【별지 제3호서식】
Appliance No. : Validation period : 20 . . ～ 20 . .
Certificate of High efficiency energy using appliance
① Company Name (Company ID No) :
② Office Address :
③ Factory Address :
④ Certified Appliance
	Characteristics of the Appliance
Appliance :
Class :
Model : Capacity :
Efficiency :
This is to certify that the appliance above has been certified as High efficiency energy using appliance in accordance with the Rationalization of Energy Utilization Act clause 4, Article 22. . . . Certified by KOREA ENERGY MANAGEMENT CORPORATION
Reference : This certificate is valid for three years from the date of issue. It is necessary to make an application within 90 days before the expiry date if your company wants to extend the validity period.

[ Attachment 1 : Status of Compliance Certificate Revision ]

Date	Content of revision	Reference

[ Attachment 2 : General Description of the Certified Appliance ]

Basic model
Certification No. of the basic model
Series model
Difference between the basic and series model