DOC审核通知单（0901）

1、（Rev.1 20180415-1/3） CHINA CLASSIFICATION SOCIETYREQUEST FOR COMPANY CERTIFICATIONWe hereby request China Classification Society to carry out verification to SMS of the following Company and to issue or endorse Document of Compliance according to ISM Code. We agree to pay the verification fee, any t

2、ravelling and other expenses occurring in connection with the verification as per the provisions of China Classification Society In the event of this project not being completed under the Societys verification, the Society reserves the right to charge its service pro rata. During the verification, w

3、e promise to provide appropriate health and safety protection for attending auditors in accordance with the applicable mandatory requirements and the recommendations specified in the Health and Safety Protection Guideline for Client of this society.Company Information:Name of Company Identification

4、NumberAddress of registry： Address of officeContact PersonDesignated PersonTelephone No.Mobile phone No.E-mailFax No.Designated E-mail Receiving E-CertificateVerification InformationFlagShips Type Covered Type of ship: please insert the type as below: Passenger ship-PS, Passenger high-speed craft-PH

5、C, Cargo high-speed craft-CHC, Bulk carrier-BC, Oil tanker-OT, Chemical tanker-CT, Gas carrier-GC, Mobile offshore drilling unit-MOD, Other cargo ship-OS.Kind of VerificationQuantity of shipsPS PHC CHCBC OT CTGC MOD OSInterim Initial Annual Renewal AdditionalPS PHC CHCBC OT CTGC MOD OSInterim Initia

6、l Annual Renewal AdditionalPS PHC CHCBC OT CTGC MOD OSInterim Initial Annual Renewal AdditionalPS PHC CHCBC OT CTGC MOD OSInterim Initial Annual Renewal AdditionalPlace of VerificationDate of VerificationLanguage of AuditCategory of Certificate Paper Certificate E-Certificate Paper + E Certificate R

7、emark: please find the flag state list who entrust to issue E-cert in CCS official websiteAppendix: Safety Management ManualProceduresList of procedures, instructions & other materialsList of vesselsMarks to be used: FORMCHECKBOX Applicable FORMCHECKBOX Not ApplicableCHINA CLASSIFICATION SOCIETYREQU

8、EST FOR COMPANY CERTIFICATIONThe results of review of the follow-up corrective action during the last verification(not applicable for interim and initial verifications):The reason for applying an additional audit（if applicable）：Port State Control Performance of vessels covered by applying DOC since last audit(not applicable for interim and initial verification):The modification status of SMS since last external audit (if any) Applicant (Stamp) Date （Rev.1 20180415-2/3）CHINA CLASSIFICATION SOCIETYREQUEST FOR COMP