《船舶保安计划》审批申请书

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1、格式：RWPSM703-ANo.中国船级社(由船级社填写)致中国船级社：《船舶保安计划》审批申请书为取得符合/自愿符合1974年国际海上人命安全公约第XI－2章和ISPS规则要求的国际船舶保安证书/船舶保安自愿符合证书，我们按照贵社的有关要求，申请贵社对我公司所递交的《船舶保安计划》进行审核批准，并支付审核费及因审核发生的有关费用。船名船舶呼号船旗国船级*船舶类型船籍港总吨位船级编号国际海事组织编号建造完成日期审批种类初次审批□修改审批□审批地点审批日期船舶所属管理公司公司名称：地址：联系人:邮政编码固定电话传真移动电话电子信箱上次船舶保安计划

2、审批机构：审批号：涉及船舶保安方面的港口国控制情况：保安体系文件变动情况：备注：**船型应按SOLAS公约第IX章的定义。若船舶属“其它货船”（SOLASⅨ/2.1.3），请标注出该船的具体船舶类型（与船上入级证书一致）。注：适用不适用申请人：（公章）日期：（Rev5.120091115-1/1）Form:RWPSM703-A(E)No.(CompletedbyCCSonly)中国船级社CHINACLASSIFICATIONSOCIETYAPPLICATIONFORAPPROVINGSHIPSECURITYPLAN(Thisformindupl

3、icatemaybesubmittedthroughthelocalofficeofthisSociety)WeherebyrequestChinaClassificationSocietytoapprovetheSSPforfollowingvesselinordertoacquiretheISSCincompliancewith/voluntarycompliancewithChapterXI-2ofSOLAS1974andISPSCode.Weagreetopaythecertificationfeeandanytravelingando

4、therexpensesincurredbythecertification.NameofShipFlag*TypeofShipDistinctiveNumberorLettersPortofRegistryClassNoClassIMONoGrossTonnageYearofBuiltPlaceofVerificationDateofVerificationKindsofApproval:First□Modification□ManagementCompanywhichtheA.M.vesselbelongstoNameAddressCont

5、actTelNoFaxNoE-mailMobilePostcodeTheLastOrganizationwhichapprovedSSP:ApprovalNo.Weagreetopaytheverificationfee，inaddition，anytravelingandotherexpensesincurredinconnectionwiththeverification.ItisunderstoodthatintheeventofthisprojectnotbeingcompletedundertheSociety’sverificati

6、on，theSocietyreservestherighttochargeitsserviceprorata.PortStateControlStatusRelatingToShipSecurityMatters:ChangeofISPSdocuments:Remark:*RefertothedefinitionsinChapterIXofSOLAS.Iftheshipis“Othercargoship”（SOLASIX/2.1.3），pleaseremarkspecifictype(s)showedinClassificationCertif

7、icateonboard*Applicant:(Stamp)Date:Markstobeused:ApplicableNotapplicable(Rev5.120091115-1/1)