flow营运检验申请.doc

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1、FormAFC-1中国船级社CHINACLASSIFICATIONSOCIETY营运检验申请APPLICATIONFORSURVEYSANDISSUEOFCERTIFICATESOFSHIPINSERVICENo.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。TheundersignedrequestsCHINACLASSIFICATIONSOCIETYtocarryoutsurvey(s)/toissuecertificate(s)fortheshipbelowand

2、installationsandtheundersignedpromisestoprovidedrawings/surveyconditionandbearallsurveyfeeandexpensesinvolved.船名Nameofship船级登记号CCSNo.船旗Flag船舶种类Typeofship检验地点Placeofsurvey检验日期Dateofsurvey申请人/公司Applicant船东或管理人邮寄证书地址*AddressofOwnersorOperatorsforCert.Mailing邮编PostCode电话TEL传真FAXNo.联

3、系人Contactwith代理名址Agency电话TEL传真FAXNo.联系人Contactwith*为了您的方便,请认真填写完整地址以便证书准确地寄送Foryourconvenience,pleasefillwithfulladdresstoensurethecertificatestobeproperlymailedtoyourcompany.检验种类KindofSurvey(s):A.船级检验CLASSSURVEYS¨特别检验（船体/轮机）（开始/进行中/完成）*Specialsurvey（H/M）(Commenced/incompleted/C

4、ompleted)*¨尾轴和螺旋桨轴检验（部分/变通）*ScrewshaftandTubeShaftSurvey(Partial/Modified)*¨冷藏装置特别检验SpecialsurveyforRefrigeratedCargoInstallation¨锅炉检验BoilerSurvey¨年度检验(船体/轮机/冷藏)*AnnualSurvey(H/M/R)*¨修理/改装*检验Repair/Alteration*Survey¨中间检验（(船体/轮机/冷藏)）*IntermediateSurvey(H/M/R)*¨临时检验OccasionalSurve

5、y¨循环检验（轮机/冷藏）*ContinuousSurvey(M/R)*¨展期检验PostponementSurveyfor¨坞检/水下检验Docking/Inwater*Survey¨其他：Others:*不适用者划去DeleteasappropriateB.法定检验STATUTORYSURVEYS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防污底AFS航行安全SN初次Initial□□□□□□□□□□换新Renewal□□□□□□□□□期间Intermediate□□□□定期Periodical□□年

6、度Annual□□□□□□附加Additional□□□□□□□□□□其他检验OtherCertificate□C.起货设备CARGOGEARSURVEY(S)¨四年度Quadrennial¨年度/年度全面AI/ATE¨临时Occasional¨吊重LoadTest¨展期Postponement付款方式FormofPayment¨现金Cash¨支票Cheque¨银行转账ThroughBank¨申请人签名/盖章Applicant’sSignatureandStamp日期Date注Notes:X适用Applicable不适用NotApplicable（Re

7、v5.0200911151/1）