| Issued under
the provisions of the Protocol of 1997, as amended, to amend the
International Convention for the Prevention of Pollution by
Ships, 1973, as modified by the Protocol of 1978 related thereto
(hereinafter referred to as "the Convention") under the
authority of the Government of:
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| (full designation of the
Party)
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| by . . . . . .
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| (full designation of the competent person or
organization authorized under the provisions of the
Convention)
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| Particulars of shipfootnote
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Name of ship . . . . . . . . . . . . . . .
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Distinctive
number or letters. . . . . . . . . . . . . . . . . . . . . . . .
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IMO
Numberfootnote . . . . . . . . . . . . . . . . .
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Port of
registry . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Gross tonnage.
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| SEEMP part II
date of revision, as applicable . . . . . . . . . . . . . . . .
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| THIS IS TO
CONFIRM:
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| Taking into account the 2016 Guidelines for the development
of a Ship Energy Efficiency Management Plan (SEEMP)
adopted by resolution MEPC.282(70), the ship's
SEEMP has been developed and complies with regulation 22.2 of
Annex VI of the Convention.
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| Issued at: . .
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| (place of issue of
Confirmation)
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| Date
(dd/mm/yyyy) . . . . . . . . . . . . . .
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(date of issue)
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(signature
of duly authorized official issuing the
Confirmation)
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(seal or
stamp of the authority, as appropriate)
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