FORM L
To: | Gaining Society/Fax No. | ||||||
IACS Permanent Secretariat, | London | + 44 | OJ | ||||
From: | Losing Society/Fax No. |
Vessel Data Prior to Transfer | |||||||||
Name of Ship | ID No. | ||||||||
Gross Tonnage | IMO No. | ||||||||
Flag | Year of Build | ||||||||
Ship Type | Short Code (See Note 4 Overleaf) | ||||||||
Build Yard & No. | |||||||||
Owner | |||||||||
Society during Construction | Date of Entry into the Losing Society | D. M. Y. | |||||||
Record of Previous Transfer of Class, if available | |||||||||
Society | Date Classed D. M. Y. | Society | Date Classed D. M. Y. | Society | Date Classed D. M. Y. | ||||
Part A — Survey Status Information (See Note 1 overleaf)
Date Survey Status Request Received
D.
M.
A full list of overdue surveys, outstanding recommendations and conditions of class with the respective due dates for the vessel identified above is attached.
Signature
Date D.
M.
Y.
Part | B — | Report | on | Withdrawal | of | Class on Transfer | to IACS | Society | (See | Note 2 | overleaf) | ||||
Date Class | Withdrawn | D. | M. | Y. | |||||||||||
Signature | Date | D. | M. | Y. |
Effective from January 1999
Rev.8.1 (October 1998) Rev. 9 (November 1998)
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Приложение 26
Приложение 26