■ 선박법 시행규칙 [별지 제25호서식] <신설 2014.10.6.>
CONFIRMATION OF CANCELLATION OF VESSEL'S NATIONALITY Confirmation Number :
Owner	Name (Company)
	Address
Official Number				Gross Tonnage		tons
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
Main Dimensions		Length	m	Breadth	m	Depth	m
Date of Cancellation of Registration
Reason of Cancellation of Registration
It is hereby confirmed that the above described vessel was canceled from Nationality of the Republic of Korea in accordance with Ship Act Enforcement Regulations, Article 23. The day of (Signature) (Official Position)
210㎜×297㎜(백상지 120g/㎡)