International Ship Security Certificate
1. Ship Details
Name of Ship
IMO Number
Flag State
Port of Registry
Type of Ship
2. Company Details
Company Name
Company Identification Number
Address
3. Certificate Particulars
Date of issue
Date of expiry
This is to certify that the requirements of SOLAS chapter XI-2 and part A of the ISPS Code have been complied with:
4. Security Plan Approval
Security Plan Approved by (Authority Name)
Date of Approval
5. Endorsement for Intermediate Verification
Date
Place
Signature
6. Endorsement for Additional Verification (if required)
Date
Place
Signature
7. Official Endorsement
Authority/Organization
Date
Signature