船舶リサイクル開始計画報告書（Report of Planned Start of Ship Recycling）
令和7年5月21日|p.72
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APPENDIX 6
FORM OF REPORT OF PLANNED START OF SHIP RECYCLING
located at
(Full Ship Recycling Facility address)
Authorized in accordance with the requirements of the Hong Kong International Convention for
the Safe and Environmentally Sound Recycling of Ships, 2009 (hereinafter referred to as "the
Convention") to conduct Ship Recycling under the authority of the Government of:
(Name of State)
as indicated in the Document of Authorization to conduct Ship Recycling issued at
(Place of authorization)
by
(Full designation of the Competent Authority under the Convention)
on (dd/mm/yyyy)…………………………………
(Date of issue)
Hereby reports that the Ship Recycling Facility is ready in every respect to start the recycling of
the vessel
(IMO number)
The International Ready for Recycling Certificate issued under the provisions of the Convention
under the authority of the Government of
(Name of State)
by.
(Full designation of the person or organization authorized under the provisions of the Convention)
on (dd/mm/yyyy)
(Date of issue)
is enclosed.
Signed
Distinctive number or letters
Port of Registry
Gross tonnage
IMO number
Name and address of shipowner
IMO registered owner
identification number
IMO company identification
number
Date of Construction