■ [별지 제12호 서식] <신설 2015.8.21.>

(앞쪽)

Registration No.(등록번호) :

( ) Registration Certificate of Feed Manufacturing Business

(      ) 사료제조업등록증

Representative (대표자) :                   Date of Birth (생년월일) :

Name of Manufacturer (제조업체명) :

Registration of Manufacturing No. (제조업등록번호) :

Address (소재지) :

Type of product Feed (생산사료의 종류) :

Capacity(Daily Production) 생산능력(1일 생산량) :

Condition of Registration (등록조건) : Refer to Back (뒤쪽 참조)

Certifies that it has been registrated (     ) feed manufacturing business as above under 「Control of Livestock and Fish Feed Act」 Article 8 (1) and Enforcement Regulations Article 5 (2).

(「사료관리법」 제8조제1항 및 같은 법 시행규칙 제5조제2항에 따라 위와 같이

(      )사료 제조업의 등록을 하였음을 증명합니다.)

MM/DD/YY

( 년      월      일)

Special Metropolitan City Mayor (특별시장) Metropolitan City Mayor (광역시장) Governor (도지사) Governor of Special Self-Governing Province (특별자치도지사)
	seal (직인)

210㎜×297㎜[백상지 120g/㎡]