[별지 제6-1서식]

Addressed to the President of the Authoritative Agency

Application for Distribution of Genetic Resources

Application No.

Submission Date

Date of Issuance/ Reading

Proceedings

14 days

Applicant

Organization

Business Registration No.

Name(Representative)

(Last, First, Middle)

Date of Birth

Residence Address

Tel.

Office Address

Tel.

Distribution Overview

Objective

Contents of Distribution

Institution

Total Number of Strains to be Distributed

Under the Article 16 Clause 1 of The Law for ConservationㆍManagement and Use of Genetic Resources of Agriculture and Fisheries and Article 7 Clause 1 of enforcement ordinance of the same law, I would like to apply for distribution of genetic resources as stated above.

Date :

Applicant :            (name)                      (Signature or Seal)

Attachment: List of Genetic Resources Requested to be Distributed

No charge

is imposed

Proceedings

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Applicant

Authorities: Natiional Academy of Agricultural Science.

210mm×297mm[백상지 80g/㎡]