第2号様式(第5条関係) (日本産業規格A列4番)
船舶料理士資格証明書
Certificate of Qualification as Ship's Cook
2006年の海上の労働に関する条約に基づく証明書
Certificate Issued under the Provisions of the Maritime Labour Convention, 2006, as amended
日本政府は次のとおり証明する。
The Government of Japan certifies the following:
| 証明書の種類 | |
| Qualification as | |
| Comply with | | of the Maritime Labour Convention,as amended |
| Limitations applying (IF ANY) | |
| 証書番号Certificate No. | |
| 交付年月日Issued on | |
船員ID/Mariner's ID
姓/Surname
(旧姓/Former surname)
名/Given name
生年月日/Date of birth
性別/Sex
国籍/Nationality
本籍/Registered
署名/Signature