Negotiable Instruments Act Article 107
A protest shall contain the following particulars and shall be signed by the person making it and affixed with the official seal of the agency where it is made:1. Personal or business names of both the person protested against and the person protesting.2. A statement to the effect that the bill, upon presentment, was dishonored by the person protested against, they could not be met, or that their place of business, domicile, or residence is unknown.3. The place and the year, month, and date of the presentment referred to in the preceding subparagraph was made or could not be effected.4. A declaration of mutual assent between the parties if the protest is made at a place other than that sanctioned by law.5. If there is acceptance or payment for honor, its nature and the personal or business names of the acceptor for honor or the payer for honor, and of the person or parties for whose honor the acceptance or payment is made.6. Place and date of the protest.
中文原文 票據法第107條
拒絕證書，應記載左列各款，由作成人簽名，並蓋作成機關之印章：
一、拒絕者及被拒絕者之姓名或商號。
二、對於拒絕者，雖為請求未得允許之意旨，或不能會晤拒絕者之事由或其營業所、住所或居所不明之情形。
三、為前款請求，或不能為前款請求之地及其年、月、日。
四、於法定處所外作成拒絕證書時，當事人之合意。
五、有參加承兌時或參加付款時，參加之種類及參加人，並被參加人之姓名或商號。
六、拒絕證書作成之處所及其年、月、日。
一、拒絕者及被拒絕者之姓名或商號。
二、對於拒絕者，雖為請求未得允許之意旨，或不能會晤拒絕者之事由或其營業所、住所或居所不明之情形。
三、為前款請求，或不能為前款請求之地及其年、月、日。
四、於法定處所外作成拒絕證書時，當事人之合意。
五、有參加承兌時或參加付款時，參加之種類及參加人，並被參加人之姓名或商號。
六、拒絕證書作成之處所及其年、月、日。