Use the following format for the certification statement: (Individual for whom proof
                  is submitted), (Fact to be proved), (Country of Record/Type of Document), by (Initials
                  of Technician), (Position of Technician)/(TR Language), (Date).
               
               
                  EXAMPLE: For proof of age, R. Makara submits a Japanese BC to S. Nishino, the CRT authorized
                     to adjudicate the claim. R. Makara - Age, Japanese BC, by S.N. CRT/TR/Japan, 9/15/95.