(Name of organizer of training- stamp)
Certification
About termination of training in sphere of safety and sanitation of work
Mr/Mrs/Miss (…)
(Name and surname of trainee)
Day born (…) In (…)
It has finished (…)
(Full name of training - Serve kind ofi training and group of person, it is assigned for which)
Organize in the form (…) by (…)
( Form of training) (Name of organizer of training)
In period from day (…) r. for day (…)
There was purpose of training:
By participants of training of knowledge possessed and abilities from range of safety and sanitation of work
Certification issue on base § 16 section 3 of the Ordinance of the Minister of Economy and Labour dated 27 July 2004 concerning work safety and health training, Journal of Laws Nr 180, item 1860 as amended,
(…) ,day (…)
(Locality) (Date of exposure of certification)
According to register number of certification: (…)
(Seal and signature of person authorized
by organizer of training)
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