Form AFC-1

CHINA CLASSIFICATION SOCIETY

APPLICATION FOR SURVEYS OF SHIP IN SERVICE

No.

The undersigned requests CHINA CLASSIFICATION SOCIETY to carry out survey(s)/ to issue certificate(s) for the ship below and installations and the
undersigned agrees with the relevant CCS Rules/requirements and promises to provide drawings/adequate & safe survey condition as required by CCS
and bear all survey fee and expenses involved.
Ship Name

CCS No.

Flag

Type

Survey Place

Survey Date
Contacts

Applicant

Tel.

Fax

Email
Contacts

Agency

Tel.

Fax

Tel.

Fax

Email
Contacts

Certificates Mailing Add.

Email

Class Survey
Annual Survey

Commenced/

Partial/

Completed)

Intermediate Survey

Commenced/

Partial/

Completed)

Commenced/

Partial/

Completed)

Special Survey (

Hull/

Continuous Survey (
Docking/

Hull/

Refrigerator)

Machinery)

Boiler Survey

In-water Survey

Screwshaft Survey (
PMS (
Others

Machinery/

Initial Audit/

Normal/

Occasional Survey
Partial/

Annual Audit/

Modified)

Postponement for

Implementation Survey)

Damage Survey /
Initial

Statutory Surveys

Annual

Periodical

Repair Survey

Intermediate

Renewal

Load Line
Safety Construction
Safety Equipment
Safety Radio
MARPOL Annex I(Oil Pollution Prevention)
MARPOL Annex II
MARPOL Annex IV(Sewage Pollution Prevention)
Garbage Prevention
MARPOL Annex VI(Air Pollution Prevention)
Energy Efficiency
Dangerous Goods(SOLAS II-2/19)
IMSBC Code
IBC Code
IGC Code
Anti-Fouling
Passenger Safety
Navigation Safety
Ballast Water Management
Crew Accommodation
Cargo Gear

Survey Before Operating

Annual

Annual Thorough

Quadrennial

Load Test

Additional

Cash

Cheque

Bank Transfer

Others
Payment Terms
Signature and Stamp

Note:

Applicable

(Rev.6.3 20150301)

Date

Not Applicable

Additional