1、格式：RWPSM703ANo.中國船級社(由船級社填寫)致中國船級社：《船舶保安船舶保安計(jì)劃》審批申批申請書請書為取得符合自愿符合1974年國際海上人命安全公約第XI－2章和ISPS規(guī)則要求的國際船舶保安證書船舶保安自愿符合證書，我們按照貴社的有關(guān)要求，申請貴社對我公司所遞交的《船舶保安計(jì)劃》進(jìn)行審核批準(zhǔn)，并支付審核費(fèi)及因?qū)徍税l(fā)生的有關(guān)費(fèi)用。船名船舶呼號(hào)船旗國船級船舶類型船籍港總噸位船級編號(hào)國際海事組織編號(hào)建造完成日期審批種類初次審批□

2、修改審批□審批地點(diǎn)審批日期公司名稱：地址：聯(lián)系人:郵政編碼固定電話傳真船舶所屬管理公司移動(dòng)電話電子信箱上次船舶保安計(jì)劃審批機(jī)構(gòu)：審批號(hào)：涉及船舶保安方面的港口國控制情況：保安體系文件變動(dòng)情況：備注：Fm:RWPSM703A(E)No.(CompletedbyCCSonly)中國船級社CHINACLASSIFICATIONSOCIETYAPPLICATIONFAPPROVINGSHIPSECURITYPLAN(Thisfminduplic

3、atemaybesubmittedthroughthelocalofficeofthisSociety)WeherebyrequestChinaClassificationSocietytoapprovetheSSPffollowingvesselindertoacquiretheISSCincompliancewithvoluntarycompliancewithChapterXI2ofSOLAS1974ISPSCode.Weagre

4、etopaythecertificationfeeanytravelingotherexpensesincurredbythecertification.NameofShipFlagTypeofShipDistinctiveNumberLettersPtofRegistryClassNoClassIMONoGrossTonnageYearofBuiltPlaceofVerificationDateofVerificationKindso

5、fApproval:First□Modification□ManagementCompanywhichtheA.M.vesselbelongstoNameAddressContactTelNoFaxNoEmailMobilePostcodeTheLastganizationwhichapprovedSSP:ApprovalNo.Weagreetopaytheverificationfee，inaddition，anytravelingo

6、therexpensesincurredinconnectionwiththeverification.ItisunderstoodthatintheeventofthisprojectnotbeingcompletedundertheSociety’sverification，theSocietyreservestherighttogeitsserviceprorata.PtStateControlStatusRelatingToSh

7、ipSecurityMatters:ChangeofISPSdocuments:Remark:RefertothedefinitionsinChapterIXofSOLAS.Iftheshipis“Othercargoship”（SOLASIX2.1.3），pleaseremarkspecifictype(s)showedinClassificationCertificateonboardApplicant:(Stamp)Date:Ma