DOC

BAB0C1F620C1A63132C8A320BCADBDC42E687770

By Ryan Cruz,2014-06-26 22:36
6 views 0
BAB0C1F620C1A63132C8A320BCADBDC42E687770 ...

     [별지 12 서식]

    (앞면)

     포괄 수하 진술

    㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲㽲

     SAEMEN BY FOREIGN CONSIGNEE IN SUPPOR OF COMPREHENSIVE LICENSE APPLICAIONTTTTT

    대한민 산업자원

     Ministry of Commerce, Industry & Energy

     Republic of Korea 1. NAME AND ADDRESS OF CONSIGNEE

     Name

     Street and Number

     CityCountryINSTRUCTIONS: This form must be submitted by the consignee, in three copies, to the exporter named in item 2, below. Only items 1 though 8, inclusive, are to be completed by the consignee. Item 9 is to be completed by the R.O.K exporter. In all cases, the signatures required must be those of responsible officials who are authorized to bind the firms for which the sign. If more space is needed, attach an additional copy of this form or sheet of paper signed as required in items 8 and 9. The information furnished herewith is to be used in connection with an application for license form of the R.O.K. commodities.

     2. Request

     I(We) request that this statement be considered 2 part of the ?General Comprehensive Export License

     ? Special Comprehensive Export License ?Special Comprehensive Export License for Processing Trade

     filed by

     (Name and address of exporter with whom we have placed or may place an order)for export to us of the commodities/technical data shown in Item 3 below during the validity period of the relevant export license issued to the exporter.

     3. Description of commodities/technical data

     I(We) expect to use, sell, install, or reexport the following commodities(Describe briefly)

     4. Consignee's business and relationship with exporter named in item 2

     a. Nature of business is : Distributor, broker, sales agent, manufacturer. etc(Specify)

    b. Our business relationship with the exporter is : Franchise, exclusive sales agency, authorized sales agency customer, etc.(Specify)

c. We have had this business relationship for years.

     5. Disposition or use of commodities by ultimate consignee named in item 1 (check and complete the appropriate box(es))

    a? Used by us (as capital equipment)in the form in which received in a manufacturing process in the country named in Item 1

     and will not be reexported or incorporated into an end product

    b? Processed or incorporated by us into the following products(s)

     (Specify)

     to be manufactured in the country named in item 1 for distribution in

     (Name of country or countries)

    c? Used to service the following commodities

     (Specify computers, aircraft, etc.)

     in the following destinations

    d? Resold by us in the form in which received in the country named in Item1. The specific end-use by our customer will be

    (Specify, if known)

    e? Reexported by us in the form in which received to

     (Name of country or countries)

f? Other(Describe fully)

    6. Additional Information(Any material facts which will be of value in considering this statement)

     (뒤면)

    7. Assistance in preparing statement

     (Name of persons other than employees of firm named in Item1, who assisted in preparing this statement)8. CERFCAON OF CONSGNEE TIITII

    I(We) certify that all of the facts contained in this statement are true and correct to the best of my(our) knowledge and belief and I(We) do not know of any additional facts which are inconsistent with the above statement. I(We) shall promptly send a supplemental statement to the exporter named in Item2, disclosing any change of facts or intentions set forth in this statement which occurs after the statement has been prepared and forwarded, except as specifically authorized by the R.O.K. Foreign Trade Act. I(We) (a) will not use, reexport, sell, distribute, install or otherwise dispose of any commodities/technical data covered by this

    statement contrary to R.O.K. Foreign Trade Act; and(b) will not sell or otherwise dispose of any of these commodities to any person or firm who instends to use the commodities for the production, development, use and srorage of WMD or where there is reason to believe that the commodities will be reexported to a destination not authorized by the ministry of Commerce, Industry & Energy.

    Date signed Signature of official of firm named in Item1(See instructions on front of form)

    (Sign here in ink)

    Name of person signing this document Title

     (Print or type)

    9. Request and Certification of R.O.K Exporter

    We request that the firm named in Item1 be approved as a consignee to whom we may export commodities/technical data, under the special license specified in Item2. We understand that all undertakings, commitments, obligations, and responsibilities under the applicable special licensing procedure, and the Foreign Trade Act related thereto, are fully applicable to any export to

     the above mentioned consignee if this form is validated by the ministry of Commerce, Industry & Energy. No corrections, additions,

     or alterations were made on this form by us after the form was signed by the official named in Item8 above. We certify that we will

     not export or otherwise dispose of any commodities covered by the special license issued to use for the consignee names in

     Item1, until this form has been validated or after it has expired or been revoked

    

    

     The making of any false statement or the concealment of any material fact or failure to file required information may result in denial of participation in R.O.K. exports. Notional or Government certification is not required.

Report this document

For any questions or suggestions please email
cust-service@docsford.com