■ 자유무역협정의 이행을 위한 관세법의 특례에 관한 법률 시행규칙 [별지 제24호의2서식] <신설 xxxx.xx.xx.> [시행일:xxxx.xx.xx.] 파나마공화국에 해당하는 부분 중미 공화국들과의 협정에 따른 원산지증명서의 서식 (앞쪽) free trade agreement between the republic of korea and the republics of central america 1.exporter’s name and address: telephone: fax (optional): e-mail: 2.blanket period: yyyy mm dd yyyy mm dd from: / / / to: / / / 3.producer’s name and address: telephone: e-mail: 4.importer’s name and address: telephone: fax (optional): e-mail: 5.description of good(s) 6. hs tariff classification# 7. origin criterion 8. producer 9. rvc 10. country of origin 11.remarks: i certify that: -the information in this document is true and accurate and i assume the responsibility for proving such representations.i understand that i am liable for any false statements or material omissions made on or in connection with this document. -i agree to maintain, and present upon request, documentation necessary to support this certificate, and to inform, in writing, all persons to whom the certificate was given of any changes that would affect the accuracy or validity of this certificate. -the goods originate in the territory of one party and comply with the origin requirements specified for those goods in the free trade agreement between the republic of korea and the republics of central america. this certificate consists of pages, including all attachments. 12.authorized signature: company: name: title: yyyy mm dd date: / / / telephone: fax(optional): 210mm×297mm[백상지(80g/㎡)] (뒤쪽) 작 성 방 법 제1란: 수출자의 법적 이름, 주소(도시 및 국가를 포함한다), 전화번호, 팩스번호(선택) 및 이메일 주소를 적습니다. 제2란: 이 증명서가 제5란의 물품과 동일한 물품의 복수 선적에 적용될 경우 1년을