Date: Dear Sir/Madam, During the annual compliance verification conducted by our Appointed Representative on , Official Number , on at , one or more deficiencies were noted and detailed in the Compliance Verification report, MSD 252COY, in Part R Deficiencies. Kindly ensure that the deficiencies are closed to the satisfaction of the Appointed Representative within thirty (30) days from the date of attendance on board. Failure to comply with the above may affect the validity of the Full Term Compliance Certificate. Sincerely,
Duly Authorized Agent of the Republic of the Marshall Islands
For acknowledgement by the Captain or representative: