Examination Application Power of Attorney

Power of Attorney

I hereby appoint Mr. Tsutomu Kurita, representative of Limited Liability Company Rivreboting, as my proxy and delegate the following matter.

Japanese calendar today

令和6年05月04日


    ※
    ※
    ※An application about the boat’s operator’s examination and all matters about the receipt of the
    document.

    To
    Boat’s Operators Examination Agency
    Japan Marine Recreation Association

    Zip code(7 digits - Address 1 auto-fill)

    Address1






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