〔별표 1-2〕일반수출물품 원산지증명서

1. Exporter (Name, address, country)	ORIGINAL
	CERTIFICATE OF ORIGIN issued by THE KOREA CHAMBER OF COMMERCE & INDUSTRY Seoul, Republic of Korea
2. Consignee (Name, address, country)
	3. Country of Origin
4. Transport details	5. Remarks
6. Marks & numbers; number and kind of packages; description of goods			7. Quantity
8. Declaration by the Exporter The undersigned, as an authorized signatory, hereby declares that the avove-mentioned goods were produced or manufactured in the country shown in box 3. (Signature) (Name)	9. Certification The undersigned authority hereby certifies that the goods described above originate in the country shown in box 3 to the best of its knowledge and belief.
		Authorized Signatory
	Certificate No.