ࡱ> jmi Xbjbjqq 4neee||8 { .[h!K$Q:::5 :F:9v,-RK 0{ )%)%)%::::::::::{ ::::)%:::::::::| : INTERNATIONAL SAFETY MANAGEMENT (ISM) CODE JOINT DECLARATION FORM In accordance with Section 3.1 of the ISM Code. Name of Vessel: FORMTEXT      IMO No: FORMTEXT       Registered Owner: Registered Name: FORMTEXT      Tel. No.: FORMTEXT      Address: FORMTEXT      Fax. No.: FORMTEXT      Email: FORMTEXT      IMO Owner ID: FORMTEXT      AOH Tel. No.: FORMTEXT       Management Company (DOC Holder) ISM Company: FORMTEXT      Tel. No.: FORMTEXT      Address: FORMTEXT      Fax. No.: FORMTEXT      Email: FORMTEXT      IMO Managers ID: FORMTEXT       Designated Person Ashore:Back-up Designated Person Ashore (if any):Name: FORMTEXT      Name: FORMTEXT      Identification Document: FORMTEXT      Identification Document: FORMTEXT      Tel. No.: FORMTEXT      Tel: FORMTEXT      Fax. No.: FORMTEXT      Fax: FORMTEXT      AOH Tel/Mob: FORMTEXT      AOH Tel/Mob: FORMTEXT      Email: FORMTEXT      Email: FORMTEXT      Office Address if different form ISM Company Address:  FORMTEXT      Office Address if different form ISM Company Address:  FORMTEXT       Joint Declaration Owner: I T`xz    * , > @ T V X b Ÿ~f~Q~~9~Q/jth|EhGoCJOJQJU^JaJ)jh|EhQCJOJQJU^JaJ/jh|EhGoCJOJQJU^JaJ)jh|EhGoCJOJQJU^JaJ h|EhQCJOJQJ^JaJhOJQJ^Jh0\OJQJ^Jhh\1OJQJ^Jhh0\5CJOJQJ^Jh5CJOJQJ^Jh0\5CJOJQJ^Jhh\15CJOJQJ^J . > f h j Vzkd$$Ifl\ - n t44 layt|E$$Ifa$gd|El $a$gd {$$a$gd0\$a$gd b d f h j    ĶkV>/jh|EhGoCJOJQJU^JaJ)jh|EhqCJOJQJU^JaJ/jwh|EhGoCJOJQJU^JaJ h|EhX(BCJOJQJ^JaJ h|EhVCJOJQJ^JaJ h|Eh}$uCJOJQJ^JaJh=#h}$u5OJQJ^Jh=#h5OJQJ^J h=#hQ h|EhQCJOJQJ^JaJ)jh|EhGoCJOJQJU^JaJj   ( P d c}kd_$$Ifl4\>+- _ t44 laf4yt|E$$Ifa$gd|El $a$gd {$      $ & ( * > @ B L N d f z | ~ пЖ~iпX@iп/jfh|EhGoCJOJQJU^JaJ h|EhX(BCJOJQJ^JaJ)jh|EhqCJOJQJU^JaJ/jh|EhGoCJOJQJU^JaJ h|EhYk7CJOJQJ^JaJ h|EhVCJOJQJ^JaJ h=#h}$u h|Eh}$uCJOJQJ^JaJ)jh|EhGoCJOJQJU^JaJ4jh|Eh=#CJOJQJU^JaJmHnHu mmmm$$Ifa$gd|El |kd$$Ifl4\>+-` _ t44 layt|E  ( * , @ B D ꛔkZZB/jh|EhGoCJOJQJU^JaJ h|EhQCJOJQJ^JaJ/jxh|EhGoCJOJQJU^JaJ h|EhFKCJOJQJ^JaJ h=#h}$u h|Eh}$uCJOJQJ^JaJ)jh|EhqCJOJQJU^JaJ/joh|EhGoCJOJQJU^JaJ h|EhX(BCJOJQJ^JaJ)jh|EhGoCJOJQJU^JaJ  * R mmmm$$Ifa$gd|El |kd$$Ifl41\>+-  _ t44 layt|ED N P R T V  ĽăraI4ra)jh|EhqCJOJQJU^JaJ/jh|EhGoCJOJQJU^JaJ h|EhX(BCJOJQJ^JaJ h|Eh0\CJOJQJ^JaJ h|EhVCJOJQJ^JaJh=#h0\OJQJ^Jh=#h}$u5OJQJ^Jh=#h5OJQJ^J h=#h}$u h|Eh}$uCJOJQJ^JaJ)jh|EhGoCJOJQJU^JaJ)jh|EhQCJOJQJU^JaJR T V  ||ffff$$Ifa$gd|El $a$gd {$zkdd$$Ifl\>+- _ t44 layt|E       $ & ( * > @ B L N d f z | ~ ҽҬrZҽҔrBҽҔ/jh|EhGoCJOJQJU^JaJ/jhh|EhGoCJOJQJU^JaJ h|EhX(BCJOJQJ^JaJ h|EhVCJOJQJ^JaJ h|Eh}$uCJOJQJ^JaJ h=#h0\ h|Eh0\CJOJQJ^JaJ)jh|EhqCJOJQJU^JaJ)jh|EhGoCJOJQJU^JaJ/jeh|EhGoCJOJQJU^JaJ  ( P d nnnn$$Ifa$gd|El zkd$$Ifl\>+- _ t44 layt|E mmmm$$Ifa$gd|El |kdT $$Ifl4\>+-` _ t44 layt|E         ªӕs[ӕӄTC h:.hCJOJQJ^JaJ h=#h0\/j h|EhGoCJOJQJU^JaJ h|EhFKCJOJQJ^JaJ h|Eh0\CJOJQJ^JaJ)jh|EhqCJOJQJU^JaJ/j h|EhGoCJOJQJU^JaJ h|EhX(BCJOJQJ^JaJ)jh|EhGoCJOJQJU^JaJ h|Eh}$uCJOJQJ^JaJ h=#h}$u    mmmm$$Ifa$gd|El |kd_ $$Ifl41\>+-  _ t44 layt|E   P |ff$$Ifa$gd|El $a$gd {$zkdl $$Ifl\>+- _ t44 layt|E L N îpî_G/j h|EhGoCJOJQJU^JaJ h|Eh=`-CJOJQJ^JaJ)jh|EhqCJOJQJU^JaJ/jf h|EhGoCJOJQJU^JaJ h|EhX(BCJOJQJ^JaJ)jh|EhGoCJOJQJU^JaJ h|EhVCJOJQJ^JaJ h=#hY#h|EhV5CJOJQJ^JaJ#h|Eh}$u5CJOJQJ^JaJ $$Ifa$gd|El Wkd $$Ifl40+& & t44 laf4yt|E DFZ\^hjпЧп~fпЧN/jph|EhGoCJOJQJU^JaJ/jah|EhGoCJOJQJU^JaJ h|Eh=`-CJOJQJ^JaJ/j h|EhGoCJOJQJU^JaJ h|EhX(BCJOJQJ^JaJ h=#hY h|EhVCJOJQJ^JaJ)jh|EhGoCJOJQJU^JaJ4jh|Eh=#CJOJQJU^JaJmHnHuDlkkkk$$Ifa$gd|El }kdR $$Ifl4\>+&-& &&_ t44 laf4yt|E6kkkk$$Ifa$gd|El }kd$$Ifl4\  +&d & & & t44 laf4yt|E$&(2468LNbdfpr~ճĔՃkPճ4jh|EhYk7CJOJQJU^JaJmHnHu/jh|EhGoCJOJQJU^JaJ h|EhYk7CJOJQJ^JaJ h=#hY/jh|EhGoCJOJQJU^JaJ h|Eh=`-CJOJQJ^JaJ h|EhVCJOJQJ^JaJ)jh|EhGoCJOJQJU^JaJ)jh|EhqCJOJQJU^JaJ68Lt~kkkk$$Ifa$gd|El }kd\$$Ifl4\>+&-& &&_ t44 laf4yt|E(ҷҦҎv[ҦJ2ҷ/jh|EhGoCJOJQJU^JaJ h|Eh=`-CJOJQJ^JaJ4jh|EhYk7CJOJQJU^JaJmHnHu/jzh|EhGoCJOJQJU^JaJ h|EhYk7CJOJQJ^JaJ h=#hY h|EhVCJOJQJ^JaJ4jh|Eh=#CJOJQJU^JaJmHnHu)jh|EhGoCJOJQJU^JaJ/jkh|EhGoCJOJQJU^JaJ,kkkk$$Ifa$gd|El }kd$$Ifl4\>+&-& &&_ t44 laf4yt|E(*,.<>RTV`brt  "|udL/jh|EhGoCJOJQJU^JaJ h|Eh=`-CJOJQJ^JaJ h=#hQ/juh|EhGoCJOJQJU^JaJ)jh|EhQCJOJQJU^JaJ/jh|EhGoCJOJQJU^JaJ h|EhQCJOJQJ^JaJ h=#hY h|EhVCJOJQJ^JaJ)jh|EhGoCJOJQJU^JaJ,.<drkkkk$$Ifa$gd|El }kdf$$Ifl4\>+&-& &&_ t44 laf4yt|E0kXkk$Ifgd+l $$Ifa$gd|El }kd$$Ifl4\>+&-& &&_ t44 laf4yt|E",.ճՀyhXH;-h=#hV5OJQJ^Jh=#hOJQJ^Jh=#h5>*OJQJ^Jh=#hV5>*OJQJ^J h:.5>*CJOJQJ^JaJ h=#hY4jh|Eh=#CJOJQJU^JaJmHnHu/jh|EhGoCJOJQJU^JaJ h|Eh=`-CJOJQJ^JaJ h|EhVCJOJQJ^JaJ)jh|EhGoCJOJQJU^JaJ)jh|Eh+CJOJQJU^JaJJPpQrQtQvQQQ$$Ifa$gd|El $a$gd {$Wkdp$$Ifl40+&& t44 laf4yt|E P.PCJOJQJ^JaJ h=#hCJOJQJ^JaJ h=#h2CJOJQJ^JaJU h=#hVCJOJQJ^JaJh=#h5OJQJ^Jthe undersigned hereby declare that: The above information is true and correct. A management agreement between the owner and the above mentioned Management Company has been executed. Signature:Name: FORMTEXT      Date: FORMTEXT       Management Company: I the undersigned hereby declare that: The above information is true and correct and I am duly authorized by the Company to provide the aforesaid information. A management agreement between the Owner and the Management Company, stated above has been concluded (formalized). Signature:Name: FORMTEXT      Date: FORMTEXT       Transfer of ISM Responsibility (Registered Owner to Management Company) The Owner and the Management Company do hereby declare that the transfer of ISM responsibilities to the Management Company will take effect as from: Date:  FORMTEXT           Merchant Shipping Directorate Transport Malta, Malta Transport Centre, Marsa, MRS 1917 Malta. Tel: +356 2125 0360 Fax: +356 2124 1460 Email: HYPERLINK "mailto:ism.tm@transport.gov.mt"ism.tm@transport.gov.mt Form: TM/MSD/TD/ISM001 QQQQQQQ=Vkd$$Ifl0+h& t644 layt|E$$Ifa$gd|El Vkd$$Ifl0+h& t644 layt|EQQQQQQQQQQQQQQQQQQ"R$R&R§–~f§–YK=Kh=#h:.5OJQJ^Jh=#h25OJQJ^Jh=#h2OJQJ^J/jh|EhGoCJOJQJU^JaJ h|EhkvCJOJQJ^JaJ h=#h h|EhCJOJQJ^JaJ4jh|Eh=#CJOJQJU^JaJmHnHu)jh|EhGoCJOJQJU^JaJ/jAh|EhGoCJOJQJU^JaJ h|Eh=`-CJOJQJ^JaJQQQ&RtRLTNTPTRThTjT$$Ifa$gd|El $a$gd {$Vkd$$Ifl0+h& t644 layt|E &RrRtRLTPTRTfThTjTlTxTzTTTTTTͿp_Gp,p4jh|Eh=#CJOJQJU^JaJmHnHu/jih|EhGoCJOJQJU^JaJ h|Eh=`-CJOJQJ^JaJ)jh|EhGoCJOJQJU^JaJ h=#h h|EhkvCJOJQJ^JaJ h|EhCJOJQJ^JaJ hqhqCJ OJQJ^JaJ hqCJ OJQJ^JaJ h=#hCJOJQJ^JaJ h=#h:.CJOJQJ^JaJ h=#h2CJOJQJ^JaJjTlTxTTTTT=Vkd$$Ifl0+h& t644 layt|E$$Ifa$gd|El Vkd$$Ifl0+h& t644 layt|ETTTTTTTTTTTTThUjUVVVVªӏtfUD3U h=#h=`-CJOJQJ^JaJ h=#h2CJOJQJ^JaJ h=#hCJOJQJ^JaJh=#h25OJQJ^Jh=#h5OJQJ^Jh=#h:.OJQJ^J4jh|Eh=#CJOJQJU^JaJmHnHu/jCh|EhGoCJOJQJU^JaJ h|EhkvCJOJQJ^JaJ)jh|EhGoCJOJQJU^JaJ h=#h h|EhCJOJQJ^JaJTTTjUVVVVVVVVVVVWXgdSgd$a$gd {$Vkd$$Ifl0+h& t644 layt|EVVVVVVVVVVVVVVVVW*B*phPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] c n  b  D   ("Q&RTV XX  "%'.0245j R   6,QQjTTXX !#$&-/136 &2>DP\bs &2>DP\bv".4O[anz*09EK<HNWciQ]cc FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFXL# AA@0(  B S  ?"Text1Text2Text4Text3Text8Text7Text6Text35Text36Text9Text10Text11Text12Text13Text34Text15Text20Text16Text21Text17Text22Text18Text23Text19Text24Text38Text37Text25Text26Text27Text28Text29Text30Text322Ps2Pv"On:<WQd   ! 'Ec 'Ec5b1LOjdd eghjkmnpqa d Bqeghjkmnpqa d 39EvGo|E=# {$J%'*=`-\124Yk7X(BFK\HNuUW0\/ aq}$ua wxt|Skv2GfQRfx9k+j@5P2G\>?:.;Vb*Y4"p$b Feg@Lc pp p pppPUnknownG* Times New Roman5Symbol3. * Arial5. *aTahomaACambria Math"h<<;'@%@%!7d20aa2HX  ?G"*!xx6INTERNATIONAL SAFETY MANAGEMENT (ISM) CODE DECLARATIONISM CODE Andre Cutajarneville.spiteriOh+'0 (4 T ` l x8INTERNATIONAL SAFETY MANAGEMENT (ISM) CODE DECLARATION ISM CODEAndre Cutajar Normal.dotmneville.spiteri2Microsoft Office Word@@Px@v -@v -@%՜.+,D՜.+,H px  'Captain Joseph ZerafaMMAa 7INTERNATIONAL SAFETY MANAGEMENT (ISM) CODE DECLARATION Title(S[ _PID_HLINKS DepartmentAx{Wmailto:ism.tm@transport.gov.mtTechnical Department  !"#$%&'()*+,-./012345679:;<=>?@ABCDEGHIJKLMNOPQRSTUVWXZ[\]^_`bcdefghkloRoot Entry Fۆ,-nData 81TableF)%WordDocument 4nSummaryInformation(YDocumentSummaryInformation8aMsoDataStore0[,-9v,-GKXLJUPZMW==20[,-9v,-Item  PropertiesUCompObj y   F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q