM 4

(Regulation 23(b)(ii))

APPLICATION FOR SAINT LUCIA LOCAL LOAD LINE EXEMPTION CERTIFICATE

SAINT LUCIA

APPLICATION FOR SAINT LUCIA LOCAL LOADLINE EXEMPTION CERTIFICATE FOR VESSELS UNDER TWENTY-FOUR METERS

PARTICULARS OF SHIP
IMO/HIN/Caribbean Number			Port of Registry
(if known)
(Delete as appropriate)
Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)
Construction Material			Overall Length
Year to Build			Country to Build
PARTICULARS OF FREEBOARD
Freeboard from deck line			Load line
Tropical Mm (T)				mm. Above (S)
Allowance for fresh water for all freeboards other than timber				mm
For timber freeboards				mm
The upper edge of the deck line from which these freeboards are measured is
mm above/below from deck at side

The provisions from which the ship is exempted are
Completion date of survey on which this certificate is based:
NB:-(Freeboards and load lines which are not applicable need not entered on the certificate. Subdivision load lines may be entered on the certificate on a voluntary basis)
PARTICULARS OF THE APPLICANT(S)
Full Name(s)
Address(es) (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
Telephone number(s)			Fax number(s)
E-mail address(es)
SIGNATURE
Place			Signature of Witness
Date	/ /
	(d/m/y)
Signature of Owner(s) In case of a body corporate, an authorized officer of the body corporate			Full Name of Witness
			Address of Witness
SURVEYORS DECLARATION
This is to certify that —
1. The ship has been surveyed in accordance with the requirements of the Shipping Act, Cap 13.27.
2. The survey showed that the freeboards have been assigned and the load lines shown above have been marked as per photographs of the port and starboard load line marks and draught marks showing the subject vessel's name.
3. The application for the issuance of a Saint Lucian load line is made direct to the Division of Maritime Affairs on behalf of the registered owner.
4. A copy of the attending Surveyor's completed check list for the load line is attached.
5. For an initial survey a copy of the Naval Architect's freeboard calculations and the completed and signed off Stability Book is attached.
6. The initial survey must make a complete inspection of the ship's structure and equipment and the relevant information.
7. For a renewal survey, proof of structure has been surveyed is attached, such as photographs of void space showing internal structure remaining unchanged due to modification, fracture or failure.
*FOR OFFICIAL USE ONLY*
Name of Surveyor:
Signature:
Date:
WHEN COMPLETED YOU SHOULD SEND THIS FORM TO THE REGISTRAR OF SHIPS (see below),
Registrar of Ships		OFFICIAL USE ONLY
Division of Maritime Affairs
Address		Entry in Register made on
Telephone:
Fax:						/ /
Email:					(d/m/y)
		At (time)
		By Officer (print name)

APPLICATION FOR SAINT LUCIA LOCAL LOADLINE EXEMPTION CERTIFICATE FOR VESSELS TWENTY-FOUR METERS AND ABOVE

PARTICULARS OF SHIP
IMO/HIN/Caribbean Number		Port of Registry
(if known)
(Delete as appropriate)
Type of Ship (dry cargo, oil tanker, ro-ro, passenger, etc.)
Construction Material		Overall Length
Year to Build		Country to Build
PARTICULARS OF FREEBOARD
Freeboard from deck line		Load line
Tropical Mm (T)			mm. Above (S)
Allowance for fresh water for all freeboards other than timber			mm
For timber freeboards			mm
The upper edge of the deck line from which these freeboards are measured is
mm above/below from deck at side

The provisions from which the ship is exempted are
Completion date of survey on which this certificate is based:
NB:-(Freeboards and load lines which are not applicable need not be entered on the certificate. Subdivision load lines may be entered on the certificate on a voluntary basis)
PARTICULARS OF THE APPLICANT(S)
Full Name(s)
Address(es) (Residential address – for an individual; Registered office address – for a body corporate; Principal place of business – for a statutory body or foreign body corporate)
Telephone number(s)		Fax number(s)
E-mail address(es)
SIGNATURE
Place		Signature of Witness
Date	/ /
	(d/m/y)
Signature of Owner(s) In case of a body corporate, an authorized officer of the body corporate		Full Name of Witness
		Address of Witness
SURVEYORS DECLARATION
This is to certify that —
1. The ship has been surveyed in accordance with the requirements of the Shipping Act, Cap 13.27.
2. The survey showed that the freeboards have been assigned and the load lines shown above have been marked in accordance with Part 47 of the Maritime Rules as per photographs of the port and starboard load line marks and draught marks showing the subject vessel's name.
3. The application for the issuance of a Saint Lucian load line is made direct to The Division of Maritime Affairs on behalf of the registered owner.
4. A copy of the attending Surveyor's completed check list for the load line is attached.
5. For an initial survey a copy of the Naval Architect's freeboard calculations and the completed and signed off Stability Book is attached.
6. The initial survey must make a complete inspection of the ship's structure and equipment and the relevant information.
7. For a renewal survey, proof of structure has been surveyed is attached, such as photographs of void space showing internal structure remaining unchanged due to modification, fracture, failure, etc.
*FOR OFFICIAL USE ONLY*
Name of Surveyor:
Signature:
Date:

FORM 5

(Regulation 24(1)(a))

INTERNATIONAL LOAD LINE CERTIFICATE (1966)
(Official seal)

Issued under the provisions of the International Convention on Load Lines, 1966, under the authority of the Government of Saint Lucia by the Minister/person or organization authorized by the Minister
Name of ship	Distinctive Number or Letters		Port of Registry			Length (L) as defined in Article 2(8)

Freeboard assigned as*:					Type of ship
A new ship*					Type 'A'*
					Type 'B'*
An existing ship*					Type 'B' with reduced freeboard*
					Type 'B' with increased freeboard*
Freeboard from deck line Load line
Tropical mm (inches) (T)				mm (inches) above (S)
Summer mm (inches) (S)				Upper edge of line through centre of ring
Winter mm (inches) (W)				mm (inches) below (S)
Winter North Atlantic mm. (inches) (WNA) mm. (inches) below (S)
Timber tropical mm. (inches) (LT) mm. (inches) above (LS)
Timber summer mm. (inches) (LS) mm. (inches) above (S)
Timber winter mm. (inches) (LW) mm. (inches) below (LS)
Timber North Atlantic mm. (inches) (LWNA) mm. (inches) below (LS)
* Delete whatever is inapplicable
Allowance for fresh water for all freeboards other than timber mm.
(inches). For timber freeboards mm (inches).
The upper edge of the deck line from which these freeboards are measured is
mm (inches) deck at side.

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 , subject to periodical
inspections in accordance with Article 14(1)(c) of the International Convention on Load Lines, 1966.
Issued at
(Place of issue of certificate)

(Date of issue)		(Signature of official issuing the certificate)
or
(Seal of issuing authority)
If signed, the following, paragraph is to be added:
The undersigned declares that he is authorized by the Government to issue this certificate.
(Signature)
NOTES:
1. When a ship departs from a port situated on a river or inland 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 the fresh water allowance shown above. Where the density is other than unity, an allowance shall be made proportional to the difference between 1.025 and the actual density.
Reverse of certificate
This is to certify that at a periodical inspection required by Article 14(1)(c) of the International Convention on Load Lines, 1966, this ship was found to comply with the relevant provisions of the Convention.
Place Date
Signature or Seal of issuing authority.
Place Date
Signature or Seal of issuing authority.
Place Date
Signature or Seal of issuing authority.
Place Date
Signature or Seal of issuing authority.
The provisions of the Convention being fully complied with by this ship, the validity of this certificates, in accordance with Article 19(2) of the International Convention on Load Lines, 1966, extended until
Place Date
Signature or Seal of issuing authority.

FORM 6

(Regulation 24(1)(b))

SAINT LUCIAN LOAD LINE CERTIFICATE

Issued under the provisions of the Shipping (Load Line) Regulations

Under the authority of the Government of Saint Lucia

by [official designation of the Minister or person or organization authorized by Minister]

PARTICULARS OF SHIP
Name of Ship
Distinctive Number or Letters
Port of Registry
Length (L) as defined under regulation 2 of the Shipping (Load Line)
Regulations
Gross Tonnage
Freeboard assigned as:				Type of ship
Freeboard from deck line				Load line
Tropical . mm. (T)				mm. above (S)
Summer mm. (S)		Upper edge of line through centre of ring
Winter mm (W)					mm. below (S)
Winter North Atlantic mm (WNA)					mm. below (S)
Note: Freeboards and Load Lines which are not applicable need not be entered on the certificate.
Allowance for Fresh Water for all freeboards : mm.
The upper edge of the deck line from which these freeboards are measured is Date of initial or renewal survey
THIS IS TO CERTIFY that this ship has been surveyed and the freeboards and load lines shown above have been assigned in accordance with the Shipping (Load Line) Regulations.
This certificate is valid until subject to annual surveys in
accordance with the Regulations.
Issued at on
	Signed
	An authorized official issuing the certificate
	Name
Name of Ship
CONDITIONS:
ENDORSEMENT OF ANNUAL SURVEY
This is to certify
That at an annual survey required by regulation 22 of the Shipping (Load Line) Regulations this ship was found to comply with the relevant requirements of the Regulations.
Place			Date
			Name
Signature of an authorized official
Place			Date
			Name
Signature of an authorized official
Place			Date
			Name
Signature of an authorized official
Place			Date
			Name
Signature of an authorized official
Notes
1. When a ship departs from a port situated on a river or inland water, 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 the freshwater allowance showed above. Where the density is other than unity, an allowance shall be made proportional to the difference between 1.025 and the actual density.
3. This certificate must be kept framed and posted up in some conspicuous place on board the ship, so long as it remains in force and the ship is in use.

FORM 7

(Regulation 24(2)(a))

INTERNATIONAL LOAD LINE EXEMPTION CERTIFICATE

Issued under the provisions of the International Convention on Load Lines, 1966, under the authority of the Government of Saint Lucia by (Minister/Person or organization authorized by the Minister)


Name of ship	Distinctive Number or Letters			Port of Registry

This is to certify that the above-mentioned ship is exempted from the provisions of the International Convention on Load Lines, 1966, under the authority conferred by Article 6(2)/Article 6(4) * of the Convention.
The provisions of the International Convention on Load Lines, 1966 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):

* Delete whichever is inapplicable
This certificate is valid until
subject, where appropriate, to periodical inspections in
accordance with Article 14(1)(c) of the International Convention on Load Lines, 1966.
Issued at
(Place of issue of certificate)

(Date of issue)		(Signature of official issuing the certificate)
or
(Seal of Minister or person or organization authorized by the Minister)
If signed, the following, paragraph is to be added:
The undersigned declares that he is authorized by the Government to issue this certificate.

			(Signature)
Reverse of Certificate
This is to certify that this ship continues to comply with the conditions under which this exemption was granted.
Place Date
Signature or Seal of issuing authority.
Place Date
Signature or Seal of issuing authority.
Place Date
Signature or Seal of issuing authority.
Place Date
Signature or Seal of issuing authority.
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 or Seal of issuing authority.

FORM 8

(Regulation 24(2)(b)

SAINT LUCIAN LOCAL LOAD LINE EXEMPTION CERTIFICATE

Issued under the Shipping (Load Line) Regulations under the authority of the Government by the Division of Maritime Affairs.
PARTICULARS OF SHIP
Name of Ship
Distinctive Number or Letters
Port of Registry
Length in metres as defined by regulation 2 of the Shipping (Load Line) Regulations			Gross Tonnage
THIS IS TO CERTIFY that the above-mentioned ship is exempt under sections 315 or 316 of the Shipping Act, Cap. 13.27 from the following provisions of the Shipping (Load Line) Regulations —
Subject to the following conditions
Date of initial or renewal survey
this certificate is valid until subject, where appropriate,
to annual surveys in accordance with the Shipping (Load Line) Regulations.
Issued at on
		Name
An authorized official of the Division of Maritime Affairs
Name of Ship
ENDORSEMENT FOR ANNUAL SURVEY
This is to certify that at an annual survey required under regulation 22 of the Shipping (Load Line) Regulations was conducted and this ship continues to comply with the conditions under which the exemption was granted.
Place	Date
Signed	Name
An authorized official of the Division of Maritime Affairs
Place	Date
Signed	Name
An authorized official of the Division of Maritime Affairs
Place	Date
Signed	Name
An authorized official of the Division of Maritime Affairs
Place	Date
Signed	Name
An authorized official of the Division of Maritime Affairs