国际航行船舶中国船级社(CCS)船舶检验申请表

中国船级社 CHINA CLASSIFICATION SOCIETY 营运检验 APPLICATION FOR SURVEYS OF SHIP IN SERVICE Form AFC-1 No.         下面署名申请方申请中国船级社对船舶/设施进行检验和发证，申请方提供CCS要求的有关图纸和充分和安全的检验条件以及负担检验费和相关费用。 The undersigned requests CHINA CLASSIFICATION SOCIETY to carry out survey(s)/ to issue certificate(s) for the ship below and installations and the undersigned promises to provide drawings/adequate & safe survey condition as required by CCS and bear all survey fee and expenses involved. 船名Ship Name   船舶登记号CCS No.   船旗Flag   船型Type   检验地点Survey Place   检验日期Survey Date   申请方Applicant   联系人Contacts   电话Tel.   传真Fax   邮箱Email   代理信息Agency   联系人Contacts   电话Tel.   传真Fax   邮箱Email   证书寄送地址 Certificates Mailing Add.   联系人Contacts   电话Tel.   传真Fax   邮箱Email   船级检验Class Survey 年检Annual Survey (开始/进行中/完成Commenced/Partial/Completed) 中间检验Intermediate Survey (开始/进行中/完成Commenced/Partial/Completed) 特检 (船体/轮机/冷藏装置)Special Survey (Hull/Machinery/Refrigerator) (开始/进行中/完成Commenced/Partial/Completed) 循环检验 (船体/轮机)Continuous Survey (Hull/Machinery) 锅炉检验Boiler Survey 坞检/水下检验Docking/In-waterSurvey 临时检验Occasional Survey 艉轴检验 (常规/部分/变通)Screwshaft Survey (Normal/Partial/Modified) 展期Postponement for   维护保养 PMS (Initial Audit/Annual Audit/Implementation Survey) 损坏/修理检验Damage Survey/Repair Survey 其他Others   法定检验Statutory Surveys 初次Initial 年度Annual 定期Periodical 中间Intermediate 换证Renewal 附加Additional 载重线Load Line     构造安全Safety Construction   设备安全Safety Equipment   无线电安全Safety Radio     防油污MARPOL Annex I(Oil Pollution Prevention)   防有毒液体MARPOL Annex II   防生活污水MARPOL Annex IV(Sewage Pollution Prevention)       防垃圾污染Garbage Prevention         防大气污染MARPOL Annex VI(Air Pollution Prevention)   能效Energy Efficiency         危险品Dangerous Goods(SOLAS II-2/19)       固体散货规则IMSBC Code     散化规则IBC Code   液化气规则IGC Code   防污底Anti-Fouling         客船安全Passenger Safety       航行安全Navigation Safety   压载水管理Ballast Water Management   船员舱室Crew Accommodation       起货设备Cargo Gear 初次Survey Before Operating 年度Annual 年度全面Annual Thorough 四年度Quadrennial 吊重Load Test 附加Additional 其他Others   付款方式Payment Terms 现金Cash 支票Cheque 银行转账Bank Transfer 签字盖章Signature and Stamp   日期Date