■ 어선법시행규칙 [별지 제39호서식] <개정 2012.6.7>

CERTIFICATE OF VESSEL'S NATIONALITY

Cert. No.

Owners

Name

(Company)

Address

Official Number

Total Capacity of

Enclosed spaces

cubic meters

Name of Vessel

Signal Letters

Under the Upper Deck

cubic meters

Kind of Vessel

Closed-in Spaces above the upper

Material of Hull

deck

cubic meters

Port of Registry

Forecastle

cubic meters

Riggings

(If a Sailing Vessel)

Bridge

cubic meters

Type and Number of Engines

Poop

cubic meters

Type and Number of Propellers

Deck Houses

cubic meters

Where Built

Other Spaces

cubic meters

Name of Builders

Total Capacity of Exempted spaces

cubic meters

Date of Launch

Forecastle

cubic meters

Main Dimension

Length

meters

Bridge

cubic meters

Breadth

meters

Poop

cubic meters

Depth

meters

Deck Houses

cubic meters

Gross Tonnge

ton

Other Spaces

cubic meters

It is hereby certified that the above described particulars are exact in all respect, and that the above-mentioned vessel is of Korean Nationality.

The          day      of    .

REPUBLIC OF KOREA	직인

It is hereby certified that the above is a true translation of "Certificate of Vessel's Nationality" of the above-mentioned Vessel.

The      day  of     ,     .

(Signature)

(Official Position)

210mm×297mm[인쇄용지(특급) 120g/㎡]