〔별표 2-2〕기준별 사실신고서

기준별 사실신고서

1. 수출품의 HS No.   _______________________________________________________

2. 수출품의 명칭      _______________________________________________________

3. 수  출  국         _______________________________________________________

4. 선적일(신청일이전에 선적된 경우에 한함)  __________________________________

5. 원산지 기준 (해당란에 ○로 표시할 것)

P (    )  W (    )  F (    )  Y (    )  A (    )   B (    )  C (    )

6. 수출품 HS에 관한 공여국의 특혜 원산지 적용기준 내용

LIST 내용 ______________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

7. 원산지 기준별 사실내용

별첨과 같음

위에 기술한 내용은 사실과 상위 없습니다.

200  년    월    일

신청자            (인)

기준별 사실신고서 서식 2-1 (노르웨이로 수출시)

1. IMPORTED MATERIALS AND COMPONENTS (INCLUDING THOSE OF UNDETERMINED ORIGIN) LIST.

HS	Description	Q'ty	Unit price in CIF US$	Total amount in CIF US$

2. DOMESTIC MATERIALS AND COMPONENTS LIST

HS	Description	Q'ty	Unit price in US$	Total amount in US$	Name of Supplier

3. UNIT PRICE OF THE EXPORTED GOODS IN US$

EX-factory unit price

Inland freight

Other charges

FOB Korea

Ocean Freight

C & F (Destination)

Insurance

CIF    (Destination)

4. THE RATE OF EXPORT NET-EARNING

Ex-factory Value(US $) - Imported Materials and Components in CIF(US $)	× 100	=
Ex-factory Value(US $)

기준별 사실신고서 서식 2-2 (수출가득율 공장도가 기준시)

1. IMPORTED MATERIALS AND COMPONENTS (INCLUDING THOSE OF UNDETERMINED ORIGIN) LIST.

HS	Description	Q'ty	Unit price in CIF US$	Total amount in CIF US$

2. DOMESTIC MATERIALS AND COMPONENTS LIST

HS	Description	Q'ty	Unit price in US$	Total amount in US$	Name of Supplier

3. UNIT PRICE OF THE EXPORTED GOODS IN US$

EX-factory unit price

Inland freight

Other charges

FOB Korea

Ocean Freight

C & F (Destination)

Insurance

CIF    (Destination)

4. THE RATE OF EXPORT NET-EARNING

100-	Ex-factory Value(US $) - Imported Materials and Components in CIF(US $)	× 100	=
	Ex-factory Value(US $)

기준별 사실신고서 서식 2-3 (수출가득율 FOB 기준시)

1. IMPORTED MATERIALS AND COMPONENTS (INCLUDING THOSE OF UNDETERMINED ORIGIN) LIST.

HS	Description	Q'ty	Unit price in CIF US$	Total amount in CIF US$

2. DOMESTIC MATERIALS AND COMPONENTS LIST

HS	Description	Q'ty	Unit price in US$	Total amount in US$	Name of Supplier

3. UNIT PRICE OF THE EXPORTED GOODS IN US$

EX-factory unit price

Inland freight

Other charges

FOB Korea

Ocean Freight

C & F (Destination)

Insurance

CIF    (Destination)

4. THE RATE OF EXPORT NET-EARNING

100-	FOB Value(US $) - Imported Materials and Components in CIF(US $)	× 100	=
	FOB Value(US $)