FORM F-AFC-02c

Certificate No.: AFC-5726

Authorization No.: AAUSAFCTZ2617

INTERNATIONAL ANTI-FOULING SYSTEM CERTIFICATE
(This certificate shall be supplemented by a Record of Anti-fouling Systems)
Issued under the
International Convention on the Control of Harmful Anti-Fouling Systems on Ships
under the authority of the Government of the
REPUBLIC OF TANZANIA
by
CONARINA

When a Certificate has been previously issued, this Certificate replaces the certificate dated: (*)

Particulars of Ship

Distinctive Number Length (L) IMO Number

Name of Ship Port of Registry
or Letters as defined in Article 2 (8) As per Res.A.600 (15)
ETHAN 5 IM-800 ZANZIBAR 103.57 M 7356501

An anti-fouling system controlled under Annex 1 has not been applied during or after construction of this ship
An anti-fouling system controlled under Annex 1 has been applied on this ship previously, but has been removed by:
Name of the facility:
on (dd/mm/yyy):
An anti-fouling system controlled under Annex 1 has been applied on this ship previously, but has been covered with a
sealer coat applied by:

Name of the facility: --

on (dd/mm/yyy): --
Date of entry into force of the control measure
An anti-fouling system controlled under Annex 1 was applied on this ship prior to
Date of expiration of any implementation period specified in article 4(2) or Annex 1.
but must be removed or covered with a sealer coat prior to

THIS IS TO CERTIFY THAT:

1. the ship has been surveyed in accordance with regulation 1 of Annex 4 to the Convention; and
2. the survey shows that the anti-fouling system on the ship complies with the applicable requirements of Annex 1 to the
Convention.
Issued at QUEBEC, CANADA on APRIL 9th, 2017.
…………………………………………………………………………………..

ARMANDO ARRASCAETA
Surveyor to CONARINA

(*) Date of completion of the survey on which this certificate is issued: NOVEMBER 12, 2010.
CERTIFICATE BASED ON THE INFORMATION FORM PREVIOUS FLAG.

INTERIM CERTIFICATE – Validity not to exceed five months

 FORM F-AFC-02c

RECORD OF ANTI-FOULING SYSTEMS

This Record shall be permanently attached to the
International Anti-Fouling System Certificate No.: AFC-5726

Particulars of Ship
Distinctive number
Name of ship IMO number
or letters

ETHAN 5 IM-800 7356501

Details of anti-fouling system(s) applied

Type(s) of anti-fouling system(s) used: ABRASION RESISTANT PURE EPOXI ANTICORROSIVE

Date(s) of application of anti-fouling system(s): --

Name(s) of company (ies) and facility (ies)/location(s) where applied:

VARRAULT NAVIGATION, LES MECHINS, QUEBEC, CANADA

Name(s) of anti-fouling system manufacturer(s): INTERNATIONAL PAINT.

Name(s) and colour(s) of anti-fouling system(s): INTERGUARD 377 (RED).

Active ingredient(s) and their Chemical Abstract Services Registry Number(s) (CAS number(s)): --

Type(s) of sealer coat, if applicable: N/A

Name(s) and colour (s) of sealer coat applied, if applicable: --

Date of application of sealer coat: --

THIS IS TO CERTIFY that this Record is correct in all respects. (*)

Issued at QUEBEC, CANADA on APRIL 9th, 2017.

…………………………………………………………………………………..

ARMANDO ARRASCAETA
Surveyor to CONARINA
(*) THIS RECORD IS BASED ON THE PREVIOUS FLAG CERTIFICATE.

INTERIM CERTIFICATE – Validity not to exceed five months

 F-AFS-01/c

Authorization No.: AFC-5726

Certification No.: AAUSAAFCTZ2617

REPORT FOR ANTI-FOULING SYSTEM SURVEY AND CERTIFICATION

UNDER INTERNATIONAL CONVENTION ON THE CONTROL OF HARMFUL ANTI-FOULING SYSTEM ON
SHIPS, 2001

TYPE OF SURVEY: INITIAL

Name of ship Distinctive Port of Gross IMO Number

number or Registry tonnage
letter
ETHAN 5IM-800 ZANZIBAR 4,412 7356501
Name, address and fax of
Owners: D&D INVESTMENTS & HOLDINGS, LTD.
Managers: SM MARINE, INC.
Date on which keel was laid or ship was at a similar stage of construction or, where applicable, date on which
work for a conversion or an alteration or modification of a major character was commenced: 1975.

Place of Survey: A FLOAT Survey commenced: APRIL 8th, 2017.

At: QUEBEC, CANADA. Survey completed: APRIL 9th, 2017.

NOTE:
Entries in boxes shall be made by inserting either a cross (X) for the answer “yes” or a dash (-) for the answers “no” and
na where is not applicable
All negative entries should be clarified under “Surveyor’s Notes” with reference by item number
*- Delete as appropriate

I. PREVIOUS AFS (Skip this section if it a new building)

TYPE OF AFS

1. TBT

1.1. If the AFS has already been removed to be required:

1.1.1. Statement from shipyard or contractor confirming removal / sealer coat* application

1.2. If the AFS has already been sealed to be required:

1.2.1. Paint scheme

1.2.2. Materials safety data sheet.

1.2.3. Statement from shipyard or contractor confirming removal / sealer coat *application

1.2.4. Sealer coat’s application.

1.3. If the AFS is to be removed or sealer to be required:

1.3.1. Paint scheme.

1.3.2. Sealer coat’s product technical data sheet.

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 F-AFS-01/c

2. CERTIFIED TBT-FREE (Confirmed by a valid Record of Compliance)

2.1. If the AFS has not been removed or sealed to be required

2.1.1. Paint scheme

2.1.2. Materials safety data sheet

2.1.3. Product of technical data sheet

2.1.4. Record of Compliance.

3. NON CERTIFIED TBT FREE

3.1. If the AFS has not been removed or sealed to be required:

3.1.1. Paint scheme.

3.1.2. Product technical data sheet.

3.1.3. Materials safety data sheet.

3.1.4. Statement from shipyard or contractor confirming that the application of existing AFS was
applied.

3.1.5. Paint sampling and testing.

II. NEW AFS (Documents to be required)

1. If the AFS has already been applied to be required:

1.1. Paint scheme.

1.2. Statement from shipyard or contractor confirming new AFS application.

1.3. Invoices of materials purchase from paint manufacturers or / and shipyard.

1.4. Materials safety data sheet.

1.5. Product technical data sheet.

1.6. Manufacturer’s AFS statement.

1.7. If 1.1.2. and 1.1.3. are not available the paint sampling and testing is required

2. If the AFS has not been applied to be required:

2.1. Paint scheme

2.2. Manufactor`s AFS statement.

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2.3. Product technical data sheet.

This is to declare that the undersigned has examined and filled all items of this Report before signed it.

I have issued the AFS Statement of Compliance No:

I have issued the Interim International Anti-Fouling Certificate No: AFC-5726

Signature of surveyor: ____________

Surveyor to CONARINA: ARMANDO ARRASCAETA
Port / Shipyard: QUEBEC, CANADA.
Date: APRIL 9th, 2017.

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