Division

This is to certify,

1. 1..

   that the ship has been surveyed in accordance with Article 12 of Directive 2009/45/EC,

2. 2..

   that the survey showed that the ship fully complies with the requirements of Directive 2009/45/EC, and

3. 3..

   that the ship is, under the authority conferred by Articles 9(2) and (3) of Directive 2009/45/EC, exempted from and/or granted equivalency to the following requirements of the directive:

…

…

Conditions on which the exemption and/or equivalency are granted:

…

…

…

1. 4..

   that the ship complies with Part G of Chapter II-1 using … as fuel/N.A.¹

2. 5..

   that the following subdivision load lines have been assigned:

   Subdivision load lines assigned and marked on the ship’s sides amidships (SOLAS II-1/18)(2)	Freeboard (in mm)	Remarks with regard to alternative service conditions
   P.1
   P.2
   P.3

This certificate is valid until … in accordance with Article 13.2 of Directive 2009/45/EC.

(Date of the next periodical survey)

Place … Date …

…

(Signature and/or seal of issuing authority)

If signed the following paragraph to be added:

The undersigned declares that he is duly authorised by the said Flag State to issue this Passenger Ship Safety Certificate.

…

(Signature)