ࡱ> uwt RZ:bjbj[[8@99 PPPPPddd8,|dRDDDDD333$2QP33PPDDLXPDPD*[DK*b0P,3>q,$333d333333333333, :  -N V 9 ~ >y CHINA CLASSIFICATION SOCIETYApplication for Issuance of Class Statement  Application Date: Applicant Information: Company Name: The present ship-owner Other: (See Foot Note) Name of Contact Person:Tel:Fax:Email: To: China Classification Society Application is hereby submitted for issuance of Class Statement for following ship: Ships NameClass No. 1. Class Statement to be required to denote that the ships class is maintained % on: % within the period from to 2. Class Statement to be used for the purpose of: (See Foot Note) % Sale delivery% Insurance claim% Chartering%Bank financing% Other: 3. Expected date of ship s sale delivery: Expected location of ship s sale delivery: 4. Details of Insurance Claim: Insurance Item(s): Date & Place of Incident: Details of Damage:  5. Original Class Statement to be mailed following address:   "$^`bdfT t v ɶɲɤyɲpeYpQhCJPJh/h>*CJPJh>*CJPJo(hCJPJo(hQBh5CJPJaJh5CJPJaJo(hvh5CJPJaJo(hvh5CJPJaJhhCJPJaJhCJPJo(hCJPJ(jhEhECJPJUmHnHuhCJOJQJ^JhCJOJQJ^Jo($^`bdTkkdl^$$IfTl4F(=#E$    44 laf4ytwHT$  !$`'dh$1$Ifa$gdwH$  !$`'$1$Ifa$gdwHgd pWD `pgd v }^B.2d$IfUD]2gdwH2ZdUDVDWD2]2^`Zgd$2ZdUDVDWD2]2^`Za$gdkkd^$$IfTl4F(=# E$    44 laf4ytwHT$  !$`'$1$Ifa$gdwH   " $ % < = > ? C D H I O P Q R r t    4   ˿Ӵh>*aJo( haJo( hCJ o( hCJ hPJaJhPJaJo(hhPJaJhhPJaJo(hCJPJ hhhh>*PJaJo(hhPJaJhhPJaJo(3 # $ d$$1$IfUD]gdwH & Fd$$1$IfUD]gdxd$$1$IfUD]^xgdwH! P !$`'&d$$1$If]^&gdwH$ % = o[2d$IfUD]2gdwHkdB_$$IflFt"  t0$6    44 laPytwH= > ? D I P o2d$IfUD]2gdwH2d$IfUD]2gdwHjkd_$$Ifl/t"$ t0$644 laPytwHP Q R s t \@$$2dUDVDWD]2^`gd2;dUDVDWD]2^`;gdkdf`$$Ifl\ t"  t0$644 laPytwHt 8{kda$$Ifl0"$  t0644 laPytwH2d$IfUD]2gdwH2pdUDVDWD]2^`pgd2dUDVDWD]2^`gd 5 pT:2dUDVD]2^`gd2pdUDVDWD]2^`pgd{kda$$Ifl0"$  t0644 laPytwH2d$IfUD]2gdwH5 l n 6Pp2d$IfUD]2gdwH2d$IfUDVD]2^gdwH2dUDVD]2^`gd2dUDVDU]2^`gd   j n t 468:NPRnrtvVXz|¾޾޾޾޾xh2IhPJaJo(h2Ih>*PJaJhPJaJhhaJhhaJo(hhCJ o(hhCJ hhawhPJaJo(hawho(hl?ho( ho(h>*PJaJhPJaJo(h>*PJaJo(/prkWWW2d$IfUD]2gdwH2d$IfUDVD]2^gdwHzkdb$$Ifl\p# ~  t$644 laytwHX2kkOkk2dUDVDWDd]2^`gd2dUDVD]2^`gdzkdb$$Ifl\p# ~  t$644 laytwH12DZ[\^_6666666677777777J8N8V888xskh0ho( h>* h>*o( ho(hh/h>*PJaJhh>*PJaJUh>*PJaJh>*PJaJo(hhPJaJ hhhh>*PJaJhh>*PJaJo(hhPJaJo(hPJaJhPJaJo(*2}hkdb$$Ifl(#$ t0644 laytwHd$IfUDVD]^gdwH[}d$IfUDVD]^gdwHhkd^c$$Ifl(#$ t0644 laytwH[\_666677L8N88}}}}}}}oooo dVD^gd2dUDVD]2^`gdhkdc$$Ifl(#$ t0644 laytwH 6. Others: Applicant s Signature and Stamp: Signer s Name& Position: Note: 1.For the insurance claim purpose, Marine Protest need to be attached; 2.If this application is made by the third party, it is indispensable for the Society to be in receipt of a Written Consent of Present Ship-owner.     Form RLISSCD08-B 8:::: :":&:(:,:.:2:P:R:X:Z: hPJo( hPJhwHjhwHU hh0M h0h ho(8::: :$:&:*:,:0:2:T:V:X:Z:$&dPa$gdwH!dVDWD^`!gd6&P 18:pwH. 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