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Document FO-R02

GOVERNMENT OF ANTIGUA AND BARBUDA Revision 06


DEPARTMENT OF MARINE SERVICES AND
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MERCHANT SHIPPING (ADOMS)
Checklist Ship's Documents Reference ARP-R02

1. Present name of vessel (or hull no. if new building) 2. IMO number

3. Target date for registration under Antigua and 4. Name of applicant


Barbuda flag

The following existing statutory certificates have to be submitted (copy) with the application for registration (FO-R01)
Submitted Valid
No. Type Name of Document
Yes No Yes No
1 S International Tonnage Certificate 1969
2 S International Load Line Certificate
3 S Cargo Ship Safety Construction Certificate
4 S Cargo Ship Safety Equipment Certificate + Record (Form E)
5 S Cargo Ship Safety Radio Certificate + Record (Form R)
6 S International Oil Pollution Prevention Certificate + Suppl.
7 S NLS Certificate, if applicable
Relevant Certificates of Fitness (i.e. liquefied gases or
8 S
dangerous chemicals in bulk)
9 S DoC (SOLAS II-2/19)
10 S Document of Compliance issued by RO1 acc. to ISM Code
Safety Management Certificate issued by RO1 acc. to ISM
11 S
Code (to be provided after registration)
International Ship Security Certificate issued by RSO1 (to be
12 S
provided after registration)
Exemption- or equivalent arrangement Certificates, if
13 S
applicable

14 C Class Certificate Hull


15 C Class Certificate Machinery
16 C Confirmation of Class

Continuous Synopsis Record(s) issued by foreign


17 O
Administration(s)2
Notifications of the owner and the ISM company according to
18 O
ISM Code Sections 1.1.2 and 3.1
Evidence that the vessel has a contract with a radio
19 O accounting authority which is a member of the International
Telecommunication Union (ITU)
20 O Details of present radio- and navigational equipment
Insurance cover (Blue Card) issued by an authorized
Protection and Indemnity (P&I) Club in respect of civil liability
21 S
for bunker oil pollution damage with application form
(www.abregistry.ag, ref. Circular 2013-002)
Insurance cover (Blue Card) issued by an authorized
Protection and Indemnity (P&I) Club in respect of liability for
22 O
removal of wrecks with application form
(www.abregistry.ag, ref. Circular 2015-001)
Application Form for a Minimum Safe Manning Document
23 S
(Form FO_T29)
S = Statutory (flag state) C = Class O = Others

1
Recognized Organizations (ROs) / Recognized Security Organization (RSOs) are: ABS,BV, DNV GL (DNV and GL),
KR, NKK, RINA, RS
2
Completed Continuous Synopsis Record (CSR) amendment form reflecting all changes has to be
submitted to ADOMS on the date of execution of amendments (n.a.: Change of mortgage registration).
03.07.15 Checklist ships documents
Document FO-R02
GOVERNMENT OF ANTIGUA AND BARBUDA Revision 06
DEPARTMENT OF MARINE SERVICES AND
Page 2 of 2
MERCHANT SHIPPING (ADOMS)
Checklist Ship's Documents Reference ARP-R02

Documents complete Yes  No * Checked by (Name) Signature

* if no inform applicant
FOR OFFICIAL
Remarks:
USE ONLY ID: End.:

03.07.15 Checklist ships documents

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