It is a Kansubon (book in scroll style) measuring 228.5 centimeters in length and 25.7 centimeters in width, which is made of five vertically pasted sheets of kozogami (paper made from paper mulberry trees), with the phrase 'Tango-no-kuni Yosa-gun Jushiinoge Kono-myojin Jugen Ukonjo Saiho Hafuribe Hoshi Amabe Jikito-no-uji" (the Amabe family, deputy head of religious services priests at Kono-jinja Shrine, Junior Forth Rank, Lower Grade, in Yosa County, Tango Province) being printed in the middle.
体裁は楮紙5枚を縦に継ぎ足した、幅25.7cm、長さ228.5cmの巻子本仕立てで、中央に「丹後国与謝郡従四位下籠名神従元于今所斎奉祝部奉仕海部直等之氏」と標記してある。