APP-EIAPP(E)
2
APP-EIAPP(E) A PPLICATION FOR ISSUANCE OF EIAPP CERTIFICATE OF MARPOL 73/78 ANNEX VI (2008) （ This sheet is applied to Revised MARPOL ANNEX VI(2008) Code(2008).） To NIPPON KAIJI Applicant’s Document No. , Date of Application: KYOKAI Applicant:（Name and Address） (ClassNK) （Contact Personnel with TEL, FAX and E-mail） Category of Application New Reissue Rewrite Number of required document Orig./Copy 1/ Engine Manufacture & Address ＊ To be stated on EIAPP certificate. Engine Manufacture Address Information of Engine Tested ＊ In case of Re- issue or Re-write, from a to f shall be written. a. Category Engine Family or Engine Group Parent or Member b . N a m e o f Engine Family / Group c. Engine Type d. Output kW e. Speed rpm f. Serial Number g. Test Cycle h. Date of build i. D a t e o f Test Applied Regulation Tier I Tier II Tier III Approved Method （ Reg. 13.3 ） （ Reg. 13.4 、 （ Reg. 13.5.1.1 ） （ Approval or Installation）＊ 13.2.2 又 又 13.5.2 ）＊ ＊： Delete as appropriate Test Place ＊In case of New Company’s Name & Address Contact Personnel (Tel, Fax and E-mail) Information of Parent Engine and Installed Ship ＊In case of New and Member Engine Certificate Number Date of Issue T e c h n i c a l F i l e No. and Approval No. Date of approval Class (IMO) No. or Ship Builder / No. Flag
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eiapp
Transcript of APP-EIAPP(E)
APP-EIAPP(E)
A PPLICATION FOR ISSUANCE OF EIAPP CERTIFICATE OF MARPOL 73/78 ANNEX VI (2008)
（This sheet is applied to Revised MARPOL ANNEX VI(2008) and NOx Technical Code(2008). ）
To NIPPON KAIJI Applicant’s Document No. , Date of Application:
KYOKAI Applicant: （ Name and Address ）
(ClassNK)
（ Contact Personnel with TEL, FAX and E-mail ）
Category of Application New Reissue Rewrite
Number of required document
Orig./Copy 1/
Engine
Manufacture &
Address
＊ To be stated on
EIAPP certificate.
Engine Manufacture
Address
Information of
Engine Tested
＊ In case of Re-issue
or Re-write, from a to
f shall be written.
a. Category Engine Family or Engine Group
Parent or Member
b. Name of Engine
Family / Group
c. Engine Type
d. Output kW e. Speed rpm
f. Serial Number g. Test Cycle
h. Date of build
i. Date of Test
Applied Regulation Tier I Tier II Tier III Approved Method（Reg. 13.3） （Reg. 13.4、 （Reg. 13.5.1.1） （Approval or Installation）＊
13.2.2 又は 13.5.2）＊ ＊：Delete as appropriate
Test Place
＊In case of New
Company’s Name &
Address
Contact Personnel
(Tel, Fax and E-mail)
Information of
Parent Engine and
Installed Ship
＊ In case of New and
Member Engine
Certificate Number Date of Issue
Technical File No.
and Approval No. Date of approval
Class (IMO) No. or
Ship Builder / No. Flag
Information of
Re-issue or Re-
write
＊ In case of Re-issue
or re-write
Certificate Number Date of Issue
Reas
on
Information of
Modification
Ship’s Name Class Number
Date
（ Plan ）
Date of start of
work
＊ In case of
ModificationContents of
Modification
Attached documents Manufacturing spec. of Engine Documents for selection of parent engine
Drawings for Engine Technical File
Documents for material of engine parts Plan for NOx measurement
Documents for definition of Engine Family/Group EIAPP certificate
Other ：
Shipping/Billing
address
＊ In cases where the
address is different
from the applicant
