[별지 제144호의4 서식] <개정 2016. 11. 29.>	page( / )
Issue No :		Issue Date :	Picture 3.5㎝×4.5㎝ (hat off,upper half of the body, no background image, within six months)
Certificate of Driver's License
Name in Full		Date of Birth(ID-NO)
Address
License No	(valid/invalid)	Sum of Penalty Score
License	Class	1st Class	2nd Class
Large	Ordinary	Small	Large trailer	Small trailer	Wrecker	Ordinary	Small	Motorized Bicycle
Date of Issue (Date of Punishment)
Traffic Accident	Violation of Road Traffic Law
Date of Accident	Police Station Concerned	Classification of Damage	Degree of human damage	Date of Violation	Police Station Concerned	Penalty Point	Applicable Article (Road Traffic Law)
Death	Serious injury	light injury	bruise
Usage
Under the Article 137 of the Road Traffic Law the above-mentioned statement is certified as true and correct The chief of Police Station Official Seal Republic of Korea
notice
Records of Traffic Accident is certified for the last ( ) years and Violation of Road Traffic Law is certified for the last ( ) years from the date of issue
297㎜×210㎜(백상지 80g/㎡)