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FORNI F$RC-{f3c
CertificateNo.:sffi
Authorization No. : AAUKSRCTG7722
CARGO SHIP SAFETY RADIO CERTIFICATE
cono no This Certificate shall be supplemented by a
Record of Equipment of Radio Facilities(Form R)
Issued under the provisions of the
INTERNATIONAL CONVENTION FOR TI{E SAFETY OF LIFE AT SEA, I974,
as modified by the Protocol of 1988 relating thereto
under the authority of the Govemment of the
REPUBLIC OF TOGO
by
CONARINA
Particulars of
Name of ship Distinctive number or letters Port of registry
DEEPSEA WORKf,R 5VIP2 LOME
Sea areas in which ship is certified IMO Number
Gross tonnage
to operate (regulation fV/2) As per Res.A.600(15)
3345 A1+42+43 790528s
Date on which keel was laid or ship was at a similar stage of construction or, where applicable, date on which
work fbr a conversion or an alteration or modification of a major character was commenced: MAY 6, 1979
THIS IS TO CERTIFY:
1. That the ship has been surveyed in accordance with the requirements of regulation I/9 of the Convention.
2. That the survey showed that:
2.1 the ship complied with the requirements of the Convention as regards radio installations;
2.2 The functioning of the radio installations used in life-saving appliances complied with the requirements of
the Convention.
3. That an Exemption Certificate has not been issued.
This certificate is valid until20 JUNE.2027 subject to the periodical surveys in accordance with regulation I/9
of the Convention
regulation V2(n) ofthe Coavstion, unless amended in accordance with regulation I/1 4(h)
Completion date of the survey on which this certificate is based: 2llJuNl2022(dd/mm/yyyy)
Issued atHOUSTON. TEXAS. USA on 25 OCTOBER.2022
cl
ical Director
CONARINA
(Sea[ or stamp of the issuing aLrthority, as appropriate)
us
FORM F-SRC-O3c
Endorsement for periodical surveys
THIS IS TO CERTIFY that, at a survey required by regulation the the ship was found to
comply with the relevant requirements of the Convention
Periodical survey Signed:
(Signature official)
Place:
Date:
(Seal the )
Periodical survey: Signed:
(Signature of authorized official)
Place:
AS
Periodical survey:
authorized official)
Date:
.l
survev: Signed:
(S i gnature of authorized
Place:
Date:
(Seal or stamp of the authority, as appropriate)
2ls
