Application for Review of Relevant Documents (DMLC Part II And/Or Drawings)

Application for Review of Relevant Documents (DMLC Part II and/or drawings)

To NIPPON KAIJI KYOKAI ( )

Application No. / Application Date

1. APPLICANT

Name
Address: / Person in Charge
(Stamp or Signature)
Name of Department
Tel / Fax / E-mail

We acknowledge the provisions of “RULES FOR THE INSPECTION AND REGISTRATION OF MARITIME LABOUR SYSTEMS” and “

CONDITIONS OF SERVICE FOR CLASSIFICATION OF SHIPS AND REGISTRATION OF INSTALLATIONS” of NIPPON KAIJI KYOKAI (ClassNK)

and request you to carry out a review of the Relevant Documents on Maritime Labor (DMLC Part II and/or Drawings on Accommodation & Recreational Facilities) as detailed below. We ensure the payment of all fees and expenses incurred in the below-mentioned review and/or issuance of relevant document(s).

2. KIND OF APPLICATION

Initial Review of DMLC Part II
Amendments to a reviewed DMLC Part II

3. PARTICULARS OF SHIP

*Please attach the fleet list in case more than one ship is applied to this application

Name
Class & Class No. / IMO No.
Flag / Port of Registry
Gross Tonnage / Type of Ship (in SMC/ISSC)
Date of Keel Lay / Date of (expected) Delivery
Crew Nationality

4. INFORMATION TO MLC INSPECTOR

*Please complete the following in case the Identical DMLC Part II to the applying DMLC Part II for another vessel was reviewed by ClassNK.

Name of Ship / IMO No.
DMLC Part II
Letter of Review No / DMLC Part II Letter of Review Issued Date

5. ATTACHED DOCUMENT(S)

Copy of DMLC Part I issued by Flag Admin.
Copy of DMLC Part II and Relevant Documents.
Certificate of (provisional) Registry

6. BILLING CONTACT

＊Please complete the following in cases where the billing contact differs from the above applicant.

Name
Address / Person in Charge
(Stamp or Signature)
Name of Department
Tel / Fax / E-mail

7. MESSAGE AREA

MLC Shipowner means the owner of the ship or another organization or person, such as the manager, agent or bareboat charterer, who has assumed the responsibility for the operation of the ship from the owner and who, on assuming such responsibility, has agreed to take over the duties and responsibilities imposed on shipowners in accordance with this Convention, regardless of whether any other organization or persons fulfill certain of the duties or responsibilities on behalf of the shipowner.

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MLC-APPLI-R (2015.6)

This sheet is to be submitted when more than one ship is to be covered by the Application for Review of Relevant Documents (DMLC Part II and/or drawings)

List of Ships Name of Applicant (MLC Shipowner):

Application No: Application date:

No. / Name of Ship / Class & Class No. / IMO No. / Flag / G/T / Type of Ship / Date of
Keel Lay / Date of Delivery / Date of
Registry / Crew
Nationality
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