Form No: TANK/2.

TANK INSPECTION / FITNESS CERTIFICATE

Date: __________________

Vessel: ___________________________
Port: _____________________________
Cargo: ____________________________

To Whom It May Concern

This is to certify that the following Cargo Tanks:

___________________________________________________________________ have been

inspected before Loading and found dry, and suitable for loading the above mentioned cargo.

Remarks: ______________________________________________________________

_________ ______________
Time Date

______________________ ________________________
Signature (Surveyor) Master

______________________
Name and Designation

Rev: 00 Page 1 of 1