원산지증명서

[창앤문]

[예시 10-8] 원산지증명(상공회의소)

Form No. CCI-1(1975. 10. 1)
1. Goods consigned from(Exporter's name, address, country)		CERTIFICATE OF ORIGIN (Combined declaration and certificate) issued by KOREA CHAMBER OF COMMERCE AND INDUSTRY Seoul, Republic of Korea
2. Goods consigned to(Consignee's name, address, country)
3. Notify parties		8. For official use
4. Port of loading	5. Port of discharge
6. Carrier	7. Date of shipment
9. Marks & number of package	10. Numbers and kind of packages; description of goods		11. Gross weight or other quantity		12. Number and date of invoice
13. Invoice price:		14. No & date of Export License:
15. Declaration by the exporter The undersigned hereby declares that the above details and statements are correct; that all the goods were produced in the Republic of Korea Place and Date Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature of authorized signatory		16. Certification We hereby certify that the goods specified above have been duly attested as being of Korean origin. Signature: Managing Director korea Chamber of Commerce and Industry
		7. Date of issue		8. Reference Np.