[별표 4-1] 아시아-태평양무역협정 원산지증명서(APTA)

Asia-Pacific Trade Agreement

1. Goods consigned from: (Exporter's business name, address, country)			Reference No. CERTIFICATE OF ORIGIN THE REPUBLIC OF KOREA Issued in··················································. (Country)
2. Goods consigned to (Consignee's name, address, country)			3. For official use
4. Means of transport and route:(as far as known)
5. Tariff item number:	6. Marks and number of Packages:	7. Number and kind of packages / description of goods:			8. Origin criterion (see notes overleaf)	9. Gross weight or other quantity	10. Number and date of invoices:
11. Declaration by the exporter: The undersigned hereby declares that the above details and statements are correct: that all the goods were produced in THE REPUBLIC OF KOREA ····································································· (Country) and that they comply with the origin requirements specified for these goods in the Asia-Pacific Trade Agreement for goods exported to ····································································· (Importing Country) ······································································ Place and date, signature of authorized Signatory				12. Certificate It is hereby certified on the basis of control carried out, that the declaration by the exporter is correct. ····································································· Place and date, signature and Stamp of Certifying Authority

(Combined declaration and certificate)