후천성면역결핍증검사확인서

후천성면역결핍증검사확인서
Certificate of HIV Test

No.

검사년월일:
Date of HIV Test

성명:
Name in Full

주민등록번호: (Passport No. )
Resident Registration

직업:
Occupation

결과:
HIV Result

후천성면역결핍증예방법 제8조의 규정에 의하여 혈청학적 검사를 실시하였음을 증명함.
This is to certify that a seroiogical test has been conauted for in accordance with Article 8 of the AIDS Prevention Law.

...

보건소장
Chief of Commmunity Health Center
Republic of Korea

[hwp/doc/pdf]후천성면역결핍증검사확인서