RECORD OF ANTI-FOULING SYSTEMS
This Record shall be permanently attached to the International Anti-Fouling System Certificate
Particulars of ship
Name of ship: ........................................................................................
Distinctive number or letters: ...............................................................
IMO number: .........................................................................................
Details of anti-fouling system(s) applied
Type(s) of anti-fouling system(s) used .................................................
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Date(s) of application of anti-fouling system(s) ..................................
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Name(s) of company(ies) and facility(ies)/location(s) where applied .......................................................................................................
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Name(s) of anti-fouling system manufacturer(s) .................................
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Name(s) and colour(s) of anti-fouling system(s) .................................
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Active ingredient(s) and their Chemical Abstract Services Registry Number(s) (CAS number(s)) ....................................................................
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Type(s) of sealer coat, if applicable .....................................................
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Name(s) and colour(s) of sealer coat applied, if applicable ................
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Date of application of sealer coat .........................................................
THIS IS TO CERTIFY that this Record is correct in alle respects.
Issued at .................................................................................................
(Place of issue of Record)
.................................................................................................................
(Date of issue) (Signature of authorized offıcial issuing the record)