Schedule 1

FIRST SCHEDULERegulation 15 of Chapter IFORM OF SAFETY CERTIFICATE FOR PASSENGER SHIPS PASSENGER SHIP SAFETY CERTIFICATE This Certificate shall be supplemented by a Record of Equipment for Passenger Ship Safety (Form P) (Official seal)REPUBLIC OF SINGAPOREfor an/a short1 international voyage1 Delete as appropriate.Issued under the provisions of the INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as modified by the Protocol of 1988 relating theretounder the authority of the Government of the Republic of Singaporeby ____________________________________(person or organisation authorised)Particulars of ship22 Alternatively, the particulars of the ship may be placed horizontally in boxes.Name of ship .....................................................................................................Distinctive number or letters ............................................................................Port of registry ..................................................................................................Gross tonnage ...................................................................................................Sea areas in which ship is certified to operate (Regulation IV/2)33 For a ship certified to operate in sea area A3, indicate the recognised mobile satellite service in brackets............................................................................................................................IMO Number4 ...................................................................................................4 In accordance with the IMO Ship Identification Number Scheme, adopted by the Organisation by resolution A.1117(30).Date of build: Date of building contract ............................................................................... Date on which keel was laid or ship was at similar stage of construction .............................................................................................. Date of delivery ........................................................................................... Date on which work for a conversion or an alteration or a modification of a major character was commenced (where applicable) .............................All applicable dates shall be completed.THIS IS TO CERTIFY:1That the ship has been surveyed in accordance with the requirements of Regulation I/7 of the Convention.2That the survey showed that:2.1the ship complied with the requirements of the Convention as regards:.1the structure, main and auxiliary machinery, boilers and other pressure vessels;.2the watertight subdivision arrangements and details;.3the following subdivision load lines:Subdivision load lines assigned and marked on the ship’s side amidships (Regulation II-1/18)55 For ships constructed before 1 January 2009, the applicable subdivision notation “C.1, C.2 and C.3” should be used.FreeboardTo apply when the spaces in which passengers are carried include the following alternative spacesP1.…………...………………………....P2...................………………………....P3...................………………………....2.2the ship complied with Part G of Chapter II-1 of the Convention using ……… as fuel/N.A.12.3the ship complied with the requirements of the Convention as regards structural fire protection, fire safety systems and appliances and fire control plans;2.4the life-saving appliances and the equipment of the lifeboats, liferafts and rescue boats were provided in accordance with the requirements of the Convention;2.5the ship was provided with a line-throwing appliance in accordance with the requirements of the Convention;2.6the ship complied with the requirements of the Convention as regards radio installations;2.7the provision and functioning of the radio installations used in life‑saving appliances complied with the requirements of the Convention;2.8the ship complied with the requirements of the Convention as regards shipborne navigational equipment, means of embarkation for pilots and nautical publications;2.9the ship was provided with lights, shapes, means of making sound signals and distress signals, in accordance with the requirements of the Convention and the International Regulations for Preventing Collisions at Sea in force;2.10in all other respects the ship complied with the relevant requirements of the Convention;2.11the ship was/was not1 subjected to an alternative design and arrangements in pursuance of Regulation(s) II‑1/55 / II‑2/17 / III/381 of the Convention;2.12a Document of approval of alternative design and arrangements for machinery and electrical installations/fire protection/life‑saving appliances and arrangements1 is/is not1 appended to this Certificate.3That an Exemption Certificate has/has not1 been issued.This certificate is valid until ...............................................................................Completion date of the survey on which this certificate is based: …..….…....... (dd/mm/yyyy)Issued at …….......................................................................................................... (Place of issue of certificate) ...........................................(Date of issue)............................................................(Signature of authorised official issuing the certificate) (Seal or stamp of the issuing authority, as appropriate)Endorsement where the renewal survey has been completed and Regulation I/14(d) appliesThe ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with Regulation I/14(d) of the Convention, be accepted as valid until ................................................... Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Endorsement to extend the validity of the certificate until reaching the port of survey or for a period of grace where Regulation I/14(e) or I/14(f) appliesThis certificate shall, in accordance with Regulation I/14(e) / I/14(f)1 of the Convention, be accepted as valid until ................................................... Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)[S 892/2023 wef 01/01/2024]FORM OF SAFETY CONSTRUCTION CERTIFICATE FOR CARGO SHIPS CARGO SHIP SAFETY CONSTRUCTION CERTIFICATE (Official seal)REPUBLIC OF SINGAPOREIssued under the provisions of the INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as modified by the Protocol of 1988 relating thereto under the authority of the Government of the Republic of Singaporeby _______________________________________(person or organisation authorised)Particulars of ship1Name of ship ..................................................................................................Distinctive number or letters ..........................................................................Port of registry ................................................................................................Gross tonnage .................................................................................................Deadweight of ship (metric tons)2 ..................................................................IMO Number3 .................................................................................................Type of ship4 Bulk carrier Oil tanker Chemical tanker Gas carrier Cargo ship other than any of the aboveDate of build: Date of building contract ............................................................................ Date on which keel was laid or ship was at similar stage of construction ................................................................................................ Date of delivery .......................................................................................... Date on which work for a conversion or an alteration or a modification of a major character was commenced (where applicable) .........................All applicable dates shall be completed.THIS IS TO CERTIFY:1That the ship has been surveyed in accordance with the requirements of Regulation I/10 of the Convention.2.That the survey showed that:.1the condition of the structure, machinery and equipment as defined in the above Regulation was satisfactory and the ship complied with the relevant requirements of Chapters II-1 and II-2 of the Convention (other than those relating to fire safety systems and appliances and fire control plans); and.2the ship complied with Part G of Chapter II-1 of the Convention using ……. as fuel/N.A4.[S 669/2016 wef 01/01/2017]3That the last two inspections of the outside of the ship’s bottom took place on ………...........…… and ….…………… (dates).4That an Exemption Certificate has/has not4 been issued.5The ship was/was not4 subjected to an alternative design and arrangements in pursuance of Regulation(s) II-1/55 / II-2/174 of the Convention.6A Document of approval of alternative design and arrangements for machinery and electrical installations/fire protection4 is/is not4 appended to this Certificate.This certificate is valid until ........................................................5 subject to the annual and intermediate surveys and inspections of the outside of the ship’s bottom in accordance with Regulation I/10 of the Convention.Completion date of the survey on which this certificate is based: …………… (dd/mm/yyyy)Issued at ……...................................................................................................... (Place of issue of certificate)...........................................(Date of issue).........................................................(Signature of authorised official issuing the certificate) (Seal or stamp of the issuing authority, as appropriate)Endorsement for annual and intermediate surveys THIS IS TO CERTIFY that, at a survey required by Regulation I/10 of the Convention, the ship was found to comply with the relevant requirements of the Convention.Annual survey:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate) Annual/Intermediate4 survey:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate) Annual/Intermediate4 survey:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate) Annual survey:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Annual/intermediate survey in accordance with Regulation I/14(h)(iii)THIS IS TO CERTIFY that, at an annual/intermediate4 survey in accordance with Regulation I/14(h)(iii) of the Convention, this ship was found to comply with the relevant requirements of the Convention. Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Endorsement for inspections of the outside of the ship’s bottom6THIS IS TO CERTIFY that, at an inspection required by Regulation I/10 of the Convention, the ship was found to comply with the relevant requirements of the Convention.First inspection:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate) Second inspection:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Endorsement to extend the certificate if valid for less than 5 years where Regulation I/14(c) applies The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with Regulation I/14(c) of the Convention, be accepted as valid until ............................................................. Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Endorsement where the renewal survey has been completed and Regulation I/14(d) appliesThe ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with Regulation I/14(d) of the Convention, be accepted as valid until ............................................................. Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Endorsement to extend the validity of the certificate until reaching the port of survey or for a period of grace where Regulation I/14(e) or I/14(f) appliesThe certificate shall, in accordance with Regulation I/14(e) / I/14(f) of the Convention, be accepted as valid until …….........................................….. Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Endorsement for advancement of anniversary date where Regulation I/14(h) applies In accordance with Regulation I/14(h) of the Convention, the new anniversary date is ............................................................................................ Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)In accordance with Regulation I/14(h) of the Convention, the new anniversary date is .............................................................................................. Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)_________________________1 Alternatively, the particulars of the ship may be placed horizontally in boxes.2 For oil tankers, chemical tankers and gas carriers only.3 In accordance with the IMO Ship Identification Number Scheme, adopted by the Organisation by resolution A.600(15).4 Delete as appropriate.5 Insert the date of expiry as specified by the Director in accordance with Regulation I/14(a) of the Convention. The day and the month of this date correspond to the anniversary date, as defined in Regulation I/2(n) of the Convention, unless amended in accordance with Regulation I/14(h).6 Provision may be made for additional inspections.[S 432/2014 wef 01/07/2014]FORM OF SAFETY EQUIPMENT CERTIFICATE FOR CARGO SHIPS CARGO SHIP SAFETY EQUIPMENT CERTIFICATE This Certificate shall be supplemented by a Record of Equipment for Cargo Ship Safety (Form E) (Official seal)REPUBLIC OF SINGAPOREIssued under the provisions of the INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as modified by the Protocol of 1988 relating theretounder the authority of the Government of the Republic of Singapore by ____________________________________(person or organisation authorised)Particulars of ship11 Alternatively, the particulars of the ship may be placed horizontally in boxes.Name of ship ......................................................................................................Distinctive number or letters ..............................................................................Port of registry ....................................................................................................Gross tonnage .....................................................................................................Deadweight of ship (metric tons)2 ......................................................................2 For oil tankers, chemical tankers and gas carriers only.Length of ship (Regulation III/3.12) ...................................................................IMO Number3 ......................................................................................................3 In accordance with the IMO Ship Identification Number Scheme, adopted by the Organisation by resolution A.1117(30).Type of ship44 Delete as appropriate.Bulk carrierOil tankerChemical tankerGas carrierContainershipCargo ship other than any of the aboveDate on which keel was laid or ship was at a similar stage of construction or, where applicable, date on which work for a conversion or an alteration or modification of a major character was commenced ............................................THIS IS TO CERTIFY:1That the ship has been surveyed in accordance with the requirements of Regulation I/8 of the Convention.2That the survey showed that:2.1the ship complied with the requirements of the Convention as regards fire safety systems and appliances and fire control plans2.2the life-saving appliances and the equipment of the lifeboats, liferafts and rescue boats were provided in accordance with the requirements of the Convention;2.3the ship was provided with a line-throwing appliance in accordance with the requirements of the Convention;2.4the ship complied with the requirements of the Convention as regards shipborne navigational equipment, means of embarkation for pilots and nautical publications;2.5the ship was provided with lights, shapes and means of making sound signals and distress signals in accordance with the requirements of the Convention and the International Regulations for Preventing Collisions at Sea in force;2.6in all other respects the ship complied with the relevant requirements of the Convention;2.7the ship was/was not4 subjected to an alternative design and arrangements in pursuance of Regulation(s) II-2/17 / III/384 of the Convention;2.8a Document of approval of alternative design and arrangements for fire protection/life-saving appliances and arrangements4 is/is not4 appended to this Certificate.3That the ship operates in accordance with Regulation III/26.1.1.15 within the limits of the trade area ……………………………………………….…………...…..5 Refer to the 1983 amendments to SOLAS (MSC.6(48)), applicable to ships constructed on or after 1 July 1986, but before 1 July 1998 in the case of self-righting partially enclosed lifeboat(s) on board.4That an Exemption Certificate has/has not4 been issued.This certificate is valid until ................................................................6 subject to the annual and periodical surveys in accordance with Regulation I/8 of the Convention.6 Insert the date of expiry as specified by the Director in accordance with Regulation I/14(a) of the Convention. The day and the month of this date correspond to the anniversary date as defined in Regulation I/2(n) of the Convention, unless amended in accordance with Regulation I/14(h).Completion date of the survey on which this certificate is based: …………........ (dd/mm/yyyy)Issued at ............................................................................................................... (Place of issue of certificate) ...........................................(Date of issue).........................................................(Signature of authorised official issuing the certificate) (Seal or stamp of the issuing authority, as appropriate) Endorsement for annual and periodical surveysTHIS IS TO CERTIFY that, at a survey required by Regulation I/8 of the Convention, the ship was found to comply with the relevant requirements of the Convention. Annual survey:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate) Annual/Periodical4 survey:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority,as appropriate) Annual/Periodical4 survey:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate) Annual survey:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate) Annual/periodical survey in accordance with Regulation I/14(h)(iii)THIS IS TO CERTIFY that, at an annual/periodical4 survey in accordance with Regulation I/14(h)(iii) of the Convention, this ship was found to comply with the relevant requirements of the Convention. Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Endorsement to extend the certificate if valid for less than 5 years where Regulation I/14(c) appliesThe ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with Regulation I/14(c) of the Convention, be accepted as valid until ......................................................................................... Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Endorsement where the renewal survey has been completed and Regulation I/14(d) applies The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with Regulation I/14(d) of the Convention, be accepted as valid until ......................................................................................... Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Endorsement to extend the validity of the certificate until reaching the port of survey or for a period of grace where Regulation I/14(e) or I/14(f) applies The certificate shall, in accordance with Regulation I/14(e) / I/14(f)4 of the Convention, be accepted as valid until …….......................................................... Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Endorsement for advancement of anniversary date where Regulation I/14(h) applies In accordance with Regulation I/14(h) of the Convention, the new anniversary date is ................................................................................................................... Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)In accordance with Regulation I/14(h) of the Convention, the new anniversary date is ................................................................................................................... Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)[S 738/2025 wef 01/01/2026]FORM OF SAFETY RADIO CERTIFICATE FOR CARGO SHIPS CARGO SHIP SAFETY RADIO CERTIFICATE This Certificate shall be supplemented by a Record of Equipment for Cargo Ship Safety Radio (Form R) (Official seal)REPUBLIC OF SINGAPOREIssued under the provisions of theINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as modified by the Protocol of 1988 relating theretounder the authority of the Government of the Republic of Singaporeby ____________________________________(person or organisation authorised)Particulars of ship11 Alternatively, the particulars of the ship may be placed horizontally in boxes.Name of ship ........................................................................................................Distinctive number or letters ...............................................................................Port of registry .....................................................................................................Gross tonnage ......................................................................................................Sea areas in which ship is certified to operate (Regulation IV/2)2 ..............................................................................................................................2 For a ship certified to operate in sea area A3, indicate the recognised mobile satellite service in brackets.IMO Number3 ......................................................................................................3 In accordance with the IMO Ship Identification Number Scheme, adopted by the Organisation by resolution A.1117(30).Date on which keel was laid or ship was at a similar stage of construction or, where applicable, date on which work for a conversion or an alteration or a modification of a major character was commenced ............................................THIS IS TO CERTIFY:1That the ship has been surveyed in accordance with the requirements of Regulation I/9 of the Convention.2That the survey showed that:2.1the ship complied with the requirements of the Convention as regards radio installations;2.2the provision and functioning of the radio installations used in life‑saving appliances complied with the requirements of the Convention.3That an Exemption Certificate has/has not4 been issued.4 Delete as appropriate.This certificate is valid until .............................................................................5 subject to the periodical surveys in accordance with Regulation I/9 of the Convention. 5 Insert the date of expiry as specified by the Director in accordance with Regulation I/14(a) of the Convention. The day and the month of this date correspond to the anniversary date as defined in Regulation I/2(n) of the Convention, unless amended in accordance with Regulation I/14(h).Completion date of the survey on which this certificate is based: …….............. (dd/mm/yyyy) Issued at ............................................................................................................ (Place of issue of certificate) ...........................................(Date of issue).................................................(Signature of authorised official issuing the certificate) (Seal or stamp of the issuing authority, as appropriate)Endorsement for periodical surveys THIS IS TO CERTIFY that, at a survey required by Regulation I/9 of the Convention, the ship was found to comply with the relevant requirements of the Convention.Periodical survey:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate) Periodical survey:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Periodical survey:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate) Periodical survey:Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate) Periodical survey in accordance with Regulation I/14(h)(iii) THIS IS TO CERTIFY that, at a periodical survey in accordance with Regulation I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention. Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Endorsement to extend the certificate if valid for less than 5 years where Regulation I/14(c) applies The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with Regulation I/14(c) of the Convention, be accepted as valid until ............................................................... Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Endorsement where the renewal survey has been completed and Regulation I/14(d) applies The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with Regulation I/14(d) of the Convention, be accepted as valid until ............................................................... Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Endorsement to extend the validity of the certificate until reaching the port of survey or for a period of grace where Regulation I/14(e) or I/14(f) applies The certificate shall, in accordance with Regulation I/14(e) / I/14(f)4 of the Convention, be accepted as valid until …….............................................. Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Endorsement for advancement of anniversary date where Regulation I/14(h) applies In accordance with Regulation I/14(h) of the Convention, the new anniversary date is ............................................................................................... Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate) In accordance with Regulation I/14(h) of the Convention, the new anniversary date is ............................................................................................... Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)[S 892/2023 wef 01/01/2024]FORM OF SAFETY CERTIFICATE FOR CARGO SHIPS CARGO SHIP SAFETY CERTIFICATE This Certificate shall be supplemented by a Record of Equipment for Cargo Ship Safety (Form C) (Official seal)REPUBLIC OF SINGAPOREIssued under the provisions of theINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as modified by the Protocol of 1988 relating theretounder the authority of the Government of the Republic of Singaporeby ____________________________________(person or organisation authorised)Particulars of ship11 Alternatively, the particulars of the ship may be placed horizontally in boxes.Name of ship ........................................................................................................Distinctive number or letters ...............................................................................Port of registry .....................................................................................................Gross tonnage ......................................................................................................Deadweight of ship (metric tons)2 .......................................................................2 For oil tankers, chemical tankers and gas carriers only.Length of ship (Regulation III/3.12) ...................................................................Sea areas in which ship is certified to operate (Regulation IV/2)3.................................................................................................3 For a ship certified to operate in sea area A3, indicate the recognised mobile satellite service in brackets.IMO Number4 ......................................................................................................4 In accordance with the IMO Ship Identification Number Scheme, adopted by the Organisation by resolution A.1117(30).Type of ship55 Delete as appropriate.Bulk carrierOil tankerChemical tanker Gas carrierContainershipCargo ship other than any of the aboveDate of build:Date of building contract ...........................................................................Date on which keel was laid or ship was at similar stage of construction .....................................................................................................................Date of delivery ..........................................................................................Date on which work for a conversion or an alteration or a modification of a major character was commenced (where applicable) ................................All applicable dates shall be completed.THIS IS TO CERTIFY:1That the ship has been surveyed in accordance with the requirements of Regulations I/8, I/9 and I/10 of the Convention.2That the survey showed that:2.1the condition of the structure, machinery and equipment as defined in Regulation I/10 was satisfactory and the ship complied with the relevant requirements of Chapter II-1 and Chapter II-2 of the Convention (other than those relating to fire safety systems and appliances and fire control plans);2.2the ship complied with part G of Chapter II-1 of the Convention using …………..…. as fuel/N.A5;2.3the last two inspections of the outside of the ship’s bottom took place on ….............. and ……..……… (dates);2.4the ship complied with the requirements of the Convention as regards fire safety systems and appliances and fire control plans;2.5the life-saving appliances and the equipment of the lifeboats, liferafts and rescue boats were provided in accordance with the requirements of the Convention;2.6the ship was provided with a line-throwing appliance in accordance with the requirements of the Convention;2.7the ship complied with the requirements of the Convention as regards radio installations;2.8the provision and functioning of the radio installations used in life-saving appliances complied with the requirements of the Convention;2.9the ship complied with the requirements of the Convention as regards shipborne navigational equipment, means of embarkation for pilots and nautical publications;2.10the ship was provided with lights, shapes, means of making sound signals and distress signals in accordance with the requirements of the Convention and the International Regulations for Preventing Collisions at Sea in force;2.11in all other respects the ship complied with the relevant requirements of the Convention;2.12the ship was/was not5 subjected to an alternative design and arrangements in pursuance of Regulation(s) II-1/55 / II-2/17 / III/385 of the Convention;2.13a Document of approval of alternative design and arrangements for machinery and electrical installations/fire protection/life-saving appliances and arrangements5 is/is not5 appended to this Certificate.3That the ship operates in accordance with Regulation III/26.1.1.16 within the limits of the trade area …………………………..........................................6 Refer to the 1983 amendments to SOLAS (MSC.6(48)), applicable to ships constructed on or after 1 July 1986, but before 1 July 1998 in the case of self-righting partially enclosed lifeboat(s) on board.4That an Exemption Certificate has/has not5 been issued.This certificate is valid until ..........................................................................7 subject to the annual, intermediate and periodical surveys and inspections of the outside of the ship’s bottom in accordance with Regulations I/8, I/9 and I/10 of the Convention.7 Insert the date of expiry as specified by the Director in accordance with Regulation I/14(a) of the Convention. The day and the month of this date correspond to the anniversary date as defined in Regulation I/2(n) of the Convention, unless amended in accordance with Regulation I/14(h).Completion date of the survey on which this certificate is based: ….……….…… (dd/mm/yyyy)Issued at …….......................................................................................................... (Place of issue of certificate) ...........................................(Date of issue).........................................................(Signature of authorised official issuing the certificate) (Seal or stamp of the issuing authority, as appropriate)Endorsement for annual and intermediate surveys relating to structure, machinery and equipment referred to in paragraph 2.1 of this certificate THIS IS TO CERTIFY that, at a survey required by Regulation I/10 of the Convention, the ship was found to comply with the relevant requirements of the Convention. Annual survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate) Annual/Intermediate5 survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate) Annual/Intermediate5 survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate) Annual survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Annual/intermediate survey in accordance with Regulation I/14(h)(iii)THIS IS TO CERTIFY that, at an annual/intermediate5 survey in accordance with Regulations I/10 and I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention. Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Endorsement for inspections of the outside of the ship’s bottom88 Provision may be made for additional inspections.THIS IS TO CERTIFY that, at an inspection required by Regulation I/10 of the Convention, the ship was found to comply with the relevant requirements of the Convention. First inspection:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate) Second inspection:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Endorsement for annual and periodical surveys relating to life-saving appliances and other equipment referred to in paragraphs 2.3, 2.4, 2.5, 2.8 and 2.9 of this certificate THIS IS TO CERTIFY that, at a survey required by Regulation I/8 of the Convention, the ship was found to comply with the relevant requirements of the Convention. Annual survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate) Annual/Periodical5 survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate) Annual/Periodical5 survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate) Annual survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Annual/periodical survey in accordance with Regulation I/14(h)(iii)THIS IS TO CERTIFY that, at an annual/periodical5 survey in accordance with Regulations I/8 and I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention. Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Endorsement for periodical surveys relating to radio installations referred to in paragraphs 2.6 and 2.7 of this certificate THIS IS TO CERTIFY that, at a survey required by Regulation I/9 of the Convention, the ship was found to comply with the relevant requirements of the Convention. Periodical survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate) Periodical survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Periodical survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate) Periodical survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Periodical survey in accordance with Regulation I/14(h)(iii)THIS IS TO CERTIFY that, at a periodical survey in accordance with Regulations I/9 and I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention. Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Endorsement to extend the certificate if valid for less than 5 years where Regulation I/14(c) applies The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with Regulation I/14(c) of the Convention, be accepted as valid until ......................................................................................... Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Endorsement where the renewal survey has been completed and Regulation I/14(d) applies The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with Regulation I/14(d) of the Convention, be accepted as valid until ......................................................................................... Annual survey:Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Endorsement to extend the validity of the certificate until reaching the port of survey or for a period of grace where Regulation I/14(e) or I/14(f) applies The certificate shall, in accordance with Regulation I/14(e) / I/14(f)5 of the Convention, be accepted as valid until ……......................................................... Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)Endorsement for advancement of anniversary date where Regulation I/14(h) applies In accordance with Regulation I/14(h) of the Convention, the new anniversary date is .................................................................................................................. Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)In accordance with Regulation I/14(h) of the Convention, the new anniversary date is ................................................................................................................... Signed: .......................................................... (Signature of authorised official)Place: ............................................................Date: ............................................................. (Seal or stamp of the authority, as appropriate)[S 738/2025 wef 01/01/2026]FORM OF EXEMPTION CERTIFICATE EXEMPTION CERTIFICATE (Official seal)REPUBLIC OF SINGAPOREIssued under the provisions of theINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as modified by the Protocol of 1988 relating theretounder the authority of the Government of the Republic of Singaporeby ____________________________________(person or organisation authorised) Particulars of ship1Name of ship .......................................................................................................Distinctive number or letters ...............................................................................Port of registry .....................................................................................................Gross tonnage ......................................................................................................IMO Number2.......................................................................................................THIS IS TO CERTIFY:That the ship is, under the authority conferred by Regulation ……………........ of the Convention, exempted from the requirements …………............... of the Convention. Conditions, if any, on which the Exemption Certificate is granted: .................................................................................................................................................Voyages, if any, for which the Exemption Certificate is granted: .....….........................................................................................................................................................................................................................................................................This certificate is valid until .............................................................. subject to the .........…………………………………………………………… Certificate, to which this certificate is attached, remaining valid. Issued at ............................................................................................................... (Place of issue of certificate)...........................................(Date of issue).........................................................(Signature of authorised official issuing the certificate) (Seal or stamp of the issuing authority, as appropriate)Endorsement to extend the certificate if valid for less than 5 years where Regulation I/14(c) applies This certificate shall, in accordance with Regulation I/14(c) of the Convention, be accepted as valid until ................................................................ subject to the ..................................................................................................... Certificate, to which this certificate is attached, remaining valid. Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Endorsement where the renewal survey has been completed and Regulation I/14(d) applies This certificate shall, in accordance with Regulation I/14(d) of the Convention, be accepted as valid until ............................................................... subject to the ..................................................................................... Certificate, to which this certificate is attached, remaining valid. Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)Endorsement to extend the validity of the certificate until reaching the port of survey or for a period of grace where Regulation I/14(e) or I/14(f) applies This certificate shall, in accordance with Regulation I/14(e) / I/14(f)3 of the Convention, be accepted as valid until ................................................... subject to the ............................................................................................ Certificate, to which this certificate is attached, remaining valid. Signed: ............................................................... (Signature of authorised official)Place: .................................................................Date: .................................................................. (Seal or stamp of the authority, as appropriate)[S 432/2014 wef 01/07/2014]_________________________1 Alternatively, the particulars of the ship may be placed horizontally in boxes.2 In accordance with the IMO Ship Identification Number Scheme, adopted by the Organisation by resolution A.600(15).3 Delete as appropriate.FORM OF NUCLEAR PASSENGER SHIP SAFETY CERTIFICATE NUCLEAR PASSENGER SHIP SAFETY CERTIFICATE This Certificate shall be supplemented by a Record of Equipment for Passenger Ship Safety (Form P) (Official seal)REPUBLIC OF SINGAPOREfor an/a short1 international voyage1 Delete as appropriate.Issued under the provisions of theINTERNATIONAL CONVENTION FOR THE SAFETY OFLIFE AT SEA, 1974, as amendedunder the authority of the Government of the Republic of Singaporeby ____________________________________(person or organisation authorised) Particulars of ship22 Alternatively, the particulars of the ship may be placed horizontally in boxes.Name of ship ......................................................................................................Distinctive number or letters ..............................................................................Port of registry ....................................................................................................Gross tonnage .....................................................................................................Sea areas in which ship is certified to operate (Regulation IV/2)3 ............................................................................................................................3 For a ship certified to operate in sea area A3, indicate the recognised mobile satellite service in brackets.IMO Number4....................................................................................................4 In accordance with the IMO Ship Identification Number Scheme, adopted by the Organisation by resolution A.1117(30).Date of build: Date of building contract ........................................................................... Date on which keel was laid or ship was at similar stage of construction ............................................................................................... Date of delivery ......................................................................................... Date on which work for a conversion or an alteration or modification of a major character was commenced (where applicable) .............................All applicable dates shall be completed.THIS IS TO CERTIFY:1That the ship has been surveyed in accordance with the requirements of Regulation VIII/9 of the Convention.2That the ship, being a nuclear ship, complied with all the requirements of Chapter VIII of the Convention and conformed to the Safety Assessment approved for the ship; and that:2.1the ship complied with the requirements of the Convention as regards:.1the structure, main and auxiliary machinery, boilers and other pressure vessels, including the nuclear propulsion plant and the collision protective structure;.2the watertight subdivision arrangements and details;.3the following subdivision load lines:Subdivision load lines assigned and marked on the ship’s side amidships (Regulation II-1/18)55 For ships constructed before 1 January 2009, the applicable subdivision notation “C.1, C.2 and C.3” should be used.FreeboardTo apply when the spaces in which passengers are carried include the following alternative spacesP1…….........………………….............P2…….........…………….…….............P3……........………………….............2.2the ship complied with the requirements of the Convention as regards structural fire protection, fire safety systems and appliances and fire control plans;2.3the ship complied with the requirements of the Convention as regards radiation protection systems and equipment;2.4the life-saving appliances and the equipment of the lifeboats, liferafts and rescue boats were provided in accordance with the requirements of the Convention;2.5the ship was provided with a line-throwing appliance and radio installations used in life-saving appliances in accordance with the requirements of the Convention;2.6the ship complied with the requirements of the Convention as regards radio installations;2.7the provision and functioning of the radio installations used in life‑saving appliances complied with the requirements of the Convention;2.8the ship complied with the requirements of the Convention as regards shipborne navigational equipment, means of embarkation for pilots and nautical publications;2.9the ship was provided with lights, shapes, means of making sound signals and distress signals, in accordance with the requirements of the Convention and the International Regulations for Preventing Collisions at Sea in force;2.10all other respects the ship complied with the relevant requirements of the Convention;2.11the ship was/was not1 subjected to an alternative design and arrangements in pursuance of Regulation(s) II‑1/55 / II‑2/17 / III/381 of the Convention;2.12a Document of approval of alternative design and arrangements for machinery and electrical installations/fire protection/life‑saving appliances and arrangements1 is/is not1 appended to this Certificate.This certificate is valid until .............................................................................Completion date of the survey on which this certificate is based: …................. (dd/mm/yyyy)Issued at ……...................................................................................................... (Place of issue of certificate) ...........................................(Date of issue).........................................................(Signature of authorised official issuing the certificate) (Seal or stamp of the issuing authority, as appropriate)[S 892/2023 wef 01/01/2024]FORM OF NUCLEAR CARGO SHIP SAFETY CERTIFICATE NUCLEAR CARGO SHIP SAFETY CERTIFICATE This Certificate shall be supplemented by a Record of Equipment for Cargo Ship Safety (Form C) (Official seal)REPUBLIC OF SINGAPOREIssued under the provisions of theINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFEAT SEA, 1974, as amendedunder the authority of the Government ofthe Republic of Singaporeby _______________________________________(person or organisation authorised) Particulars of ship11 Alternatively, the particulars of the ship may be placed horizontally in boxes.Name of ship ......................................................................................................Distinctive number or letters ..............................................................................Port of registry ....................................................................................................Gross tonnage .....................................................................................................Deadweight of ship (metric tons)2 ......................................................................2 For oil tankers, chemical tankers and gas carriers only.Length of ship (Regulation III/3.12) ...................................................................Sea areas in which ship is certified to operate (Regulation IV/2)3................................................................................................3 For a ship certified to operate in sea area A3, indicate the recognised mobile satellite service in brackets.IMO Number4 .....................................................................................................4 In accordance with the IMO Ship Identification Number Scheme, adopted by the Organisation by resolution A.1117(30).Type of ship55 Delete as appropriate.Bulk carrierOil tanker Chemical tanker Gas carrierContainershipCargo ship other than any of the aboveDate of build:Date of building contract ............................................................................Date on which keel was laid or ship was at similar stage of construction ................................................................................................Date of delivery ..........................................................................................Date on which work for a conversion or an alteration or modification of a major character was commenced (where applicable) ................................................................................................All applicable dates shall be completed.THIS IS TO CERTIFY:1That the ship has been surveyed in accordance with the requirements of Regulation VIII/9 of the Convention.2That the ship, being a nuclear ship, complied with all the requirements of Chapter VIII of the Convention and conformed to the Safety Assessment approved for the ship; and that:2.1the condition of the structure, machinery and equipment as defined in Regulation I/10 (as applicable to comply with Regulation VIII/9), including the nuclear propulsion plant and the collision protective structure, was satisfactory and the ship complied with the relevant requirements of Chapter II-1 and Chapter II-2 of the Convention (other than those relating to fire safety systems and appliances and fire control plans);2.2the ship complied with the requirements of the Convention as regards fire safety systems and appliances and fire control plans;2.3the life-saving appliances and the equipment of the lifeboats, liferafts and rescue boats were provided in accordance with the requirements of the Convention;2.4the ship was provided with a line-throwing appliance and radio installations used in life-saving appliances in accordance with the requirements of the Convention;2.5the ship complied with the requirements of the Convention as regards radio installations;2.6the provision and functioning of the radio installations used in life-saving appliances complied with the requirements of the Convention;2.7the ship complied with the requirements of the Convention as regards shipborne navigational equipment, means of embarkation for pilots and nautical publications;2.8the ship was provided with lights, shapes, means of making sound signals and distress signals, in accordance with the requirements of the Convention and the International Regulations for Preventing Collisions at Sea in force;2.9in all other respects the ship complied with the relevant requirements of the regulations, so far as these requirements apply thereto;2.10the ship was/was not5 subjected to an alternative design and arrangements in pursuance of Regulation(s) II-1/55 / II-2/17 / III/385 of the Convention;2.11a Document of approval of alternative design and arrangements for machinery and electrical installations/fire protection/life-saving appliance and arrangements5 is/is not5 appended to this Certificate.This certificate is valid until ..............................................................................Completion date of the survey on which this certificate is based: ………..…..….. (dd/mm/yyyy)Issued at .............................................................................................................. (Place of issue of certificate) ...........................................(Date of issue).........................................................(Signature of authorised official issuing the certificate) (Seal or stamp of the issuing authority, as appropriate)[S 738/2025 wef 01/01/2026]