【별지 제18호서식】

오 퍼 요 청 서

Letter of Request Defense Acquisition Program Administration 47 Gwanmun-ro, Gwacheon-si, Gyeonggi-do, Republic of Korea, 13809
(1) LOR Code (or LOA Identifier)		(2) Type of Action Requested						(3) Type of Case
		⃞ Letter of Offer and Acceptance ⃞ Price & Availability ⃞ Amendment or Modification or Pen & Ink Change						⃞ Defined Order ⃞ Blanket Order ⃞ Cooperative Logistics Supply Support Agreement
Authorized Representative
(4) Requesting Office		(5) FMS Contracts Team						(6) Office of the Defense Logistics in Korean Embassy, USA
Signature & Typed Name & Title		Signature & Typed Name & Title						Signature & Typed Name & Title
00000000000000000000000 (직책) (소속)		00000000000000000000000 Director, FMS Contracts Team, International Contracts Division						00000000000000000000000 DAPA Representative in U.S.
(7) Date of Request		(8) Date of Request						(9) Date of Request
00. 000. 0000		00. 000. 0000						00. 000. 0000
(10) Item No.	(11) Description		(12) Unit of Issue			(13) Qty	(14) Required Delivery Date		(15) Justification
(16) Available Fund					(26) Supporting Equipment
(17) Delivery Term Code					(27) Follow-on Support
(18) Mark-For Code					(28) Technical Assistance
(19) Freight Forwarder Code					(29) Publication
(20) Period of Support					(30) Former/Associated Case
(21) Offer Expiration Date					(31) Request DSAMS RP69
(22) U.S. Providing Service					(32) Request NC waiver					Required
(23) Manufacturer					(33) Others (specify)
(24) Concurrent Spare Parts
(25) Training					Please see the more detailed requirement

(32) NC Waiver Request : This sale would significantly advance U.S. Government Interest in standardization with the ROK Armed Forces in furtherance of mutual defense treaties between the ROK and U.S. in accordance with SAMM C.9.6.3.1., the ROK Government would like to request for a waiver of NC Recoupment Charge for this sale.