ANNEX 5附則
ANNEX 5 EXEMPTION CERTIFICATE PURSUANT TO ARTICLE 9 IN RELATION TO THE REQUIREMENTS UNDER ARTICLE 6, ARTICLE 7(1) AND ARTICLE 8 OF DIRECTIVE (EU) 2019/883 AT THE PORT[S] OF [INSERT PORT] IN [INSERT MEMBER STATE] ( 1 ) Text of image Name of ship Distinctive number or letters Flag State [insert name of the ship] [insert IMO number] [insert name of the Flag State] is in scheduled traffic with frequent and regular port calls at the following port(s) located in [insert name of the Member State] according to a schedule or predetermined route: [] and calls at these ports at least once a fortnight: [] and has made an arrangement to ensure the payment of the fees and the delivery of waste to the port or a third party at the port of: [] and is thus exempted, in accordance with [insert relevant provision in national legislation of the country], [from the requirements on: mandatory delivery of waste from ships, the advance waste notification, and the payment of the mandatory fee, at the following port(s):] This certificate is valid until [insert date], unless the grounds for issuing the certificate are changed before that date. Place and date Name Title ( 1 ) Delete if not appropriate.