Government of Canada / Gouvernement du Canada
Symbol of the Government of Canada

Search

Vessel Pollution and Dangerous Chemicals Regulations (SOR/2012-69)

Regulations are current to 2024-10-14 and last amended on 2021-06-23. Previous Versions

SCHEDULE 4(Subsection 131(4))

Anti-fouling System Declaration

DECLARATION ON ANTI-FOULING SYSTEM
Drawn up under the International Convention on the Control of Harmful Anti-fouling Systems on Ships, 2001
(the Convention)
Name of vessel blank line
Distinctive number or letters blank line
Port of registry blank line
Length blank line
Gross tonnage blank line
IMO number (if applicable) blank line
I declare that the anti-fouling system used on this vessel complies with Annex 1 to the Convention.
blank line
blank line(Date)blank line(Signature)
Endorsement of anti-fouling systems applied
Types of anti-fouling systems used and dates of application
blank line
blank line(Date)blank line(Signature)
Types of anti-fouling systems used and dates of application
blank line
blank line(Date)blank line(Signature)
 

Date modified: