[별지 제13호서식] <개정 2010.6.10>
CERTIFICATE OF VESSEL’S NATIONALITY(PROVISIONAL) Cert. No
Owners	Name(Company): Address:
Kind of Vessel Name of Vessel Port of Registry Material of Hull Riggings(if a Sailing Vessel) Type and number of Engines Type and number of Propellers		Where Built Name of Builders Date of Launch
		Main Dimensions	Length metres Breadth metres Depth metres
		Gross Tonnage ton
It is hereby certified that 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(Provisional) of the above mentioned vessel. The day of (Signature) (Official Position)
210㎜×297㎜ (보존용지(1종) 120g/㎡)