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IBIS Pontoon Specs and Certifictaes

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Page 1: IBIS Pontoon Specs and Certifictaes
Page 2: IBIS Pontoon Specs and Certifictaes
Page 3: IBIS Pontoon Specs and Certifictaes

GIEEII@IE

INTERNATIONAL CLASSIFICATION SOCIETY

364409Regisler Nr

BELIZEPort of Registry

on 24 February 2013

4 April2017

CERTIFICATE OF CLASSIFICATION

Nr DKTo/KHR 201 3022222301 4

IBISShip's Name

BELIZEFlag

IBIS OFFSHORE PRIVATE LIMITEDOwnels

At Batam lndonesia

Limit date of validity

Kresno HerwindoBy Order of the Secretary

This is to cediry that the above named ship has been entered in lhe Bureau Veritas Register Book withthe following classifcation symbols and nolalions

I A HULLPontoon

Un restricted navigation

This cedmc€te is issued within lhe scope of Bureau Veritas Marine Division General Conditions.

Page 4: IBIS Pontoon Specs and Certifictaes

IBISName ofShip

364409Register Nr

ENDORSEMENT FOR ANNUAL AND INTERMEDIATE SURVEYS

The endorsements refer to the completion of pedodical surveys only.

Completed at:

Annual survey 1(from +jan-2013 to.fiuL2013)

on:

by:Nahe, Signatule and slamg

Annual survey 2(from +jan-2014 to +iul-2014)

Completed at:

on:

by:Name, Signatve and stanp

Intermediate survey(ftom +ian-2014 to +jul-2015)

Completed at:

on:

by:Name, Signalu€ ad slamp

Annual survey 3(from 4-jan-2015 to +iul-201 5)

Completed at:

on:

by:Name, Signatu€ and slamp

Completed at:

Annual survey 4(from +jan-2016 to,{-iuF2016)

on:

Dy:Nams, Signatut€ and stamp

1 . This cedmcab l€mairc lhe popedy of BUE:U ventes.2. This cedifete cannol be us€d in conrcction with tns sal€ ol ship without p€rmission of tle Sodety.3. Th3 validity ol |ne a$ign€d class is condilioned upon due compliance wi|h the €qui€merls of chaptsr 2 of hs Rul€s l€gading nolably

adequde maintenance and oper.tion of |no shjp and d€clarBlion of dabcts to lns society.4. The ratest publish€d Rul€s of BuBau V€riiss M€dns OMsion and th€ Gensral Conditions aE applicabre.

@EIIEEUEII'gm-* l

212 \ ; ' r , ^4)

Page 5: IBIS Pontoon Specs and Certifictaes

INTERNATIONAL LOAD LIITE CERTIT'ICATENo DKT0/KHR120130222223323

lssued under the provisions oftheINTERNATIONAL CO}WENTION ON LOAD LINES, 1966.

as modified by the Protocol of 1988 relating theretounder the authority ofthe Govenrnent of

BELIT,E

BUREAU VERITASName of ship

BV Register : 36A409

Distinctive Numbe.or LetteE Port ofRegistsy

lssfi G) 6 d€fined inAnicre 2(8) (m) IMO Numb€r

IBIS V3RV6 BELIZE 63.50 8209212

rype of lry"e "B'sorp I

Load line54 mm /above (S)

Upper €dg€ of line tbmugb centse of ring.54 nm / below (S)

lM lrtrn / b€low (S)

- nm / above (LS)- mm / above (S)- mm / b€low (LS)

Timber winrer North Atlantic - mn (LWNA) - mn / below (LS)Note : Frc.beds aa.a INd liret vhich @

"ot awli@bh pe.l not be ..tere.! on ,he ce.lifieb- StMivisim INd lips ddt be qled @ th. dr,tt@te @

Allow&ce for ftlsh water for aI fi€eboards other than timber 57 mm.For limber fr€€boards 0 mm.The upp€r edBe ofthe deck line from which lhese fre€boards are measu.€d is omm tom lhe top ofthe steel upp€r deck at side.

gTHIS ISTO Cf,RTIFY:L That the ship has been surveyed in accordance with the requircm€nts ofarticle 14 ofthe Convention.2. That the survey showed that the freeboards have b€en assigned and load lines shown above have b€en Darked in accorddncewith the Conventior.

Ts

This cenificate is valid until '4 April2017. subject to annual surveys in ac.ordrnc€ wirbAnicle 14(l Xc) ofdte Conventiotr, due on M April (Range fiom 04 Janrary to M JuIy)Completiondateofthercnewalsurveyonwhichthiscenificsteisbased:24F€bruary2013

Issued at B.tam lndonesfu, on tbe 24 February 2013

IrEtif5ltl'I^ie thzdate oJeryiryos stEcifEd br the Adn'ixttduor inac@devithd rcle l9(l) ofthe CoMIi@ nE a4r and nuth olthit dtteco espond to the anntuda,l dab 6 defre.l i. drti.le 2(9) oJth. CoMtio4 uta" mnd..! in @odae sith orri.te t9(8) 4 th. cwdtiu.

NE 1495E - P.g. l/4

Freeboardassigned as : lN"*,hte

F.eeboard iiom deck lircTropicalSulnmerWinterWinter Nonh Atlantic

Timber TropicalTimber SummerTimber Winter

1862 mm (T)1916 nln (S)1970 rnm (W)2020 mm (WNA)

- ffn (LT)- mm (LS)- mm (Lw)

gLt

= l= l--'tl

LT

i XIIR

Page 6: IBIS Pontoon Specs and Certifictaes

i

t.

II

t .

I

t

Eudorrencnt for rnnud rurveyr

TIIIS IS TO CERTIFY th.t, al ru @ual $ €yrEquild by.rticl€ l4(txc) oflbE Cotv€trtid,lhe lhip v.s fo|md tocotDply with tc rdcvrnt rrquircitreoB oflhc Cdvrlti@,

Anlud sEvay Sie!€d(Surveyor ro BT REAU VERITAS)

Plac!

Dal€

Adu6l survey SitE€d(Surveyor ro BT REAU VERITAS)

Plr.c

Anfid suna€y Sign d(sEveryor to BUREAU VERITAS)

Plaoc

Date

Afiu6l $rvw Sittrd(Surveyor to BURBAU Tr'ERITAS)

Ple

Du.

l. Wh ! !$p dc'3b fird.F t ritrcd 60 |riy.d hlrd seq d..t r lddi.g dt ll Do panied.d|r+ddilg to rt l|.iSh oflDcl a{dl.i}.trDrLri.& rlquild ftr ! cdalmplioo hct$E n otc loint of d.Etre md di. !.r2. wt o . Gp i! b ndr e*r of ',tnit d.'.ity hc qqlt l; lo.d um mry h. lu!@!.d !y !b mr or0. ft,t eda .ilos-c. lhlM .!orc.lltc! tr d6ny i' oit.ten Dity, m dbrd.cddl t n&Fqo.lioullo6cdiftEcct tErl.(n5lldtl &!ld.ori9.

Page 7: IBIS Pontoon Specs and Certifictaes

NE la95E - P.s. J/a

TIONAL LITAD LINE CERTIFICATE No :DKT0lKHRn0ln222223323OF SHIP : IBIS

: 36A,109

An.nual survey in accordrnce with rrticl€ l9(8)(c)

THIS IS TO CERTIFY that at a suwey in ac€ordance with article l9(8xc) oftheConventioD, the ship was found to comply with the r€levant r€quiremcnts ofthe Convention.

Signed

Place

Date

(Survcyor to BUREAUVEPJTAS)

(Surveyor to BLJREAUVERITAS)

(Suryeyor ro BUREAUVERITAS)

Endorsenen! to qtend the ce4ifrcae ifvolidfor lets .han 5 ye$s vlhere article l9(3) orylies

The ship conplies with the relevaDt requiremeots ofthe Conv€ntio4 and this c€nificate shall,in accordance with a(icle I 9(3) of the Conv€ntion, be acc€pted as valid utrtil

Srgred

Place

Dale

Endo6ernert whzre the reneeal suney has been conpleted and adicle I9(4) opplies.

The ship complies wilh the rclevant rcquirEmedts ofth€ Conventior! ard tbis certificste shall,in accordance with article l9(4) ofthe Convention, b€ accepted as valid until

Signed

Placo

Date

Page 8: IBIS Pontoon Specs and Certifictaes

IIONAL IOIJ' IIntE CERTIFICAm No I DKt0/K8R201302222t3323

Endqtefrarl to d.rrd dp val tidy qthe cqfieale udl rerchir8 tlg p@t of suaeyfor a pqiod ofgace vhete oticle l9(5) or 19(6) qplier.

This ornificalc sbal, itr saoordioc€ wi6 article ofthc Convcnrio4 bc dcccptd as vslillmdl

SigDd

Phac

Date

(S|Ivcyor ro BUREAU VEIUTAS)

I

I

at

t .

Endodemeitlor advoncarrert ofan iyeBory ddewhae adrcle I9(8) qdis.

In &codrtrc€ with lrtictc l9(8) of 6e C@r/qnioo thc rcw amivllley (h is

SigEcd

Phcc

h

(Surycyo to BUREAU VERITAS)

In aacordrtrc€ with eticlc l9(t) ofthe Codv€ofion ft€ 'low addversrry datc is

Sig!€d

Plac€

Date

(Suv€yor to BUREAU VERITAS)

Page 9: IBIS Pontoon Specs and Certifictaes

INTERNATIONAL OIL POLLUTION PREVENTIONCf,,RTIFICATE

No DKT0/KHM!0I3@22225736

Issued under the provisions oflhe Int€mational Convention forthe Prevention of Pollution from Ships, 1973 as modified by the

Itotoc.l of 1978 relating thereto, as arnende4Oereinaft€r refer€d to as "tbe Convenrion")

under the autbority ofthe Govemmcnt of

BELIZE

By BUREAU VERITAS

(Note : This Cenificate shall b€ supplemented by a R€cord ofcodsuction and Equipmen!)

Deadweightof ship(metric tot]ts) (for oil tanled'. -

TYPE OF SHIP- oil lanker

. Ship other tllan oil tanl.er with ca.go tank coming under Regulation 2(2) ofAnnex I ofthe ConventionL ship other thsn ary ofthe above

THIS IS TO CERTIFY

l. That the ship has been surrr'ey€d in accordance with RegulatioD 6 ofAnnex I ofthe Co[vention; a2- That tbe survey shows that the strudur€, equiprncnt systems, fittings, arrangement ad material ofthe ship and thecondition ther€ofare in all rEspects satisfaclory a that the ship complies with the applicable rcquirements ofAnn€x I oftheConvention.

This Certificat€ is valid uDtil 4 April 2017 *

subject to surveys in affordance with Regulation 6 ofAnncx I oftbe Conventioo-Completion date ofthe survey on whichthis certificate isbas€d : 24Fobrulry 20t3

Issued at Batam Indonesi4 on the 24 February 2013

Vafid onfy wh€n the SupplemeDt No. DKT0/KHR20130222225830 is avsilable for inspedion.

The undersigned de€laros that be is duly authorized by the said Covemment to isslje this certifcate.

': KTIRt

FnrililmEIE. IM it da@ oJeapi, B sp.cili.d bJ tlp /dninitl,atiN in t.ot la,@ vitt rcsLtiu I0(l ) of )l@ I ol tlE CM*,tie lrE dt, dttd M1h ofthis date @qotd to th. tuiw.ety ele 6 &led i" ftgulatiN | (27) of M I d th. CwntioL alls dea.hd i" @uda.ce vitt rcsulaiM1 0(8 ) ol,4 M r oJ ttE cNntie

NE 7413D - Prge l/a

N.me ofship

BV No : 36A409

Distinctive Numb€ror Letters Pon ofRegistry

CrossToDmge IMO Numb€r

IBIS V3RV6 BELIZI, 2964 8209212

Page 10: IBIS Pontoon Specs and Certifictaes

IOPPCEnflFICATf, No |IJ/KmtKERml3ffNtttNnXNlMlOtr'Sf,lPr IEXSBVnEGISTER! 364,10!t

ENDORSEMENT FOR ANNUAL AND INTERMEDIT\TE SURVEYS

THIS IS TO CERTIFy 6at at s surv€y rcqrd.ld by R.gullti@ 6 ofArDd I ofthe Convdtion tha lhip 1|l.! fuirld to codplywith thc lcLvel plovisiotrs ofltre C@ventid :

Amual gav€y Sigtrd:(S''la 'ot ro BURE IU YERIUS)

Pbcc:DrL:

tI3 .

,ti

n Arnual Burveyn f.neroeaiarc suncy

U emuat clYryn tanncairre sncy

Atrnud strvay

Signd:(tunetor b BAREAU YERTAS)

Place:Drte:

Sigrcd:6orqa b BUREAU YEMI'IS)

Placc:D6tc:

Signed I(&'rw$ ro BUREIU WREAS)

Plrc!:Xlde:

Page 11: IBIS Pontoon Specs and Certifictaes

Nx 7al lD - PrA. J/a

rOPP CERTIFICATE No : DKT0/KHR/20130222225736NAMEOFSHIP: IBISBVRf,GISTER; 36A409

Annual / intermediste s[ryey ir eccordrtrce with regul&tion 10.8.3

THIS lS TO CERTIFY thar, at an L amuat I intermedia!€ survey in accordance with r€gulation 10.8.3 ofAnnex I ofthe Convention, the ship ivas fomd to comply with the relevad provisioDs ofthe Convediotr.

Endorsoment to extend the Certific.rte if valid for l€s$ than 5 yerB whera regulntion 10,3 applies

The ship complies witb the r€levant provisions of the ConventioD, and this C.rhficate shall, in accordance \a,ith regulation 10.3ofAnnex I ofthe Convention, be accepted as vafid until

Signed:(S@eyot to BUREAU YENTAS)

Place :Date :

signed:(Slneyot to BUREAU YENTAS)

Place IDate :

Sign€d;(tuneyot to BUREAU YENTAS)

Place :Date :

EndorEement whers the renewsl survey has been completed and regulation 10.4 applies

The ship complies with the relevant provisions ofthe Convention, and this C€rtificate shall, in accordanc€ wid| rogulation l0(4)of Amex I ofthe convention. be acceDt€d as valid until

Page 12: IBIS Pontoon Specs and Certifictaes

NE TallD - PrG.l,/aIOPP CERTIIICATE No I ItKTOxERll0l3ltl;lX!25736NAME OF SHIP : lElSBVnDGISTER: 36A,109

EndoBemetrt to ertend th€ vdidity of thc C€rtifcrte until rcaching the port of luraey or forr period of grrce wbcrc rcgulrtion 105 or 10.6 rppli€f

This C€{ti6cde sha4 h &cord!trcc witt.rguldion ofAoicx I of6c Convartion, bc &ccplcd ts validuntil

Signed :(sunew to BUREAU yER.lT,lSl

Plaaa iDsta i

Endorrencnt lor rdvrnceDent of rDDivcErry drtc wherc rcg|thtion 10.8 rppliB

h arcordrDce vrift regulstion I 0.t ofAnnex I ofthc Conv€stiorl the n€w mivcrsary datals

Sign.d:(Srnqtw ,o BUREIU ITENTAS)

Phr.:Data :

Itr aaaardanc€ wie EguLtion lo.t ofAnno( I ofihc convcntiorl lhe ncw aDliversary datrls

SigDed:(stnqof to BUREAU T/ENLIS)

Phce :Date:

Page 13: IBIS Pontoon Specs and Certifictaes

FORM A No DKT0/XHR208A22222fi30

SUPPLEMENT TO THE INTERNATIONAL OIL POLLUTION PREVEI{IION CERTIFICATE

(IOPP CERTIFICATE)

RECORD OF CONSTRUCTION AND EQUIPMENT FOR SHIPS OTHER THAN OIL TANKERS

In resp€ct ofthe provisions olAnnex l ofthe lntemational Convention for the Prevention olPollution fiom Ships, 1973, asmodified by the Protocol of 1978 relating thercto Oer€inafr€r rcfeaed to as "the Convention").

Nots :

I . Tbis forD is to b€ used for lhe third type of sbip6 as categoizld in lhe IoPP certificate, i.e. 'ships otber than any oftheabove". For oil tankers and ships otber lher oil htrk€Is with cargo tank coning uDder r€gulation 2.2 ofAnnex I oftheConvention, Form B shall b€ used.

2. This Record shal be permarrcntly attach€d to the IOPP Cenificate. The IOPP Cenificste shall be ai?ilable on board &eship at all times.

3. Ifthe laDguage ofthe original R€cord is neither English nor French, nor Spanish, the text sh6ll itrclude a t'anslation intoone ofthese languages,

4. EnEies iD boxes shall b€ made by inse.ting ei6e. a c.oss (X) for the ansllt.s "yes" and "applicable" or a dash (-) for $eanswers ino" ed inot applicable' as appropriate.

5. Regulations nentioned in this Record refer to rEgulations of Annex I ofth€ Conventioa and rpsolutions r€fer to thoseadopted by the Intemational Maritime Organiation.

!. PARTICULARS OF SHIP

l.l. NrDe ofsbip: IBIS

BV Register: 36A409

1.2. Distinctivenumberorletters : V3RV6

1.3. Pon ofRegistry : BELIZE

1.4. Gross todnage : 294

Page 14: IBIS Pontoon Specs and Certifictaes

FORM A No : DKT0/KHR110130222225t30NAME Or SHIP: lBlSBV REGISTER: 36A409

1.5. Date ofbuild i

1.5.1. Dare ofbuilding contract -L5.2. Date on which keel was laid or ship .tjvas ala similar srage ofcotrstruction 18105/t9821.5.3. Date ofdelivery 12/10/1982

1.6. Major conversion (ifapplicable) i

1.6.1. Date of conversion contractL6.2. Date on which conveNion was commenced1.6.1. Date of comDletion of conveEion

I - I I .7, The ship has been accepted by the Administratio, as a "ship delivered on or b€forc 3 | Decemb€r 1979" underregulation 1.28.I due lo $foreseeD delay in delivery

2. EQUTPMENT FOR THE CONTROL OF OIL DISCILIRCE FROM MACHINERYSPACES BILGES AND OIL FUEL TANIG (r€guhtions l6 rtrd l4)

2. | . Carriage ofballast \|rter in oil fucl tanks :

t - I 2.l.l. The ship may mder normal condhiom csrry ballast water in oil fuel tatrl(s

2.2. Typ€ ofoil filteing equipment ftted :

trl 22.l. Oil filtering ( | 5 ppm) equipment (rcgulation 14.6)t - I 2.2.2. Oil filtering ( I 5 ppm) equipment with alarn and automatic stopping device (rEgularion 14.7)

2.3. Approval standards. :

2.3. |. The separating / filtering equipmefi :

lrl l. has b€en approved in accordance wift resolution A.393CX)|(-l 2. has be€n approved in accordanc€ with rcsolution MEPC.60(13);t-l 3. has been approved in accordance with resolution MEPC.l07(49);l-l 4. hds been appmved in accordance with resolution A.233(Vll);t-l 5. has been approved in accordance with nstional statrdards not bascd upotr resolurion A.393(X) or A.233(VII);[-l 6. h6s not b€el| approved.

t - I 2.3.2. The process unit has b€en 6pproved b accordanc€ with .esolution A.444(Xl)

2.3.3. The oil content meter :

[ - ] I . has befl approved in accordance with rEsolution A.393(X);t - I 2. has been appmved in accordance with resolution MEFC.60(33);t-l 3. has been approved in accordance with resolution MEPC.107(49).

t Reler to reconnendarion on international pe4ormance and le^tt specirtcations oI oily-u/ater separuaing eqxipnent ond oilcontent nete$ adopted by the Otganization on l1 Noredber 1977 by rcsolution A.3%(n, |9hich superseded rc:olution,4.223(yll). Fdher rcloence is nade to the Guideline: and speci|ications lor pollution prevention equipnent lor nachineryspoces bilge: adopted by the Marine E wironne,, P.otection Cornnilee ofthe [email protected] by resolu,ion I4EPC.60(33),tthich, efectiee on July 1993, superseded rcsollltions A.3q(n and A.444Q(1): and to the p)ised cuidelines andspeciJicationt lor po tltioh p.eeenrion equipnent lor nachinery spaces ofships adopted bJ the Marine hwir.nttnenlPrctection Connittee ofthe Oryanbation by rcsolution MEPC.107(49) u,hich, 6ectiee on I Januory 2005, srye6ededtesotaions MEPC.60(3 3), 4.39 3 (n and A.44460.

Page 15: IBIS Pontoon Specs and Certifictaes

FORM A No : DKT0/KHR110130222225830NAMEOFSHIP: IBISBVRf,GISTER: 36A48

2.4. Maximum tkoughput of the system is L0 m3/b

2.5. Waiver of regulation l4

[-] 2.5.1. The requiremetrts of regulation 14.1 and 14.2 are qaived in respect ofthe ship in accordance with regulation 14.5.l-l I. The ship is engaged exclusively on voyag€s withi. sp€cial area(s):

t-l 2. The ship is certified under the lnt€mational Code ofsafety for High-Speed Craft and engaged on a scheduled servicewith a tum-around time trot exc€eding 24 hours

2A. I The ship is required to be consmlcrcd according to regulation l2A and complies with the requirements of:

I - I pamgraphs 6 and either 7 or 8 (double hull consfiuction)t-l pangraph ll (accidental oilfii€l oufflow perform6ncc).

242I - I The ship is not required to comply with the requirements of regulation l2A.

3. MEANS FOR RETENTION AND DISPOSAL OF OIL RESIDUES (SLUDGE) (r€ul&tiotr 12) AND OlLy BILGEWATER HOLDING TANK(S). C Oity blce iate. holdms tank@ N

"ot rcquned b, the coMntion, if wh tdn)4s) tu p/avid.d they shot!

3.1. Th€ ship is provided with oil residue (sludge) tanls for r€tention ofoil rcsidues (sludge) on board as follows :

2.5.2. Th€ ship is fitted with holding tank(s) for rle total retention on board of all bilge *ater as follows :

Volume (m3)

Total Volume (n3):

Tank Identifrcation Tar* Location volune (mi)Pram€s (ftom) - (to) l,ateml Dosition

Tank No.10 1r.27 - 40 FIID 1 3 . 0

Total Volume (ml): lJ.0

Page 16: IBIS Pontoon Specs and Certifictaes

FORM A No : DXT0/KHnn0l *222225atONAME OF SHIP : IBISBv nEGISTER: 36440!)

3.2. Means for the dispocal ofoil residues (sludge) retained in oil residu€s (sludge) lank i

t-l 3:. |. lfuinorafor for oil r€sidues (sludg€), naxim|lrn caFcity kWt - I 3.2.2. Auxiliary boiler suitablc for buning oil rcsidues (sludge)

t - t 3.2.3. Orher ac&ptable mcaDs (sbte which).

3.3. The ship is provided widt holding tank(s) for the retention on board ofoily bilgr water as follows :

Tank ld@rification Tar* lrcation Volur& (83)Fr.n€s (fi'on) - (to) Lderal position

ToEl Volun. (rnl):

{. STANDARD DISCII,IRGE CONNECTION (rrguhtiotr 13)

l:l 4. L Tha ship is provided with a pipeline for the discharge of rcsidues from rnarhiDery bilges ed sludgcs to receptionfacilities, frtted with a standard discharge condection io acco.darc€ wid| .egulation 13

5- SEIPBOARIT OrL POLLUTION EMERGENCY PLAN (tsulrtiotr 37)

lxl 5.1. Tho ship is provided with a shipboa{d oil pollution cmergedcy plan in compliance witb regulation 37[-] 5.2. The ship is provided wilh a shipboad marine pollution emeBency plan in conplisnce $i1h r€gulation 37.3

Page 17: IBIS Pontoon Specs and Certifictaes

FORIU A No : DKT{YKEnz0r3tt,;'n$'3nNAMEOFSHIP: IBIIiBVREGISTER: 36.{,|{D

6. EXIMPTION

f -l 6.1. Bxe@tioDs have b€cn geted hy the Afuidslrdid fiom &e rcquiren€rb of Chrp6 3 ofAmcx I oflheConvontion in accodrtrc€ wittl regulatioo 3,1 on thos€ items listEd mdcr paragraph(9 ofthis Rerord.

7, DQUIVAIENII; (rcgolidotr 5)

t-l 7.1. EquivaleDb hav€ betn appmved hy lhe Adsioisffiion frr ceitab ftqui€m€f,b of Arm€x I listed lmder poragrph(tof this R€cord

T{IS IS TO CERTIFY rblt rhis R€cord is coftct in a[ re$ecB.

hsued at Bahn Ind@€si4 oD the 24 !€trusry 2013

DUNEAU VEn TAS

Page 18: IBIS Pontoon Specs and Certifictaes

INTERNATIONAL AIR POLLIJTION PREVENTIONCERTIFICATE

No DKT0/KHR/20130222230700

Issued under the provisions ofthe Protocol of 1997, as amended by rEsolutiooMEPC. I 76(58) in 2008, to amend the Intemational Convention for thc Prev€ntion of

Pollulion fi-om Ships, l9?3 as rnodified by the Protocol of I978 related thereto(hcieinafter rcferred to as "the Convention")

under the authority oftfi€ covemmert of

BELI:IE

By BUREAU VERITAS

Name ofship

BV No : 36A409

Distitrctive Numbcror l*tters Port ofRegisFy

GrossTonnagc

IBIS V3RV6 BELTZE 2964

IMO number : 8209212

THIS IS TO CERTIr'Y

L That the ship has been surveyed in accordance with Regulation 5 ofAnnex VI ofthe Convention; and

2. That the sulvey shows that the equipment systerns, finiogs, arratrgem.nts and materials futy conply with theapplicsble r€quir€men6 of Annex \{l of the Convention.

Complction date oftbe surv€yonrvhich thisC€nifcate is tas€d : 24 F€brurry2013

This Cenific6te is valid utrtil' 4 April 20t7subject to $rveys in accordatrc€ wilt R€gulation 5 of Am€x Vl oftbe Convention.

Issued at Balam lndonesia" on th€ 24 February 20 | 3

Valid only when lhe Supplemedt No. DKTo/KHR /20130222230739 is available for inspection.

|:Irl-IrrrrEIE. hsn dal. of.xpiry a spsified by tne AdminisEdion in s@rdlne st! tlgulqliotr 9.I otA|lB VI of tle Corrqnio.. Thc d.y and thc nonll ofthis dar. ffipond to thc enivm&y date 6 de6!.d in Egalstion 2.3 of Ann* \,1 ot &. Converrioq ul6 d6d.d eith Ggrlado. 9.8 of Anf,.r

NE242 lD-P.g . l /a

Page 19: IBIS Pontoon Specs and Certifictaes

NE,/,2ID-P4raa

I,|PP CERTmCATE No I DKTUK[RlmrIUD23ltooN ME Or SEIP : IEISBVRtrGIl ER: 36.A,(D

ENIX)RSEMENT FOR AI$ruAL AITD TNTERMEDIATE SURVEYS

TI{S lS TO CERTIFY tbd d r s|rvly rtquftd ty Rlguldion 5 of Am€x VI oflhc C,mvldi@ thc shiD wss torrd bcoqly rvi6 6c r€levet provitioB oftbd ADnq :

Adual $rvey

IIt.

! eulnl ruvey[] tngocdic suvey

SigDed:(Sttett to BUREAU YERrrAS)

Phce:he :

Sigrcd:(Suaqo. to DURE IU YERITAS)

Ple:Date:

Signcd:(SuYey, to BUREAA YERI'1g

PLce:Date:

! Arttrl srvryn Inadrediac srvey

tAntrud tlrray Sigred:

(SuvJN to BUREIU YERITAS)

Phcc:Dal€ :

I!?

i

Page 20: IBIS Pontoon Specs and Certifictaes

NO242lD. Prg. J/4

IAPP CERTIFICATE No : DKT0/KIIR110130222230700NAIItrOFSfiIP: IBISBVRECISTER: 36A409

AIIIIUAL/INTERMEDIATE SUR\TY IN ACCORDANCEWITE REGULATION 9.8.3

THIS IS TO CERTIIY thal at an strvey in accor&rc€ with regulation 9.8.3 ofAnnex VI ofth€ Convention, the ship wasfound to comply with the rclei,ant provisiotrs ofthat Annex:

Signed:(Suneyor to BUREAU WNTAS)

Place :Date :

ENDORSEMENT TO EXIEND TI{E CERTITICATE IF VALII)FOR LESS THAN 5 YEARS WI{ERE RDGULATION 93 APPLIES

The ship complies with the rElevant provisioDs ofthe Annex, and this certificate shall, in accordalce with regulation 9.3 ofAnnex VI ofthe Convention- be acceoted as valid until

Signed:(Sudeyor to BUREAU YERITAS)

Place .Date :

ENDORSEMtrNT WIIERE THE RENEWAL SURVEY HAS BEENCOMPLETED AND REGIJLATION 9,4 APPLIES

The ship complies with the releva.nt provisions ofthe Armex, .nd this certificate shall, in accordance with regulation 9.4 ofAnnex VI ofthe Convention. be acceoted as valid unlil

Signed:(Suneyor to BUREAU I/ENTAS)

Plac€ :Date :

Page 21: IBIS Pontoon Specs and Certifictaes

NE 2a2l D - P.g. 4l

IAPP CERTIFICATE No : DKT0/KIIR.|20I3{D22230700NAMEOFSHIP: IBISBVREGISTER: 364{0!)

EI{DORSEMENI TO EXTEND TIIE VALIDITY OF TIIE CERTIFICATE UNTILREACEING THE PORT OF SI'RVEY OR FOR A PERIOD OF GRACE WHERE

RX,GULATION 9.5 OR 9.6 APPLIES

This c€rtificate shall, in accordanc€ wilh reguLariod ofAnnex VI ofthe Conveniion, b€ acc-€pt€d as valid uotil

Signed:(Suvelor to BUREAU YENTTS)

Place :Date :

ENDORSEMENT FOR ADVAI{CEMENT OT ANNIVERSARY DATEWHERE REGULATION 9.8 APPLIES

In accordance with regularion 9.8 ofAnnex Vl ofthe Convention, lhe new snniveGary datr is

Signed:(&oeeyo o BU REAU YERITAS)

place :D8'E:

ln acc.rdrncc with rEgulation 9.t ofAnDex VI ofdrc Convrntioq rhe new alntv€rss|y &te is

Signed:(x'fl/ew to BUREAU YERITAS)

PlaceDale:

Page 22: IBIS Pontoon Specs and Certifictaes

No DKTo/XHRz0130222230739

SUPPLEMf,NT TO TIIEINTERNATIONAL AIR POLLUTION PREI'ENIION CERTINCATE

(IAPP CERTIFICATE)

RECORD OF CONSTRUCNON AND EQUIPMENT

Not$ :

L This Record shall be pemanently altached to the IAPP Certificate. The IAPP Certificate shall be available on board rheshiD at all tim€s.

2. The Record shall b€ at least in English, Frencb or Spanish. lf an offcial language ofthe issuing country is also use4 thisshall prevail in case ofa dispute or discrepancy.

3- Entries in boxes shall b€ made by inserting either a cross (X) for the answen ',yes,' and ,,app1icable" or a dash C) for theansweN "no" and "not applicable" as appropriat€.

4. Unless otherwise stated, regulations mentioned in this Record refer to regulations ofAnnex VI ofthe Convention andrcsolutions or circulars refer ro thos€ adopted by the Intemational Maritime Organization.

r. PARTICI]LARS OF SHIP

1.1. Name ofship: IBIS

BV Registeri 36A409

1.2. IMO Nunber: 8209212

1.3. Date on which keel was laid or ship was ata similar stage ofconstruction: 01 Jutre l9E2

1.4- Length (metres).: -

' conpleted only in rcspect ofships co6twted oh ot dfte. I Joasary 2016, vhich dre specia|y designed, and 6ed soletrlot recreationatpuryoset a toehich. in @.udanceenhrcgultttioa 13 5.2-1, the NOt enissid linit os given b! rcgttation t3 5.1.t vitt not app\-

Page 23: IBIS Pontoon Specs and Certifictaes

SIIPPLEMENT TO IAPP CERTIFICATE No : DKT0lKHRn0Bt22tz3W39NAME OF SHIP : IBISBV REGISTER | 36A409

2. CONTROL OF f,MISSIONS FROM SHIPS

2. I Ozone-depleting substarrces kegulalion I 2)

I - I 2. I . I The following fiE+xtinguishing systems, otier systems al|d equipment containing ozone depleting substances, otherthan hydrc-chlorofluoroc€rbons, instrll€d before 19 May 2005 may continue in s€rvice

SFtem or equipmeot l,ocatiotr on borrd S|rb3t!trc€

lrl 2.1.2 The following systems cootaining hydro-chlorofluomcarbons (HCFCS) installed before I Janusry 2020 naycontinue in service

Systcm or €quipmedt Ircatiotr on board Sub6tlrc€

1ir- Condit ioned System of ferdan deck starboar:d \22

{indow nountedrir-condit ioners

iuperstructure \22

)onest ic f r idqe p lant lonta iners-2 Nos. on Main \22

Page 24: IBIS Pontoon Specs and Certifictaes

SUPPLEMENT TO IAPP CERTIFICATE No : DKm/tKERn0l3m2223n39NAME OFSHIP: IBISBVREGISTER: 36A409

2.2 Nitrogenoxides (NOi teglation l3)

t - I 2.2. I Th€ following marine di€s€l engin€s installed on this ship comply with the applicable emission limit of regulation I 3in accordance with the revis€d NOx T€cbdcal code 2008.

Eosine#l Encine #2 fuitre #3Manufacn"lrer and modelSerial nunb€rUsePower output (kW)Rated sp€€d (RPM)Date of installation(dd/mn/yy)Date ofmajo.

(dd/mn'4y)

According toReg. 13.2.2According to

Exempred by Reg. 13.l.1.2Tier I Ree. 13.3Tier II Rea. 13.4Tier II Res. 13.2.2 or 13.5.2Tier I I I Res. 11.5. l . lAoDroved Method existsApproved M€thod notcornmerciallv availableADoroved Method installed

Etrsinc tl4 EDsine #5 Enlirc 116Manufacturer and modelS€rial numberUsePower ouQut Gw)Rated sD€ed (RPM)

Date of installation(dd/mn/'y)Date oftrlaFr

(dd,imr',ty)

According toRes. 13.2.2According toRes. 13.2.3

ExenDted by Req. | 3.1.1.2Tier I Res. ll.3Tier ll Reg. 13.4Tier II Res. 13.2.2 or 13.5.2 ! .Tier I[ Res. I 3,5. I . IADDrov€d Method exinsApproved Method notcomBercially availableADDroved Method installed

Page 25: IBIS Pontoon Specs and Certifictaes

SUPPLEMENT TO IAPP CERTIFICATE No: DKT0/KHRa0B022223U139NAME OF SHIP: IBISBV REGISTER | 36A1{D

2.3 tulphrr oxides (SOx) and partiaiate naoer tegulation 14)

2.3. I when the ship operates outside of ad Emission Control Ar€a specified in regulalion 14.3, the ship uses:

.1 fuel oil with a sulphur content as documented by buDker delivery notes that does not exceed the limit value of:[-] 4,50% m/m (not applicable on or affer I January 2012); orlxl 3,50% n/m (not applicable on or after 1 Jaruary 2020)i or[-] 0,50'lo ntm and/or

.2 an equivalent anangement approved in accordanc€ withregulation 4.1 as listed in 2.6 that is at least as effective in t€Tm ofsox emission reduclions as compared to using a fuel oil with a sulpbur conteot limit value of:

t -1 4,50plo m/m (not applicable on or aner I January 20l2); ort - I 3,50olo r/m (not applicable oD or after I January 2020); ort-l 0,50Pl" r/m

2.3.2 When lhe ship operates insid€ an Emission ConEol AIe3 specified in r€gulalion 14.3, the ship uses:

. I fuel oil wirh a sulphur content as documented by bunkq delivery notes that does not exceed the limit value oft il 1 ,00% rvm (not applicable on or aft€r I January 201 5); ort-l 0,10% n/m and/or

.2 ar equivalent anangement approved in accordrnce with regulatiotr 4.1 as list€d in 2.6 that is at least as etr€ctive in terns ofSOx emission reductions as comparcd to using a ftel oil with a sulphul cont€nt limit value of

t - I | ,00% .n/n (not applicrble on or after I January 20 I 5); ort-l 0,10'l" rvm

2.4 yolatile organic conpoundt UOC|) tegulation I5)

I - I 2.4. I The tanker has a vapour collection system iruitalled and appmved in accordanc€ widl MSC/Ci.c.585[ - I 2.4.2. I For a tanker carrying crude oil, tbere is an appmved VOC Management PlaD.

2.4.2.2 VOC Management Plan apFoval reference:

2.5 Shipboatd incinerution tesulation 16):

The ship bas atr incinerator:t -1 .l inslalld on or sfrcr I January 2000 ]vhich complies wilh r€solution MEPC.76(40) rs amendedt - I .2 installed before I JaNary 2000 wfiich compli€s rvilh

Page 26: IBIS Pontoon Specs and Certifictaes

SIJPPLEMENT TO IAPP CERTIIICATE No: DKTOXHnzOlnX222:t11139NAMA OF SHIP : lBlSBVREGISTERT 36440!)

2.6 Equtvalents (resdatton a):

The ship h&s bcen alloved to usc lhc followiog ftrh& mEterial, sppliece G appsla$s to bc fitted in a ship or oth6proceduEs, alt€mative firc1 oilt or cooplirnc€ tr|efhods uscd as atr altemative to thal rcquir€d by dfs Adcx:

Syst€m or equiDm€nt Equivalcdt used ADDroval rcfctencc

THIS IS TO CERTIFY lhat lhis R€cord is correct itr sll r€sD€cb.

ls.ucd at B.trm lndonesi., od the 24 Februrry 2013

KHR BUREAU VERITAS

Page 27: IBIS Pontoon Specs and Certifictaes

STATEMENT OF COMPLIANCE FOR

INTERNATIONAL SEWAGE POLLUTION PREVf,NTIONNo DKT0/KHR/201392222317 49

Issued under the provisions of the Intemational Convention for thePrevention of Pollution from Ships, 1973, as modified by the Protocol of 1978 relating thereto,

and as amended by resolution MEPC.I l5(51) (hereinafter rcfeFed to as "the Convention")

T}?€ of ship' I N€w .. I Existing

Tlp€ of ship for lhe application of regulation I I .3':Passenger ship: I New -- Existing

- SNp olber than a pass€nger ship

Date on which keel was laid or ship was ata similar stage ofconstnrction or, where applicable, date on which a conveEion oran alteration or modification of a major character was commenced I 8 May I 982

THIS IS TO CERTIFY :

I That the ship is equipped with a* [I sewage ts€alment plant

- r comminuter- holding tank

and a discharge pipeline in compliance with regulations 9 and l0 ofAnnex ry ofthe convention as follows' :

Ll l: Description ofthe sewage treaun€nt planrTyp€ ofs€$lge treatmenl plants: RT 80 ReEofit Trid€ntName ofmanufacturEr: Hamworby KSE LTD Marin€ & Offshore DivisionLrl The sewage tseatment plant is cenified by tbe Administration to meet the €muent standards as provided for inrcsolution MErc.2(VI).

! Th€ lewage tl€rtnenr platrt is cenified by the Administration to heet the emuent standards as provided for inr€solution MEPC.I 59(55).L l The s€wage treatnent plant is cenified by dle Adminisfttion to me€t the emuent standards as provided for inrcsolution MEPC.227(64).

1.2 - Descriotion ofihe comminuterType ofcomminuter:Name of manufactur€r:Standard of sewage afier disinfection:

|.3 ir,- Description of the holding tank equipmentToral capacity ofdle holdbg lank : 16.73 m'Lacation : E/R between Fr. 12 - | 6 (S)

.ftr'tY,

lrlrj-fFgrnEGrrrcr

BUREAU VERITASNam€ of Ship

BV No : 364409IMO

DistinctiveNumberor Leners

Port ofRegisEyCross

TonnageNumbe. of

persons whichlhe ship is

certified to carry

IBIS 82092t2 V3RV6 BELVE 2964 95

NE | 498C - P.8. l/l

Page 28: IBIS Pontoon Specs and Certifictaes

NE l49tc - Prg. 2,4t

INTERNATIONAL SEWAGE POLLUIION PRIYENTION STATEMENI No : DKT0/KHR 10130222231749NAME OF SHIP : IBISBV RnGISTER: 36A409

1.4 A pipeline for lho dischary€ ofsewage to a rcceptiotr lacility, fitted wi$ a standard comectioL

2 That the ship has been $fleyed in accordance witb regulation 4 ofArm€x W ofthe Convention.

3 That the $$/ey shows that the stsuctue, e{uipnent, systems, fittings, arrangements and marorials ofthe ship and thecondition thereof in all resp€cts satisfactory and that the ship complies with the applicable requirements ofAnnex lV oftheConventiotr.

This Statement is valid until 4 April20t?subject tro sufleys in accordance wi6 rcgulation 4 ofthe Antrex lV ofthe Cotrvention.

Completion date of the surv€y onwhichthis SatemeDt isbased : 24 February2013

Issued at Batam Indonesi4 on the 24 February 2013

XHR

Page 29: IBIS Pontoon Specs and Certifictaes

NE la9tc - P.t! ln

TNTERNATIONAL SEWAGE POLLITTION PRf,VENTION STATEMENT No : DKTo/KHM!o13022223!7,19NAME OF SIIIP. lBlSBVREGISTER; 35A4o9

Endorremert to cttoDd the Certific.te ifvslid for less thrn 5 year3 whcrc regulation E3 applies

The ship compli€s with lhe relevant provisiona ofthe Convsntion, ad this Certificate shall, in accordance with r€gulation 8.3ofAnnex IV oftbe CoEvention, b€ acc@ted as valid unti1...........................-....,....

Sigtred ...............................,--..-..-(Srneyor to BUREAU YERITAS)

EDdorEemotrt where the renewal rurvey ha! been completed rnd regulation E.4 applies

fie ship complies with the relevanl provisions ofthe Convention, strd this Certificate shall, in accordance wt'th regulation 8.4ofAnnex IV ofthe Convedioi! be a.cepted as valid lntil .....................,...........

Signed ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(Sneyor to BUREAU YERITAS)

Place

Date

Place

Data

Pla4€

Date

EndoEeEetrt to eiend thc vrlidity of the Cortilic.rte until reachhg the port of sun Gyor for r period of grsce whGrc regulstion 8.5 or 8.6 applies

This Ccrtificate shall, in accordalrc€ yith rEgulation. I t.S or ll E.6 ofAmsx w ofthe Convention,be acceFcd as vslid until .

Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . .(Suneyor to BUREAU YENTAS)

Page 30: IBIS Pontoon Specs and Certifictaes

INTERNATIONAL A.I\ITI.FOULING SYSTTM CDRTIFICATENo ItKT0/KHRt013022223224t

(This certificrle shall be supplem€nted by a record ofAnti-Fouling Systens)

lssu€d underlhe Itrt€mrtiond CoDv€ntiotr on the contrclolHlrmf||l Anti-rouling Syct€ms otr Ships

BELIiI,I

BY BUREAU VERITASWhen a Certificate has been previously issued, this Certificare replaces the Certilicate dated 3 I MARCH 20 | 0

fl An anti-fouling system controlled under Annex I has not been applied during or after cofftruction ofthe ship,[:1 er anti-fouling system controlled under Andex I has been applied on this ship Feviously, bu has been removed by PTMARCOPOLO SHIPYARD BATAM INDONESIA on 23 February 2013-

: An anri-ftuling sysEm conEolled under Annex I has b€€o appli€d otr thir ship previously, but hss been covered with asealer applied by ........,.... ............. on ......................-l An anti-fouling system codtrolled under Annex I was applied on this ship prior to .............................,..,.............., butmust be removed or covercd with a sealer coat p.ior to

THIS IS TO CERTIFY THAT :l. tI€ sffp bas b€en surveyed in acco.dance srith Regulation I of Atrnex 4 ofthe Coovcotion; and

2. the sur'vey shows tbat the antifouling syslem on the ship complies with the applicable requirements of Annex I oftheConvention.

Date ofcompletion ofthe suwey on which this Cenificate is issued 24 February2ol3

lssued at Batam Indonesia, on the 24 February 2013

ffi)l:rrrrrT-mEIXS

NE ?t35C

Name ofShip

BV No : 364{09

Distirlctive Numberof klt€rs Port ofRegistry

GrossTonnage

tMoNumb€r

IBIS V3RV6 BELIZE 2964 a2w2t2

Page 31: IBIS Pontoon Specs and Certifictaes

RECORD OF ANII-FOI]LING SYSTf,MS

No DKTo/KHR 0130222232357

This Record shall be permanently attached to the Intemational Anti-Fouling System Certificat€.

Detaik of an&fouling slsrem(sl opplied

Type(s) ofanli-fouling system(s) used : TBT Free SelfPolishing Antifouling Paints

Date(t ofapplication ofanti-fouling system(s) : February 2013

Name(s) ofconpany(ies) and facility(ies)/location(s) where applied : PT I,4ARCOPOLO SHTPYARD BATAMINDONESIA

Name(s) ofanti-fouling system manufactueds) : Intemational Paint Singapore Pte Ltd

Name(s) and colou(s) ofanti-fouling syst€m(s) : Intenpeed 6?00 (BQA624 Red

Active ingredi€nt(s) and the} Chemical Abstmct SeNices Registry Numbe(s) (CAS numbe(s)) : Cuprous Oxide(1317-39-l); Zinc Ethylene bis-dithiocarbamate (12122-67-7)

Tne(s) of sealer coat, ifapplicable: Tie coat epory

Name(s) and colou(s) ofsealer coal applied, ifapplicable : Intergard 263 (FAJ034/A GRIY)

Date ofapplication of sealer coat : February 2013

THIS lS TO CERTIFY $al this Record is conect in all resp€cts.

Issued al Balam Indonesia, oo the 24February2013

ofthe Secr€tary

Name of Ship

BVNo :36A409

Distinctive NumberPort of Registry

GrossTomage

IMONumber

rBls V3RV6 BELIZE 2964 8209212

Page 32: IBIS Pontoon Specs and Certifictaes

STATEMENT OF COMPLIANCEFOR NON.CONVENTION SHIP

No DKT0TKHR/20130212232529

lssued within lhe scope of lhe Bureau Verilas Marine Division General Condilions.D6livde clans Ie cadte des Conditions G6n6mles de la Dircction Marine du Bureau veiks.

Name of Ship

Regbter No.

Flag

Dbffnctlve letiers

tBts

36A409

BELIZE

V3RV6

THIS lS TO CERTIFY that the subject ship has been surueyed lo check her compliance with the provisions of thefollowing Chapte(s) of the Safely Guidelines for Cargo Ships of less than Convention Size (IACS recommendation99/2004 :

ill chaptor tv: Firo-Fighting:l chapter V : Life-saving AppliancesI chapterVl : Radio InslallationsE Chapter Vll : Navigalional Equipment

and ihat the ship has been found equipped as required for the tollowing service area :

Unrestdcled

The presenl Slat€menl of Compliance has been issued al the rcquest of

This Statement is valid unijf 4 April 2017.

Completion date ofthe survey on which this statement is ba6ed : 24 February 2013

lssued ai Batam Indonesia, on the24 Febtuary2013

' Vali, not morc than 5 ysars afrer compblion dab or ihe suruey'

The lalesi publisbed Rules of the Burcau Vedtas Manno Division, a.d lhe Genelal condnions theeln, a€ applicable.La de''/drc adilion @s Rdglencnls do Ia Dnnf'ion Manne du Bueeu Veitas, ainsi que lgs Concktons G'ndnles gu y figuenL st t

peEon not r p€dy io th€ 6nlra<t puMd io *hi.rr tnE do@menl 6

dneton wih aN adini€ ftr *iricn h

deliEcd @y @i .3sl 3 dsim sgaEr Br@u veritas ii. any liaulity 6Gin9oul of mE d oFi$ioB whrh may be qbrnul in 93id ddrent or io.e'@ d jud!ftnt 6u[ d Edigs@ ommihed ht tsdin€l ol t€ s.dettor tE a€srs i. !'e Bslbh.6r or isrne of tlb dodMt and in

Toub psm@ qli n..l Fs parlie tu @thl tu\ tffi duqud @.ltunenl est d4lli6 re p!tu @gaget h Esponebi/i.€ tu AuEau vq'.6@u bs trdadt!.ks @ qtsids qui pornisty ete e/ed6 aire q!.p.!. b5 @!6 d. j!g@nt, tbulbs N n6gltig€/,s Mi* Ft Lperwrei dr /. soc€€ @ pars alels dars /alab/[$rmt da @d.Ettu* 4 ddB I s&lbn &s inffi$.n!11 @tl'.tb.

Page 33: IBIS Pontoon Specs and Certifictaes

STATE''EI{T OF COTPLIAI{CE FOR I{ON4ONVEI{TIO SHIPtlA E OF SHIP: lBlSBVREGISTER: 36A,109

l|o : DKTO,XHR 1013022232529

lsf Annual surrty

2nd Annual survey

3rd AnDual $rvey

4th Annual surv€y

Signed:(Streyor to BUREAU YENTAS)

Place:

Date:

Sigled :(56)eyot to BUREAU YENT,{S)

Plar€ :

Dale:

EndoFement page for Annual Surveya

Sigded:(Sumeyor to BUREAU I.ENTAS)

Place :

Date :

Siped:(Sumeyor to BUREAU IENTAS)

Plac€:

Da& :

1j