离职人员证书发还签收单

Personnel Statement of Facts

M.V. Beacon SW 傑維輪Port : RI ZHAO

Date : 25 ,APR. 2012.

Rank : M/Boy Name : Liu Song 刘松

I Received Following Original Documents from the Master of M.V. Beacon SW 傑維輪.

我 收到 傑維輪船長 發還下列証書無誤 :

Rank 職務 : __________________

Received By 簽收者 :

Date 日期 : ____________________

____________________________________ Total Received Quantity ( 11 ) Items.

總共領到 ( 9 ) 份証書.