[별지 제6호 서식] <신설 2014.12.8., 개정 2015.8.21.>

94, Dasom 2-ro, Government Complex-Sejeong, Sejeong-si, Korea 339-012. Tel: +82-44-201-2389, Fax: +82-44-863-9218

(339-102) 세종특별자치시 다솜2로 94 정부세종청사    전화 : 044-201-2389  전송 : 044-863-9218

Serial No : MAFRA -

Page No  :

Health Certificate

(위생증명서)

TO WHOM IT MAY CONCERN :

MM/DD/YY

MAFRA certifies that the following products are manufactured, distributed and fit for animal

consumption with compliance and supervision under 「CONTROL OF LIVESTOCK AND FISH

FEED ACT」of the Republic of Korea(위 제품은 대한민국 「사료관리법」에 따라  안전하게 생산되어 동물이 섭취하는데 적합함을 증명합니다)

￭

Name of production establishment(제조업자) :

￭

Address, phone number of production establishment(주소, 연락처) :

￭

Country of destination(도착국[수출하려는 국가]) :

￭

Name and address of consignor(수출업자) : * 제조업자와 동일할 경우 생략가능

￭

Registration of manufacturing No. (제조업등록번호) :

Product(제품)

Classfication (사료구분)	Name of product (제품명)	The name of an article (사료의 명칭)	Registration of feed ingredients No. (성분등록번호)	Registration of feed ingredients and content (등록성분 및 함량)

Remark(비고) :

Sincerely Yours,

Director of Livestock Management Division

Livestock policy Bureau

Ministry of Agriculture, Food and Rural Affairs

Republic of Korea

(Stamp or Signature)

210㎜×297㎜[백상지 80g/㎡]