Power of Attorney
I hereby appoint Mr. Tsutomu Kurita, Maritime Agent, as my proxy and delegate the following authorities.
1.All matters related to applications based on the Seafarer’s Act and related regulations, as well as the receipt of a Small Vessel Operation Permit.
Japanese calendar today
令和7年02月09日Please fill your name in the form as it appears on the residence certificate(Japnease Juminhyo).
If you do not know how to write ”furigana”, you may leave it blank. We will ask you at the class.
Furigana–Japanese pronunciation written in katakana or hiragana