KIRIBATI SHIP REGISTRY
Declaration of Company Security Officer(s)

Among the provisions of Chapter XI-2 of the International Convention for the Safety of Life at Sea (SOLAS), 1974, which incorporates the special measures to enhance maritime security through the International Ship and Port Facility Security (ISPS) Code, owners of ships to which the provisions of Chapter XI-2 of SOLAS applies are required to designate Company Security Officer(s) (CSO) for ships managed by them. A person designated as the CSO may act as the CSO for more than one ship and the “Company” may designate more than one CSO for its ships provided it is clearly identified for which ships the CSO(s) are responsible for.

The undersigned affirms that:

Name of CSO	24hr Mobile Contact	Email
(1)
(2)	(alternate)
has/have been assigned as the CSO(s) for the following Kiribati registered vessel(s) in accordance to Chapter XI-2, Regulation 4, of SOLAS, 1974, as amended, and the ISPS Code, and undertaken that the said CSO(s) will be available to the Kiribati Ship Registry at any time as follows:

Name of Vessel	Official Number	RSO for ISSC	IMO Number

Full contact details of the CSO(s) to which official correspondence and materials may be sent to:

Name Of Company	Company IMO No.
Telephone	Fax	Email
Full Address

The undersigned individuals further understand that any change in CSO(s) or RSO(s) must be made in writing by fax/email. Any change will be acknowledged within 24 hours of being received.

Title of CSO	Signature	Date

Name & Title of Senior Management of “Company”	Signature	Date

* add additional sheets if required

RSO - ABS / BV / DNV / GL / KR / LR / NK / RINA etc. Full list can be found at www.kiribaship.com

KSR/FORM/CSO/2012/REV.1

Kiribati Ship Registry

2012-08-31

david

maritimeChain