MGN 662 (M) Annex III Template for documents of compliance
Updated 24 November 2021
Annex III
Template for documents of compliance
This is to certify that the ship ‘NAME’ emissions report covering the reporting period ‘YEAR N – 1’ has been considered as satisfactory regarding the requirements of Regulation (EU) 2015/757, as it applies under the UK MRV regime.
This document of compliance has been issued on ‘DAY/MONTH/YEAR N’
This document of compliance is linked to emissions report No. ‘NUMBER’ and is valid until 30 JUNE ‘YEAR N + 1’
I) Ship particulars
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Name of the ship
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IMO identification number
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a) Port of registry OR
b) Home port
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Ship category [drop down menu: ‘Passenger ship’, ‘Ro-ro ship’, ‘Container ship’, ‘Oil tanker’, ‘Chemical tanker’, ‘LNG carrier’, ‘Gas carrier’, ‘Bulk carrier’, ‘General cargo ship’, ‘Refrigerated cargo carrier’, ‘Vehicle carrier’, ‘Combination carrier’, ‘Ro-pax ship’, ‘Container/ro-ro cargo ship’, ‘Other ship types’]
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Flag State/Registry
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Gross tonnage
II) Ship owner details
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Name of the shipowner
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Address of the shipowner and its principal place of business: address line 1, address line 2, city, state/province/region, postcode/ZIP, Country
III) Details of company fulfilling the obligations under Regulation (EU) 2015/757 (voluntary field)
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Name of the company
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Address of the company and its principal place of business: address line 1, address line 2, city, state/province/region, postcode/ZIP, Country
IV) Verifier
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Accreditation number
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Name of the verifier
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Address of the company and its principal place of business: address line 1, address line 2, city, state/province/region, postcode/ZIP, Country.