[별표 5-1] 개발도상국간 특혜무역제도 원산지증명서(GSTP)

1. Good consigned from(Exporter's business name, address, country) 2. Goods consigned to (Consignee's name, address, country)			Reference No. GLOBAL SYSTEM OF TRADE PREFERENCES Certificate of Origin (Combined declaration and certificate) THE REPUBLIC OF KOREA Issued in ----------------------------- (Country) See notes overleaf
3. Means of transport and route(as for as known)			4. For official use
5. Tariff item number	6. Marks and numbers 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 those goods in the Global System of Trade Preferences 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