MARPOL Consolidated Edition 2017
Appendix VI IIForm of International Energy Efficiency (IEE) CertificateINTERNATIONAL ENERGY EFFICIENCY CERTIFICATEIssued under the provisions of the Protocol of 1997, as amended, to amend the International Convention for thePrevention of Pollution by Ships, 1973, as modified by the Protocol of 1978 related thereto (hereinafter referred to as"the Convention") under the authority of the Government of:(full designation of the Party)by ......... . . . ..... ... .. . .... .... ..... . . .. ...... . . . ... . ... .... .. . . . . .... .. . . ... ................ .(full designation of the competent person or organizationauthorized under the provisions of the Convention)Particulars of shipName of ship ... .. ............. ... ....... .... ..... .. . .. .... . . ... ...... . . .... .... .... . . .... .. ..... .Distinctive number or letters ............... . .. . . . ...... .. ....... . . . .. . .... . .......... . . . ...... . ... . . .IMO Numbert ........ .. . . .. .......... . ... . . . .... . ..... . ........ . ... . ... . ......... . ...... . ...... . .Port of registry ....... . ......... . ....... . . . ...... . .......... . ............ . ................... . ... .Gross tonnage . . .. . . .... .... . . . . . ......... .... .... . . .. . . .. ...... . .. .. ...... . . .. ........ .. .... . .. . .THIS IS TO CERTI FY:1 That the ship has been surveyed in accordance with regulation 5.4 of Annex VI of the Convention; and2 That the survey shows that the ship complies with the applicable requirements in regulation 20, regulation 21 andregulation 22.Completion date of survey on which this Certificate is based . . ........ .... .... ...... ...... ... ... (dd/mm/yyyy)Issued at ........... . .. . ..... . ........ ... . . ....... . ......... .. .... . . .... . . .. . . .... ....... .. ..... .{place of issue of Certificate)Date {dd/mm/yyyy) .. ...... ..... ..... ...... .... .(date of issue)(seal or stamp of the authority, as appropriate)(signature of duly authorized officialissuing the Certificate)' Alternatively, the particulars of the ship may be placed horizontally in boxes.t In accordance with the IMO ship identification number scheme (resolution A.1078(28)).322 MARPOL CONSOLIDATED EDITION 201 7
Appendix VIII: Form of International Energy Efficiency (IEE) CertificateSUPPLEMENT TOINTERNATIONAL ENERGY EFFICIENCY CERTIFICATE(IEE CERTIFICATE)RECORD OF CONSTRUCTION RELATING TO ENERGY EFFICIENCYNotes:1 This Record shall be permanently attached to the IEE Certificate. The IEE Certificate shall be available on boardthe ship at all times.2 The Record shall be at least in English, French or Spanish. If an official language of the issuing Party is alsoused, this shall prevail in case of a dispiute or discrepancy.3 Entries in boxes shall be made by inserting either: a cross (x) for the answers "yes" and "applicable"; or a dash(- ) for the answers "no" and "not applicable", as appropriate.4 Unless otherwise stated, regulations mentioned in this Record refer to regulations in Annex VI of the Convention,and resolutions or circulars refer to those adopted by the International Maritime Organization.1 Particulars of ship1.1 Name of ship .................................. . ..... ..... .. . ... .. ...... . ... . .... . .......... .1.2 IMO number .. . ... . . . ............................................ . .... . . .................... .1.3 Date of building contract. . . ....... .... ............... . .......... . ...... ... .................... .1.4 Gross tonnage .............. . .............. . .............. . .............. .... . .............. .1.5 Deadweight .... . . . ............. . .... . ......... . .. . .......................... .......... . .... .1.6 Type of ship* .......... . ......... .. ................. . ... . . ..... . ....... ....... . ..... ........ .2 Propulsion system2.1 Diesel propulsion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D2.2 Diesel-electric propulsion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D2.3 Turbine propulsion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D2.4 Hybrid propulsion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D2.5 Propulsion system other than any of the above . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D3 Attained Energy Efficiency Design Index (EEDI)3.1 The Attained EEDI in accordance with regulation 20.1 is calculated basedon the information contained in the EEDI Technical File which also shows the processof calculating the Attained EEDI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The Attained EEDI is: .......... grams-CO 2 /tonne-mile3.2 The Attained EEDI is not calculated as:3.2.1 the ship is exempt under regulation 20.1 as it is not a new ship as defined in regulation 2.23 . . . . D3.2.2 the type of propulsion system is exempt in accordance with regulation 19.3 . . . . . . . . . . . . . . . . . D3.2.3 the requirement of regulation 20 is waived by the ship's Administrationin accordance with regulation 19.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D3.2.4 the type of ship is exempt in accordance with regulation 20.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DD• Insert ship type in accordance with definitions specified in regulation 2. Ships falling into more than one of the ship types defined inregulation 2 should be considered as being the ship type with the most stringent (the lowest) required EEDI. If ship does not fall intothe ship types defined in regulation 2, insert "Ship other than any of the ship type defined in regulation 2".MARPOL CONSOLIDATED ED ITION 2017 323
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Appendix VI II
Form of International Energy Efficiency (IEE) Certificate
INTERNATIONAL ENERGY EFFICIENCY CERTIFICATE
Issued under the provisions of the Protocol of 1997, as amended, to amend the International Convention for the
Prevention of Pollution by Ships, 1973, as modified by the Protocol of 1978 related thereto (hereinafter referred to as
"the Convention") under the authority of the Government of:
(full designation of the Party)
by ......... . . . ..... ... .. . .... .... ..... . . .. ...... . . . ... . ... .... .. . . . . .... .. . . ... ................ .
(full designation of the competent person or organization
authorized under the provisions of the Convention)
Particulars of ship
Name of ship ... .. ............. ... ....... .... ..... .. . .. .... . . ... ...... . . .... .... .... . . .... .. ..... .
Distinctive number or letters ............... . .. . . . ...... .. ....... . . . .. . .... . .......... . . . ...... . ... . . .
IMO Numbert ........ .. . . .. .......... . ... . . . .... . ..... . ........ . ... . ... . ......... . ...... . ...... . .
Port of registry ....... . ......... . ....... . . . ...... . .......... . ............ . ................... . ... .
Gross tonnage . . .. . . .... .... . . . . . ......... .... .... . . .. . . .. ...... . .. .. ...... . . .. ........ .. .... . .. . .
THIS IS TO CERTI FY:
1 That the ship has been surveyed in accordance with regulation 5.4 of Annex VI of the Convention; and
2 That the survey shows that the ship complies with the applicable requirements in regulation 20, regulation 21 and
regulation 22.
Completion date of survey on which this Certificate is based . . ........ .... .... ...... ...... ... ... (dd/mm/yyyy)
Issued at ........... . .. . ..... . ........ ... . . ....... . ......... .. .... . . .... . . .. . . .... ....... .. ..... .
{place of issue of Certificate)
Date {dd/mm/yyyy) .. ...... ..... ..... ...... .... .
(date of issue)
(seal or stamp of the authority, as appropriate)
(signature of duly authorized official
issuing the Certificate)
' Alternatively, the particulars of the ship may be placed horizontally in boxes.
t In accordance with the IMO ship identification number scheme (resolution A.1078(28)).
322 MARPOL CONSOLIDATED EDITION 201 7
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