[별지 제12호서식] <개정 2010.6.10>
CERTIFICATE OF VESSEL’S NATIONALITY Cert. No
Owners	Name(Company): Address:
Official Number IMO Number Signal Letters Kind of Vessel Name of Vessel Port of Registry Material of Hull Riggings(if a Sailing Vessel) Type and Number of Engines Kind and Number of Propellers Where Built Name of Builders Date of Launch			Gross Tonnage tons Total Capacity of Enclosed Spaces cubic metres Under the Upper Deck cubic metres Closed-in Spaces above the Upper Deck cubic metres Forecastle cubic metres Bridge cubic metres Poop cubic metres Deck House cubic metres Other Spaces cubic metres Total Capacity of Exempted Spaces cubic metres Forecastle cubic metres Bridge cubic metres Poop cubic metres Deck Houses cubic metres Other Spaces cubic metres
Main Dimensions		Length metres Breadth metres Depth metres
It is hereby certified that the above described particulars are exact in all respect, and the above mentioned vessel is of Korean Nationality. The day of REPUBLIC OF KOREA
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)
210㎜×297㎜ (보존용지(1종) 120g/㎡)